Gender reassignment surgery (SRS) by Dr Djinovic is dependent on the referral of mental health professionals to the surgeon. The surgeon only executes what has been approved as appropriate by mental health professionals who have diagnosed and documented your case.
The Sava Perovic Foundation adheres to the Standards of Care for Gender Identity Disorders of the Professional Association for Transgender Health (WPATH) which was originally know as the Harry Benjamin International Gender Dysphoria Association.
The chapters relevant to the letters of psychiatric approval are 4, 9, and 12. You can read the Gender Identity Disorders Standards of Care here.
If you are at the beginning of your transition, our adherence to the Standards of Care for Gender Identity Disorders means you need to locate two local doctors who can advise you. For hormonal treatment, it would need to be an endocrinologist experienced with gender reassignment.
For the psychiatric approval, it would need to be a psychiatrist experienced with gender disorders and another highly qualified mental health professional, not necessarily a psychiatrist, to confirm the psychiatrist's diagnosis. These professionals help guide you as well as prepare mentally and emotionally for SRS, including vaginoplasty, male or female organ removal, and microsurgical free flap phalloplasty surgery or metoidioplasty.
When the mental health professionals have documented your pre-operative transition from female to male or male to female and approve the next step of surgery, you can THEN make your appointment to get surgery from the Sava Perovic Foundation Surgical Team. Then send us true digital copies (scans or good quality digital photos) of the signed letter(s) on the official letterhead stationary of the doctors or mental health professional(s) showing you are prepared and the surgery is right for you.
Letters need to have the full contact information of the doctors and be verifiable.
Legal gender status, official documents, and letters from other surgeons or doctors cannot replace psychiatric evaluation approving surgery.
Hand deliver the original versions of the psych evaluations to Dr Djinovic when you come to Belgrade for phalloplasty surgery.
Do not mail them, fax them or send them by courier. Do not give them to us until you come to Belgrade for actual surgery.
Perovic Art of Urogenital Surgery
+1-216-220-4220
