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Meet LA


LA's story

Annual Trans Surgery Fund recipient

LA (he/him) is a 45-year-old Black trans person from Texas seeking top surgery. LA has experienced chronic homelessness since 2011. "I am covered by Texas Medicaid. However, Texas Medicaid does not cover gender-affirming care. My insurance has denied me twice to assist with surgery costs," LA says. "My housing voucher is tied to the specific apartment unit I live in, so I am unable to move to a different state that would cover my surgery without becoming homeless again."

LA shares, "I have been living uncomfortably as a different person physically than I feel my identity is. I am looking forward to the surgery to support my self-image and feel more comfortable in my body."

LA's timeline

  • Award Granted

    February 15, 2024

    LA was granted a Surgery Fund Award!
  • Consultation Date

    April 1, 2024

    LA had a consultation with Dr. Peter Raphael!

  • Care Received

    July 2, 2024

    LA had surgery with Dr. Peter Raphael!

Grant details

$9,050 towards gender-affirming care.

TikTok-a-Thon grantee

About FTM Top Surgery

On average, it costs $12,000+ for LA's care.

What is it?

FTM/N top surgery is a surgical procedure that removes breast tissue and reshapes the chest contour to create a more traditionally masculine or gender-neutral appearance.

What is life like for a person who needs this care?

Prior to care, many trans masc people experience dysphoria that impacts their daily life. One of the most common and heartbreaking experiences we hear from applicants is that they cannot give hugs to their loved ones without feeling intense distress with their chest. In addition, reliance on chest binding can cause strain over long periods of time.

How accessible is it for trans folks to receive this care?

While top surgery is often categorized as a covered benefit in many insurance plans, the reality is that it's frequently denied coverage. Many people report unsuccessful attempts to appeal for coverage. In addition, finding skilled surgeons experienced in performing top surgery can be extremely challenging, particularly in states and regions most affected by anti-trans healthcare legislation.

What is the impact of this care on the recipient’s life?

Many trans folks who undergo top surgery report massive improvements to their overall well-being and mental health, leading to increased confidence and more comfort in relationships, navigating public spaces, and more.