Photo of Troy Johnson - WPATH Surgery Letters, Clinical Social Work/Therapist, LCSW
WPATH Surgery Letters
Clinical Social Work/Therapist, LCSW
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WPATH Surgery Letters

Clinical Social Work/Therapist, LCSW (troy johnson, lcsw)

Verified by Psychology Today Verified by Psychology Today
Call Us
Let's Connect (502) 215-3683
Photo of Troy Johnson - WPATH Surgery Letters, Clinical Social Work/Therapist, LCSW
Available online only
Louisville, KY 40202
I provide Medical Necessity Evaluations and WPATH Letters for top surgery, bottom surgery, and facial feminization. From Paducah to Pikeville, and all across Kentucky, I support trans and nonbinary clients with fast, WPATH-aligned documentation that reflects who you are. Show up as you are, and I’ll take it from there. You’ve already had to fight just to be seen, to be believed, to be taken seriously. This isn’t another hurdle, it’s a hand on your back saying “I’ve got you.”
Once we connect, I move fast. Most gender dysphoria letters are delivered within 72 hrs. I write WPATH letters and mental health letters for gender-affirming surgery that meet insurance and surgical requirements. You’ll get free revisions and one appeal letter—because when the system gets messy, I don’t disappear.
This service is self-pay only and not billable to insurance, because the work starts the moment you book. What you’re paying for isn’t just a letter—it’s partnership. I can’t protect you from every barrier, but I will not leave you navigating them alone. I write with clarity, move with urgency, and show up when it counts.
Take the first step to help. Call or WPATH Surgery Letters now - (502) 215-3683

Practice at a Glance

Available online only

Telehealth Sessions

Louisville, KY 40202

(502) 215-3683

Telehealth Sessions

Lexington, KY 40509

Website
WPATH letter for gender dysphoria, top surgery, bottom surgery, or FFS. No hoops. One session, one fee, one fierce advocate.
I specialize in Transgender  
$190 Per Session  
Individual one-on-one therapy 
No gatekeeping. No performance. Just a real conversation, and a same-day letter that gets you to surgery, no detours.
WPATH Surgery Letters
Let's Connect (502) 215-3683
Photo of Troy Johnson - WPATH Surgery Letters, Clinical Social Work/Therapist, LCSW

Practice at a Glance

Available online only

Telehealth Sessions

Louisville, KY 40202

(502) 215-3683

Telehealth Sessions

Lexington, KY 40509

Website
WPATH letter for gender dysphoria, top surgery, bottom surgery, or FFS. No hoops. One session, one fee, one fierce advocate.
I specialize in Transgender  
$190 Per Session  
Individual one-on-one therapy 
No gatekeeping. No performance. Just a real conversation, and a same-day letter that gets you to surgery, no detours.
WPATH Surgery Letters

Finances

Fees

  • Individual Sessions $190

Payment Methods

American Express, Discover, Mastercard, Visa
"
Gender dysphoria assessments are $190 and include your letter, free revisions, and one appeal letter. Letters are WPATH-compliant and typically delivered within 72 hrs after your appointment.
Photo of Troy Johnson - WPATH Surgery Letters, Clinical Social Work/Therapist, LCSW
WPATH Surgery Letters
Clinical Social Work/Therapist, LCSW
or call with questions - (502) 215-3683
"
Gender dysphoria assessments are $190 and include your letter, free revisions, and one appeal letter. Letters are WPATH-compliant and typically delivered within 72 hrs after your appointment.
Photo of Troy Johnson - WPATH Surgery Letters, Clinical Social Work/Therapist, LCSW
WPATH Surgery Letters
Clinical Social Work/Therapist, LCSW
or call with questions - (502) 215-3683

Qualifications

    Clinical Social Work/Therapist: Troy Johnson

  • Verified by Psychology Today Licensed by State of Kentucky / 256733 Troy Johnson
  • Education and Years In Practice

