Top Surgery Eligibility FAQ

  • Can I get top surgery even if I identify as nonbinary or genderqueer?
  • YES! We welcome patients of any gender identity. We believe in every person’s right to feel comfortable in their own body.  Transition is a highly individualized process, and some patients with gender dysphoria still find it easiest to use the pronouns of their gender identified at birth around the time of surgery.  We are very accepting of the many different transition journeys that patients may take.

  • Can I get top surgery even if I am not on hormones?
  • Absolutely. Dr Mosser does not require any of his patients to currently be or have been on hormones.  The presence of gender dysphoria and being medically fit for surgery are the only strict requirements for surgery.

  • Can I get top surgery if I am a minor (under 18 years old)?
  • Yes, but there are a few more requirements. We will need consent from both parents (unless only one parent has been awarded legal custody), as well as two letters from mental health professionals who can speak to your gender identity and transition.  Dr. Mosser will also speak with your therapist via phone prior to your surgical procedure, in order for everyone on your healthcare team to be as interconnected and communicating as possible.

  • Can I get surgery even if I have other medical and/or mental health diagnoses?
  • The best candidates for top surgery are physically and emotionally healthy, and have their mental health conditions optimized.  Surgery is overall a very positive experience, but as with all life changes, can be a bit stressful.  Therefore having as much emotional reserve as possible to manage this short-term stress is important. Other health conditions may not prevent you from having surgery, but you need to be honest with your surgeon to ensure your safety.

  • Are there body weight requirements or other restrictions for surgery?
  • The closer you are to your ideal weight the better, but being overweight won’t necessarily exclude you from having surgery. Losing or gaining a significant amount of weight following surgery can impact your final results, so it is important to be upfront about your weight loss goals with Dr. Mosser during your consultation.

    Dr. Mosser does not have a body mass index (BMI) requirement for surgery, and has performed top surgery on patients with BMIs as high as 65.

  • Do I need a letter from a therapist?
  • Dr Mosser follows the Informed Consent model and does not require a letter from a therapist or mental health professional under most circumstances.  He very much values therapists as part of the process of a gender transition, but a letter is not a requirement.

  • Which insurance plans does Dr Mosser accept?
  • Our office is actively working to negotiate contracts with a number of insurance companies. Our insurance negotiation team is amazing and we would love to add more insurance plans to this list, so please get in touch with our Insurance Concierge to start your approval process.  

  • Does insurance require a letter from a therapist?
  • Yes. We recognize this is an outdated requirement, and while Dr Mosser does not require a letter from a mental health professional, it is necessary for insurance approval.

  • Can I get top surgery with Dr Mosser even if I don’t live in San Francisco or the US?
  • Definitely! Many of our patients travel from across the US or abroad to see Dr Mosser. We have had wonderful patients from Japan, England, Italy and many other foreign countries.  Our office can help provide recommendations for travel arrangements and accommodations.

  • If I’m traveling to San Francisco, how long do I need to stay in the area?
  • We recommend at least 6-7 days following your surgery.  After that you will be touching base routinely with Dr. Mosser through our secure online system.