February 20, 2004
Dear Dr. Brassard,
I am writing on behalf of [my name]. I am a clinical social worker with the Lesbian, Gay, Bisexual, Transgender Community Center of New York City. I provide individual and group counseling services for the Center’s Gender Identity Project (GIP), and as a result, maintain a full caseload of Transgender clientele.
Mr. ______ presented to me for counseling services in October of 2002. Since that time, we have met on a primarily bi-weekly basis to explore a variety of issues, including gender transition concerns and the prospect of gender confirming surgery. This counseling has been happening in conjunction with medical care, which has been managed by the Callen-Lorde Community Health Center of New York City. Mr. ________ has been receiving hormone therapy treatment for the past 3 years and has been living full-time as male for 2.5 years.
We have explored hopes, expectations, and general knowledge around his metoidioplasty procedure. Based on our conversations, my assessment is that Mr. _________ is willing and able to comprehend and comply with any surgical instructions necessary. I have recommended that he stay engaged at the Callen-Lorde Health Center for his pre-surgical needs and for surgical after-care.
In conclusion, based on his continued compliance with the medical and mental health standards of care of his treatment facilities, lack of any pathology which would interfere with his ability to give informed consent, and his strong and visible sense of himself as male, it is my assessment that Mr. ________ is an excellent candidate for gender confirming surgery. If you have any further questions, please do not hesitate to contact me directly at: (212) 620-7310, ext. 254.
Ray Carannante, CSW
Clinical Social Worker