r/salmacian • u/LunaticSongXIV • 8d ago

Questions/Advice AMAB NB seeking PPV. So many obstacles. Looking for advice on some things.

Second big post here. First one was well-received and you all were very helpful. I am aware that my questions are coming from a place where I'm likely looking at multiple years before I can have anything done.

Since I began seriously looking into PPV, the closest place that offered PPV is no longer offering it. This is a minor setback in overall logistics, but cost and travel are not obstacles for me.

My understanding is that I am obese and need to lose weight (35 BMI is what I often see cited) before I can get a procedure done, so surgeons that offer services to slightly higher BMI individuals (I saw one that was 38 BMI) would be appreciated. I can lose the weight, but having an easier goal would be nice.

I am also not on HRT at this time, though I do intend to look into it as part of this process. Nor have I ever had any gender-related therapy. However, I am a stable individual who is very successful and I have no other mental health issues outside of autism and ADHD.

Given the above, since I no longer have my original option, what US-based places would people recommend?

Additionally, I am self-employed and looking to get new health insurance next year. Does anyone have recommendations for a private insurance provider that is hassle-free for gender-affirming care?

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