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MEDICAL POLICY
No. 91612R1
GENDER REASSIGNMENT SURGERY
Effective Date: January 1, 2017*
Date Of Origin: August 12, 2015Review Dates: 8/15, 8/16, 11/16
Status: Current×Note: For fully funded commercial
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How to fill out gender reassignment surgery

How to fill out gender reassignment surgery:
01
Consultation: Schedule a consultation with a qualified healthcare professional who specializes in gender reassignment surgery. During this appointment, you will discuss your goals, medical history, and any concerns you may have. The healthcare provider will explain the different surgical options available to you and help you make an informed decision.
02
Psychological evaluation: In many cases, a psychological evaluation is required before undergoing gender reassignment surgery. This evaluation aims to assess your mental health and ensure that you understand the implications and potential outcomes of the procedure. It is an important step to ensure that you are psychologically prepared for the surgery.
03
Hormone therapy: Depending on your specific situation, your healthcare provider may recommend hormone therapy as a pre-operative step. This can involve taking hormones, such as estrogen or testosterone, to initiate the physical changes associated with your desired gender. Hormone therapy may be required for a certain period of time before surgery to ensure the best possible outcome.
04
Pre-operative preparations: Before the surgery, your healthcare provider will provide detailed instructions on how to prepare. This may include stopping certain medications, avoiding alcohol or smoking, and arranging necessary support or accommodations for the recovery period. It is important to follow these instructions closely to ensure a successful surgery and minimize any potential complications.
05
Surgery: Once you have completed all necessary preparations, the gender reassignment surgery will be performed. The specific procedures involved will vary depending on your individual needs and goals. It may include various surgical techniques to alter the genitals, such as removal of existing genitalia (orchiectomy or penectomy) or construction of new genitalia (vaginoplasty, metoidioplasty, or phalloplasty). The surgical team will guide you through the process and ensure your comfort and safety.
Who needs gender reassignment surgery:
01
Individuals with gender dysphoria: Gender reassignment surgery is typically sought by individuals who experience gender dysphoria, a condition where a person's gender identity differs from the sex they were assigned at birth. These individuals may feel significant distress or discomfort with their assigned gender and seek to align their physical appearance with their gender identity.
02
Medically necessary cases: In some cases, gender reassignment surgery may be deemed medically necessary. This can include situations where the individual experiences severe distress, impairment in daily life, or when other treatments, such as hormone therapy or psychotherapy, have proven ineffective in alleviating the gender dysphoria.
03
Informed and consenting individuals: Before undergoing gender reassignment surgery, individuals need to have a thorough understanding of the procedure, its potential risks, and expected outcomes. Informed consent is crucial to ensure that the decision to undergo surgery is well-considered and voluntary. Healthcare providers will often require individuals to undergo a comprehensive evaluation process to ensure they are mentally and emotionally prepared for the surgery.
It is important to note that the decision to undergo gender reassignment surgery is deeply personal and should be made in consultation with healthcare professionals, therapists, and support networks as necessary.
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What is gender reassignment surgery?
Gender reassignment surgery is a medical procedure that changes a person's physical characteristics to match their gender identity.
Who is required to file gender reassignment surgery?
Individuals undergoing gender reassignment surgery may be required to file with their healthcare provider or insurance company.
How to fill out gender reassignment surgery?
To fill out gender reassignment surgery, individuals need to consult with their healthcare provider and follow the instructions provided by the medical professionals.
What is the purpose of gender reassignment surgery?
The purpose of gender reassignment surgery is to align a person's physical characteristics with their gender identity, helping them alleviate gender dysphoria.
What information must be reported on gender reassignment surgery?
Information such as the type of surgery, date of surgery, and healthcare provider details may need to be reported on gender reassignment surgery.
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