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Supporting Your Transition with Compassionate Care

Psychological Evaluations for Gender-Affirming Surgery

PECGNA provides specialized psychological evaluations for gender-affirming surgery candidates, ensuring they are mentally and emotionally prepared for their transition.

Our experienced clinicians conduct thorough assessments and provide clear recommendations to help patients and healthcare providers make informed decisions that support a successful surgical outcome and overall well-being.

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Supporting Your Transition with Compassionate Care

Psychological Evaluations for Gender-Affirming Surgery

PECGNA provides specialized psychological evaluations for gender-affirming surgery candidates, ensuring they are mentally and emotionally prepared for their transition.

Our experienced clinicians conduct thorough assessments and provide clear recommendations to help patients and healthcare providers make informed decisions that support a successful surgical outcome and overall well-being.

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Our Commitment to Excellence

We are committed to providing the highest standard of care.

Our approach to psychological evaluation is rooted in empathy, understanding, and expertise.

Experts in Psychological Evaluation

Our licensed clinicians conduct comprehensive assessments that adhere to legal and clinical standards, ensuring detailed, accurate reports to help individuals achieve successful outcomes.​

Immediate Availability via Telehealth

Avoid delays in scheduling. Next-day appointments are available 7 days a week in all time zones.

Accessibility Across the United States

Our clinicians are licensed across 50 states. We can accommodate all parties involved via our HIPAA-compliant telehealth services, even if they are from different states.

Speedy Report Turnaround

We have worked diligently to design an efficient and timely process that results in a speedy report submission process. Our final comprehensive psychological report is submitted within 48 hours of your clinical interview.​

Multilingual and Culturally Competent Evaluations

Our licensed mental health professionals excel in cultural competency that is catered to diverse backgrounds. We also provide multi-lingual services in English, Mandarin, Cantonese, Spanish, German, Thai, and Farsi.

Thorough, Tailored Psychological Evaluation Reports

Our high-quality, detailed fitness for duty evaluation reports provide employers and attorneys with confidence that employees are emotionally and psychologically prepared to perform their job duties safely and effectively.

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Compassionate Expert Care

We are dedicated to providing specialized and compassionate care in psychological evaluations.

What is a psychological evaluation for gender-affirming surgery?

A psychological evaluation for gender-affirming surgery is a professional assessment conducted by a licensed mental health provider to ensure that a patient is mentally and emotionally prepared for their surgical transition. Many surgeons and insurance providers require this evaluation to confirm that the patient understands the procedure, its potential risks and benefits, and has the necessary emotional and social support in place.

The evaluation typically includes:

  • Clinical Interview: A discussion about gender identity history, transition goals, and mental health background.
  • Readiness Assessment: Evaluating emotional stability, coping strategies, and understanding of the procedure.
  • Review of Support System: Assessing the patient’s access to emotional, medical, and social support before and after surgery.
  • Letter of Support: If the patient meets criteria, the clinician provides a formal letter in accordance with WPATH (World Professional Association for Transgender Health) guidelines to submit to the surgeon or insurance provider.

This evaluation helps ensure that individuals undergoing gender-affirming surgery are fully informed, supported, and prepared for their medical transition.

Why is a psychological evaluation required for gender-affirming surgery?

A psychological evaluation helps ensure that patients are mentally and emotionally prepared for surgery, understand the procedure and its impact, and have a strong support system in place. It also helps meet WPATH (World Professional Association for Transgender Health) guidelines, which many surgeons and insurance providers require.

What types of gender-affirming surgeries require a psychological evaluation?

Many surgeons and insurance providers require a psychological evaluation before gender-affirming procedures, including:

  • Top Surgery (Chest Masculinization or Breast Augmentation)
  • Bottom Surgery (Vaginoplasty, Phalloplasty, or Metoidioplasty)
  • Facial Feminization or Masculinization Surgery
  • Voice Surgery
  • Body Contouring
What happens during the evaluation?

The evaluation includes a clinical interview with a licensed psychologist, where you will discuss your gender identity history, mental health, coping strategies, and understanding of the surgical process. The clinician will assess your readiness and provide recommendations for ongoing support if needed.

Will my insurance cover the evaluation?

PECGNA does not bill insurance directly, but we can provide a superbill upon request for you to submit to your insurance company for potential reimbursement. We also offer flexible payment options to help make the evaluation accessible.

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Our evaluations are tailored for custody and family court cases, assessing a parent’s ability to provide a safe, supportive environment.

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FOUNDER

Dr. Irada Wattanavitukul, Ph.D., LPC., LMHC

Licensed mental health professional with a Ph.D. in Clinical Psychology

Dr. Irada received her Ph.D. in Clinical Psychology from the California School of Professional Psychology (Los Angeles) and is a highly respected licensed mental health professional with a Ph.D. in Clinical Psychology with specialized training in trauma-informed care, neurodevelopmental assessments, and immigration evaluations. She is deeply committed to supporting individuals and families impacted by trauma, abuse, and developmental challenges, offering evaluations and guidance tailored to their unique needs.

Dr. Irada works extensively with survivors of violence, victims of crime, and individuals with developmental disabilities, ensuring they receive the support and resources they need to thrive. Her compassionate approach helps people navigate the emotional and psychological challenges that often accompany these experiences. Additionally, she plays a critical role in helping families stay together by assisting those going through the immigration process. She understands the emotional toll of separation and provides evaluations and support that empower families to advocate for the protections and accommodations they deserve.

In addition to her work with trauma and immigration, Dr. Irada has completed specialized training in Psychological Evaluation for Assisted Reproductive Technology (ART) through the American Society for Reproductive Medicine (ASRM). As a member of ASRM and its Mental Health Professionals Group (MHPG), she supports individuals and families on their family-building journeys. Her evaluations help identify emotional needs and provide guidance to ensure the well-being of all involved.

Dr. Irada’s expertise and dedication have earned her national recognition. She holds an EB-2 National Interest Waiver (NIW) status, a prestigious acknowledgment of her significant contributions to mental health in the United States. Her work with high-need populations—such as trauma survivors and individuals with developmental challenges—has had a meaningful impact, helping many achieve healing and personal growth.

By combining her expertise in forensic psychology, trauma-informed care, neurodevelopmental assessments, and family support, Dr. Irada has become a key figure in her field. Her compassionate and thorough approach not only benefits individuals and families but also strengthens communities by fostering resilience and well-being.