Secondary Assessment for TRS (Transition-Related Surgery)

Church and Wellesley Counselling and Psychotherapy offers compassionate and comprehensive Secondary Assessments for Transition-Related Surgery (TRS), supporting trans, non-binary, and gender-diverse individuals in accessing affirming healthcare.

Whether you're required to provide a second opinion by your healthcare provider, insurance company, or surgical team, our clinicians are here to provide timely, respectful, and affirming assessments.

a composition that symbolizes personal transformation and self-affirmation

What is a Secondary Assessment for TRS?

A Secondary Assessment is often requested as part of the surgical readiness process for gender-affirming procedures. While many surgeries only require one letter of support, some healthcare systems or surgeons may require a second opinion from another qualified mental health provider.

Who is This Service For?

You may need a secondary assessment if:

You want a validating and thorough second opinion as part of your personal care journey

You're working with a public health system that requires two assessments for certain procedures

Your primary mental health provider already provided a letter, but a second opinion is requested

Your surgical provider or insurance plan requires an additional letter of support

What Does the Assessment Involve?

All assessments are conducted by qualified mental health professionals (registered psychotherapists, social workers, or psychologists) with lived or clinical experience supporting the 2SLGBTQIA+ community.

  • A gender-affirming clinical interview (either virtual or in-person)

  • A written assessment letter for your insurer, provider, or surgeon

  • Exploration of gender identity and surgical goals

  • Informed consent and expectations around the surgery

  • Review of relevant medical, mental health, and social history

Contact Us

Contact us today to learn more about Secondary Assessments for Transition-Related Surgery.
📧 info@cwcp.ca
📞 647-358-5815

In-Person and Online Sessions Available

We offer flexible options to meet your needs, whether that means visiting our clinic in downtown Toronto at Church Wellesley or connecting virtually from anywhere in Ontario. Your comfort comes first.

Our clinic is conveniently located just a short walk from Wellesley Subway Station.