Arrange a Consultation:

For any questions, please contact Dr. Mckee’s office via email or phone (see contact information below), and we will try to assist you the best we can.

Top surgery can at times be paid for privately , or at times be covered by health insurance , depending on patient eligibility and circumstances.   We accept referrals by fax or email (contact information below) from medical doctors or nurse practitioners.  We can assist with coordination with the various health care providers involved (family doctor, surgical readiness assessor, and the surgical facility). Our goal is to make the referral process as smooth, easy, and timely as possible for you.

Surgical Readiness Assessment (a.k.a. Surgical recommendation form):

If you are undergoing top surgery for the diagnoses of gender dysphoria, a requirement for patients is for you to complete a readiness assessment (aka surgical recommendation assessment) prior to surgery. In the assessment you will discuss gender dysphoria with a qualified assessor. Any medical doctor (MD), or nurse practitioner (NP), would be qualified to perform this assessment with you including your family doctor, however some family doctors prefer to outsource this task to a colleague if they themselves lack a comfort level or experience with gender dysphoria as a diagnosis. There are also psychologists and counselors in BC and abroad that can complete this readiness assessment with you (usually for a fee, unless you have medical benefits). We are happy to help coordinate a visit with a qualified psychologist or counselor for you, if asked. There are other clinicians that have the qualifications to do this for you as well and they would know themselves if they do. The assessment can be done in-person or virtually.

There are many acceptable formats that the ‘Surgical Recommendation assessment’ can be documented and conveyed. The clinician sometimes has their own preference of the form’s format and wording that they prefer. This is fine. But for other clinicians that don’t have their own preferred template. One example is below ( a downloadable blank version below that you could ask your family doctor to complete with you).

DOWNLOAD SURGICAL RECOMMENDATION FORM