  • In Practice for 10 years
  • Attended University of Kentucky, MSW
"
Licensed Clinical Social Worker (LCSW) with over 15 years experience in LGBTQ mental health and over 200 successful transition letters written. Deeply familiar with WPATH standards and major insurance requirements across multiple states.
Photo of Troy Johnson - WPATH Surgery Letters, Clinical Social Work/Therapist, LCSW
WPATH Surgery Letters
Clinical Social Work/Therapist, LCSW
or call with questions - (502) 215-3683
"
Licensed Clinical Social Worker (LCSW) with over 15 years experience in LGBTQ mental health and over 200 successful transition letters written. Deeply familiar with WPATH standards and major insurance requirements across multiple states.
Photo of Troy Johnson - WPATH Surgery Letters, Clinical Social Work/Therapist, LCSW
WPATH Surgery Letters
Clinical Social Work/Therapist, LCSW
or call with questions - (502) 215-3683

Specialties and Expertise

Top Specialties

  • Transgender

Expertise

  • Dysphoria diagnosis and letter for surgery.
"
I specialize in gender dysphoria assessments and WPATH-compliant letters for top surgery, bottom surgery, facial feminization surgery (FFS), and other gender-affirming procedures. Letters are typically delivered within 72 hrs and include free revisions, appeal support, and fast, affirming care with no gatekeeping. Just the documentation and backup you need.
Photo of Troy Johnson - WPATH Surgery Letters, Clinical Social Work/Therapist, LCSW
WPATH Surgery Letters
Clinical Social Work/Therapist, LCSW
or call with questions - (502) 215-3683
"
I specialize in gender dysphoria assessments and WPATH-compliant letters for top surgery, bottom surgery, facial feminization surgery (FFS), and other gender-affirming procedures. Letters are typically delivered within 72 hrs and include free revisions, appeal support, and fast, affirming care with no gatekeeping. Just the documentation and backup you need.
Photo of Troy Johnson - WPATH Surgery Letters, Clinical Social Work/Therapist, LCSW
WPATH Surgery Letters
Clinical Social Work/Therapist, LCSW
or call with questions - (502) 215-3683

Client Focus

Age

Adults

Participants

Individuals

Communities

Intersex Allied
Non-Binary Allied
Queer Allied
Transgender Allied

Age

Adults

Participants

Individuals

Communities

Intersex Allied
Non-Binary Allied
Queer Allied
Transgender Allied

Treatment Approach

Types of Therapy

  • Unparalleled support for your transition.
"
I provide gender-affirming, non-pathologizing, documentation-focused care for trans and gender-diverse people seeking surgery. My work is fast, affirming, and rooted in trust, not gatekeeping. This is clarity-forward, advocacy therapy: one session, one letter, one barrier removed.
Photo of Troy Johnson - WPATH Surgery Letters, Clinical Social Work/Therapist, LCSW
WPATH Surgery Letters
Clinical Social Work/Therapist, LCSW
or call with questions - (502) 215-3683
"
I provide gender-affirming, non-pathologizing, documentation-focused care for trans and gender-diverse people seeking surgery. My work is fast, affirming, and rooted in trust, not gatekeeping. This is clarity-forward, advocacy therapy: one session, one letter, one barrier removed.
Photo of Troy Johnson - WPATH Surgery Letters, Clinical Social Work/Therapist, LCSW
WPATH Surgery Letters
Clinical Social Work/Therapist, LCSW
or call with questions - (502) 215-3683

Location

Primary Location

Telehealth Sessions

Louisville, KY 40202

(502) 215-3683

Additional Location

Telehealth Sessions

Lexington, KY 40509

(502) 215-3683
"
WPATH letter for gender dysphoria, top surgery, bottom surgery, or FFS. No hoops. One session, one fee, one fierce advocate.
Photo of Troy Johnson - WPATH Surgery Letters, Clinical Social Work/Therapist, LCSW
WPATH Surgery Letters
Clinical Social Work/Therapist, LCSW
Take the first step to help. Call now - (502) 215-3683
"
WPATH letter for gender dysphoria, top surgery, bottom surgery, or FFS. No hoops. One session, one fee, one fierce advocate.
Photo of Troy Johnson - WPATH Surgery Letters, Clinical Social Work/Therapist, LCSW
WPATH Surgery Letters
Clinical Social Work/Therapist, LCSW
Take the first step to help. Call now - (502) 215-3683