Gender-Affirming Letter

Tess Mills provides gender-affirming letters for transgender and non-binary individuals seeking gender-affirming surgery. If your surgeon or healthcare provider requires a mental health letter as part of the surgical process, Tess offers a respectful, collaborative, and affirming evaluation focused on supporting your goals. Every person deserves compassionate care that honors their identity and autonomy throughout their gender-affirming journey.

While many healthcare systems continue to require a mental health letter before gender-affirming surgery, we recognize that individuals are the experts on their own bodies and identities. We believe that people should have the freedom to make decisions about their own healthcare without unnecessary barriers. At the same time, we are committed to helping clients navigate the current requirements so they can access the care they need.

The appointment is designed to be a supportive conversation rather than a test or gatekeeping process. During your meeting, Tess will take time to understand your gender journey, discuss your hopes for surgery, explore any questions or concerns you may have, and ensure that informed consent is well understood. The goal is to provide a safe space where you feel heard, respected, and empowered as you move forward with your decision.

Tess Mills is a licensed therapist who provides LGBTQIA+ affirming, trauma-informed care. She is committed to creating an environment where transgender and non-binary clients feel welcomed, respected, and free to be themselves. Her approach is collaborative, compassionate, and centered on your lived experience rather than outdated assumptions about gender identity.

When appropriate, Tess can provide gender-affirming letters that meet the documentation requirements commonly requested by surgeons and medical providers for gender-affirming surgery. The evaluation process is individualized and focused on supporting your access to care while ensuring that documentation reflects your unique circumstances and aligns with current professional standards.

If you are seeking a gender-affirming surgery letter from a licensed therapist, Tess Mills is here to help you navigate the process with dignity and respect. Whether you are pursuing top surgery, bottom surgery, or another gender-affirming medical procedure, you can expect affirming care that centers your autonomy, provides space to discuss your hopes and concerns, and supports your journey toward living authentically.