When I got masculinizing top surgery I had to get a psych letter. It was coded as a double mastectomy. If Iβd gotten breast reduction no psych letter would be necessary.
For what itβs worth, Iβm a cis woman who desperately needs a breast reduction as my naturally large balloons destroy my shoulders and have caused me decades of pain, I donβt get approved either. Iβve had two spinal surgeries instead.
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