https://www.templehealth.org/sites/default/files/2024-06/surgery-readiness-letters-updated.pdf
Why are letters required? Surgery readiness letters (SRL) also known as mental health letters (MHL) state that the gender afirmation surgery you are seeking is medically necessary — a criterion insurance policies use to determine coverage for procedures. It also states that you understand the risk and benefits of surgery, are mentally stable and that your mental health or medical provider is ...