Gender-Affirming WPATH Letters for Surgery in Madison, WI

 

Compassionate, Professional Support Throughout MN, WI & Internationally

At Lakeside Counseling Center], we understand that pursuing gender-affirming surgery is a deeply personal and life-affirming decision. Our licensed mental health professionals are here to support you every step of the way. As part of that support, we offer WPATH letters for individuals seeking gender-affirming surgery, written in accordance with the World Professional Association for Transgender Health (WPATH) Standards of Care.

 
 

What is a WPATH Letter?

A WPATH letter is a formal document written by a qualified mental health provider that supports a person’s request for gender-affirming medical procedures such as top surgery, bottom surgery, or other gender-affirming treatments. These letters are often required by surgeons and insurance companies as part of the documentation process.

WPATH letters typically include:

  • A clinical summary of your gender identity journey

  • A statement of diagnosis (e.g., gender dysphoria, if applicable)

  • An evaluation of your readiness and mental health stability

  • A clear recommendation for the requested surgical procedure

At Lakeside Counseling Center, we follow the most recent WPATH Standards of Care to ensure our letters are accurate, ethical, and affirming.

Why Are WPATH Letters Important?

WPATH letters serve multiple essential purposes:

  • Affirmation and validation: They formally recognize and support your gender identity and transition goals.

  • Access to care: Many surgeons and insurance providers require one or two letters before approving gender-affirming surgery.

  • Safety and preparation: These letters help ensure you're mentally and emotionally prepared for the changes that come with surgery.

Our goal is to make this process as respectful, streamlined, and non-pathologizing as possible. We believe in informed consent, gender diversity, and the autonomy of trans, nonbinary, and gender-diverse individuals.

 
 

What to Expect from the WPATH Letter Process

We strive to make the WPATH letter process supportive and low-barrier. Here’s what working with us typically looks like:

  1. Initial Intake Session – We’ll answer your questions and explain the process, as well as gain your general history. 

  2. Between 2-7 Clinical Sessions – Most clients require between 2-7 sessions after the intake session to complete the assessment.

  3. Letter Delivery Within 7 Days – Once your session(s) are complete, we’ll send your letter directly to you or your surgeon, depending on your preference.

We see clients in-person at our Madison and Eau Claire locations and also offer telehealth appointments for your convenience.

 
 

Schedule an Appointment

If you're ready to move forward with surgery and need a WPATH letter of support, we’re here to help. Our experienced, LGBTQIA+-affirming clinicians are committed to making this process empowering and efficient.