#facialfeminisationsurgery — Public Fediverse posts on home.social

Fiona :transbian: :autism: 🔜 eth0, 40c3 @[email protected]

2025-02-12

I just had a consultation about my surgeries with #Psytrans.

There are some really good news (#transjoy) and some instances of #DutchHellCare:

Let’s start with the good stuff:

My endocrinologist actually did a nice thing and accepted my detailed records about how I did #OpenHRT combined with the one bloodtest I payed myself as sufficient evidence to accept my actual starting date as starting date for HRT.

Thank you Gina, I really and actually appreciate that! (#NameAndPraise)

This means that the Dutch healthcare system now accepts that I’ve actually completed my first year of HRT, which is the requirement to start the process for #BottomSurgery. 😊

In that regard I’m pretty clear on what I want and at the same time very open about the details: Full #vaginoplasty, no half-meassures like pure #orchiectomy or zero-depth. How exactly they are doing it is something that I don’t particularly care about, which is good, because this is also pretty much the extend to which they let you choose.

Accordingly this part of the conversation was over pretty quickly and we moved to #FacialFeminisationSurgery…

And the first issue is that it is relatively hard to get it covered. You essentially need to have issues passing, because otherwise it would be considered a cosmetic surgery which isn’t covered. Annoying, but on the other hand also somewhat understandable. The more annoying thing is that hair-transplants are almost never covered anyways,

Which brings us to cost…

So first of all Dutch hell-insurance only pays up to Dutch rates which are not cost-covering for bottom surgery (in case anyone was wondering why the waiting-lists are long: This is one of the reasons, hospitals loose money on it), so of the 20.000€ that one could expect to pay in Thailand, Dutch insurances would only pay 14.000€. So a 6000€ difference probably + travel cost. A lot of money, but I could cover that without too many issues.

Now full FFS can apparently get to 40.000€…

Which would not be completely impossible, but in “pillage retirement-savings”-territory…

Well, in the end I decided to go onto Radbout’s waiting list for a combined surgery (which would also be fully covered by health-insurance, which would be a huge benefit), so if I manage to hit the weight-targets, I might get surgery in maybe like two years or so?

Speaking of it: I really need to loose weight, that will definitely be the biggest problem going forward…

#transition #medicaltransition #trans #transfem #transgender