Gender-Affirming Surgery Letters

Supporting Your Right to Access Gender-Affirming Care Without Unnecessary Barriers

You deserve access to gender-affirming care without unnecessary gatekeeping. If a letter from a mental health professional is required for your surgery, this process should be simple, affirming, and centered on your autonomy. Our team provides gender-affirming surgery letters with a same-day turnaround and at no cost—pro bono or donation-based. No unnecessary hurdles, no questioning your identity—just a straightforward, respectful process to help you move forward with confidence.

you are struggling with:

  • Gatekeeping

  • Access to care

  • Surgery requirements

  • Medical barriers

  • Anxiety about the process

  • Bureaucratic hurdles

  • Fear of judgment

Your Identity Is Valid. Your Access to Care Matters.

Accessing surgery should be simple and affirming—we’re here to support you.

What are gender-affirming letters?

Gender affirming letters are:

  • Supportive

  • Respectful

  • Streamlined

  • WPATH-aligned

  • Identity-affirming

  • Barrier-free

gender affirming letters are NOT:

  • Gatekeeping

  • Judgmental

  • Excessive paperwork

  • Unnecessary assessments

  • Pathologizing

  • A test of validity

A simple, affirming process to move forward with confidence.

Get the Support You Deserve

  • Respectful, affirming care

  • stress-free process

  • No unnecessary barriers

  • Quick turnaround time

  • Clear, transparent guidance

  • Confidence in your next step

Ready to Get Your Letter?

Quick, affirming, and hassle-free—schedule now or donate to support others.

Request your gender-affirming surgery letter with same-day turnaround and no cost to you—pro bono or donation-based. If you’d like to support this service for others in the community, donations are welcome but never required. Click below to schedule your request or contribute to keeping this service accessible for all.

got questions?

  • Our letters are provided pro bono or on a donation basis—pay what you can, if you can.

  • Your letter will be ready within one day of your request.

  • We tailor letters to meet your surgeon’s requirements and ensure they align with WPATH guidelines.

  • No. We believe in reducing barriers—you do not need multiple sessions or assessments.

  • No. This is an affirming, respectful process, not a test of validity.

  • Yes. Often required by your insurance or surgeon, the letter will include a gender dysphoria diagnosis to meet those requirements.

  • Anyone who needs a letter for gender-affirming surgery is eligible.

  • Schedule an appointment using the calendar on this page, and we’ll take care of the rest.

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We’re Here to Support You Every Step of the Way

Ready to Take the Next Step in Your Journey?

No matter where you are on your path, you deserve support that honors who you are and what you’re experiencing. Whether you’re seeking therapy, an affirming assessment, or professional guidance through consultation, we’re here to help. Reach out today to schedule a consultation and begin a journey toward healing, growth, and self-empowerment.

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logo featuring the text "NQ Therapy, Inc." with stylized abstract elements like a purple arch, a sun, desert plants, and rolling hills against a warm color gradient.