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location:  Transition  >  Bottom Surgery  >  Letter 1

October 3, 2005

Miroslav Djordjevic, MD
Pikesville, MD 21208

Dear Dr. Djordjevic:

I am delighted to write this letter on the behalf of Mr. Ethan F*, a transsexual male currently in female-to-male medical transition. During August and September, 2005, I evaluated Mr. F* and found him to be a very appropriate and psychologically healthy candidate for metoidioplasty, scrotoplasty and vaginectomy surgeries. From a psychological standpoint, there is no reason why these therapies could not occur in the immediate future.

Mr. F* is an intelligent young man quite capable of articulating his many thoughts, feelings and emotions regarding his years-long female-to-male process. His decision to undergo transsexual surgeries is very clearly not an impulsive act rooted in psychopathology. Mr. F* has obviously put much time and effort into the decision making process and conducted much research to inform his thought. Mr. F* described himself during childhood as the "typical girl" who came out as a "dyke" at age 13 and as a transsexual when 19. At age 20, he decided to begin the sex change process and so far has completed the mastectomy. He is currently prescribed hormonal therapy, Testosterone 60 mg a week.

Although Mr. F* could not identify specific reasons why he is transsexual, he explained that he "feels better" when living his life as or is treated like a man. He went on to describe himself as much healthier psychologically after beginning the steps to change his sex. It is obvious after talking to Mr. F* at length that completion of the necessary surgeries would greatly enhance the quality of his life. I am convinced that he is quite eligible and ready to move to the next step in the female-to-male transition.

Mr. F* presents with no evidence of any co-morbid psychological disorder. His thinking and judgment are quite clear, rational and free of psychosis. He does not appear to be depressed or overly anxious, although it should be noted that he is currently prescribed Lexapro 10 mg qd for management of some anxiety that he feels is related to worry over his sex transition. It should be noted that Mr. F* is currently doing quite well as a student in a rigorous, doctoral-level veterinary medicine program at (school).

I am quite willing to continue working with Mr. F* as needed. If I can be of further assistance, please contact me at my address or phone number below or by emailing *@sgu.edu.


name, Psy.D.
Acting Director

NOTE: * = edited for privacy

Since at the time of its writing, I was undecided about what doctor to go to, this letter was also sent to the following:

  Harold M. Reed, M.D., F.I.C.S
  1111 Kane Concourse Suite #311
  Bay Harbor Islands, FL 33154-2041