Many insurance plans will cover the costs of gender-affirming top surgery. To secure coverage, you will likely need a letter from a mental health provider that states you meet WPATH guidelines or a referral from a licensed primary care provider. Requirements depend heavily on your individual plan, and it can be helpful to reach out to your insurance provider. At the GCC, you can leave the insurance worries to us. Our insurance advocacy team has a 90% success rate in securing approval for patients