Top surgery is a personal decision that *anyone* has the ability to make for themselves. There is no *right* way to look or feel in order to "qualify" for top surgery. The unfortunate reality is that both society and insurance do not see access to top surgery this way. Below, you'll find basic information about top surgery including the different types, why folks might choose to get top surgery, resources on surgeons, and barriers to access. I have also shared my personal journey with top surgery and included information about my battles with insurance coverage. Contact me if you would like any additional support in this process :)
Consolidated info coming soon!
Why top surgery?
Key terminology
Key considerations
Working the system/Barriers to Accessibility
References in the meantime:
Amazing Top Surgery Survival Guide Zine for readers
Dr. Mosser (leading medical professional ) Nonbinary Top Surgery
Coming soon
Why did I get top surgery?
Fears + Misconceptions + Barriers
Preparing for top surgery
Titty Snip!
Healing + Reconnecting with my chest :)
I was denied top surgery from United Healthcare (UHC) on grounds that I identify as nonbinary, and not a "trans man". The fact that a medical professional denied my access to life-saving healthcare on the basis that I identify outside the gender binary was beyond invalidating and crushing. I waited months for UHC and my surgeon's office (Dr. Champaneria at Scripps) to have what is called a "peer-to-peer" appeal: when the UHC's appointed medical professional and Dr. Champaneria have a phone call. Even after multiple phone calls and promptings from my end, this never happened, so I took matters into my own hands.
I researched the scientific and legal evidence supporting nonbinary folx access to top surgery and asked my Plume healthcare provider to write a support letter (in addition to the letter I already had from a mental health provider). I encourage you to contact your local LGBTQIA+ center, and ask for support from one of their advocates to write you a letter as well.
Below is the final product of the appeal letter that made UHC go, "oh shit please don't sue us on the grounds of discrimination, and yes you can have top surgery!" Note that in the first part of the letter, I reference UHC directly. Please feel free to use this resource as it pertains to your situation, and contact me if you need additional support.