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Table 5 Patient perception of two letter requirement

From: Transgender women’s perspectives on mental health care related to vaginoplasty for gender affirmation

Theme

Participant Response

Creates barriers for others (not experienced by participant)

8 (57)

Gatekeeping

7 (50)

Specific degree requirements for letter writers unnecessary

4 (27)

Provides Benefit

4 (27)

“I am the expert on me”

3 (21)

Created barriers for patient

3 (21)

 Transportation

1 (7)

 Limited mental health provider availability

3 (21)

 Expense

2 (14)

Misapprehension of expertise in this context

2 (14)

12 month expiry of letters unreasonable

2 (14)

Prevents regret

1 (7)

  1. Data are n (%)