What’s Needed Before Gender-affirming Surgery

Clinical criteria (WPATH Standards of Care, Version 8)

• Persistent, documented gender incongruence
• Capacity to consent
• Age 18 or older (for the services listed)
• Any co-occurring physical or mental health conditions reasonably well controlled
• One supporting letter from a qualified health professional
• For genital surgery only: six months of a stable hormone regimen if hormones are prescribed — unless hormone therapy is not desired or is medically contraindicated

Henry Ford perioperative requirements

• Nicotine and cannabis cessation windows before and after surgery
• Medical optimization requirements
• Pre-operative hair removal for genital surgery