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Additionally, in this study, adequate family and social support were noted to be important for postoperative functioning. Working groups are currently participating with the National Institutes of Health to develop systems to capture and report these important data. However, there are still no formal training programs or specific board certifications for surgeons performing gender confirming surgery. Loren Schecther and Dr. A preoperative surgical consultation is obtained, during which the procedure and postoperative course are described, the potential risks and benefits of surgery are reviewed, and the patient's questions are answered. From a medico-legal standpoint, the best approach to managing these cases is to provide parents with as much information as possible so that they can make informed decisions. Gender reassignment generally consists of several treatment plans, which include the diagnostic phase mostly supported through mental health professional interaction followed by continuous hormonal therapy through an endocrinologist.
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Facial feminization surgery

However, there are still no formal training programs or specific board certifications for surgeons performing gender confirming surgery. The field of gender confirming surgery has grown with increased awareness, need, and third-payer coverage. Non-genital, non-breast surgical interventions: voice surgery rare , liposuction, lipofilling, pectoral implants, and various aesthetic procedures. Preventive medicine services considered medically necessary in conjunction with gender reassignment services include :. It includes living openly in a manner consistent with the affirmed gender, or completed with the GRS itself.
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Gender Reassignment Surgery - Medical Clinical Policy Bulletins | Aetna

Based upon questionnaire data from 19 gender clinics in Europe and North America, conditions that could result in delay or denial of surgery included psychosocial instability, married status, substance abuse, chronic or psychotic illness, and antisocial behavior. Individuals may also request feminization of the chin and mandible. Daily Newsletter The latest Oak Lawn news delivered to your inbox every morning. My plan has an exclusion for transition-related care. Journal List Transgend Health v. Aside from genital reconstruction, breast augmentation, thyroid chondroplasty tracheal shave , and facial feminization offer additional procedures designed to feminize one's appearance. Female-to-Male FtM surgical procedures performed as part of gender reassignment services for an individual who has met the above criteria for gender dysphoria may be considered medically necessary and include the following:.
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The goals of chest surgery include the esthetic contouring of the chest by removal of breast tissue and skin excess, reduction and repositioning of the nipple—areola complex, release of the inframammary crease, and minimization of chest scars. These procedures will also require periodic touch-ups to keep her face looking fresh and balanced. Procedures or services to create and maintain gender specific characteristics masculinization or feminization as part of the overall desired gender reassignment services treatment plan may be considered medically necessary for the treatment of gender dysphoria ONLY. In humans, sex organs or primary sexual characteristics are those an individual is born with. A one-stage technique for constructing female external genitalia in male transsexuals. Gender assignment surgery for patients with ambiguous genitalia diagnosed at birth or in infancy is considered reconstructive surgery and may be considered medically necessary. Does Medicaid cover transition-related care?
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