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FAQ: Getting Started With Gender Affirming Surgery

What is a consult?

A consult will be your first appointment with your new healthcare provider. This is an opportunity for you to meet and get to know your healthcare team. You will also meet our scheduling team, who will walk you through the insurance process: what to expect, what is needed, etc., and if appropriate, someone from our social work team.

Should I come alone?

We recommend you bring along your main support system through your expected healing process. It will be important for all of us to set up good communication so they can help you, and we can help you too.

What should I bring?

Your initial consult with us is very information driven. Please bring your photo ID, insurance card, and list of medications. We recommend you bring a list of questions you would like to go over with the clinical team, and some method to take notes. After your appointment, we know you will have questions, and we are available to answer them as best we can.

How long does a consult take?

A consult averages 30 minutes to an hour, but sometimes longer depending on the type of surgery. We ask that you arrive 15 minutes early to your appointment, and plan to be with us at least 60-90 minutes. The vast majority of that time is face-to-face time with Dr. Coon where he tries to understand your goals for the surgery, so that you and he can develop a plan that can achieve those goals. After your meeting with Dr. Coon, you will meet with a member of his office staff who will help answer any questions about insurance coverage, as well as our social worker to go over your post-operative care plan.

Will I be able to see reference photos?

We do have photos of Dr. Coon’s patients that have consented to allow us to show them in clinic only. At this time, given the sensitive nature of the surgeries, and our patient’s journey and privacy, we do not post or distribute them electronically.

Should I expect to have photos taken?

Part of our surgical consultations will require photos to be taken of the surgical site. We will let you know when we are getting to that point of the appointment, and we do our best to minimize any discomfort.

Can I discuss all my surgeries with the doctor in one visit?

Unfortunately, no. Each surgery, top, bottom, and face, requires its own consult. These consults are extensive time spent with Dr. Coon in face-to-face education and discussion on surgical techniques, risks and benefits, and desired outcomes.

What to expect after the consult?

At the end of your consult with our office, your next steps are to complete whatever steps were discussed with the staff. This can include, but is not limited to, hair removal, obtaining secondary letters per WPATH guidelines, or submitting additional records and documentation. Once we have everything that was outlined in your initial appointment, we review your chart and if appropriate, schedule surgery.

What about my insurance?

Part of your first appointment with our office is discussing exactly what your plan covers, and what they require in order to pre-authorize your care. You will discuss in greater detail how that process works with our office admin staff, who are knowledgeable and experienced working with the insurance industry.

What does it cost to have a consult?

Most consults are covered by your insurance plan. This information will be discussed with you when we call you to follow-up after your initial phone intake and insurance review.

Download the Getting Started FAQs as a PDF.

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