What we need, and what can wait

Send us how to reach you, the procedures you are considering, and your insurance (or that you are self-pay). That is enough to book a consultation or to open pre-authorization. WPATH-aligned letters, prior records, and hair-removal maps can follow. Waiting until a folder is perfect is how people lose a year.

If you have Medi-Cal, LA Care, or IEHP, read the matching insurance page before or after you book. Those plans have rules we already know. Private plans vary more. We still start; we do not guess your benefits in the first email.

Consults are in Beverly Hills or virtual. Bring a list of medications, prior surgeries, and what you want the result to do in ordinary life, not only in photographs.