Ensuring Mental and Emotional Readiness
Pre-surgical Psychological Evaluations
At PECGNA, we offer pre-surgical psychological evaluations designed to help patients navigate the emotional and mental readiness required before undergoing medical procedures such as bariatric surgery, gender-affirming surgery, and other elective interventions that mandate psychological clearance.
Our licensed clinicians conduct detailed assessments to identify emotional preparedness, manage risk factors, and ensure that individuals are mentally equipped for the surgical journey ahead. These evaluations are an essential step toward maximizing recovery outcomes and long-term wellness.
Through secure, HIPAA-compliant telehealth platforms, PECGNA delivers convenient access to mental health evaluations from the comfort of your home. Our culturally responsive and multilingual team provides support in English, Spanish, Mandarin, Farsi, and more—ensuring every client receives compassionate, personalized care that respects their background and identity.

Ensuring Mental and Emotional Readiness
Pre-surgical Psychological Evaluations
PECGNA, provides specialized pre-surgical psychological evaluations to support individuals preparing for medical procedures such as weight loss surgery, gender-affirming surgery, and other elective procedures requiring psychological clearance. Our expert clinicians conduct comprehensive assessments to ensure patients are mentally and emotionally prepared for surgery, addressing potential challenges and optimizing post-surgical success.
Using HIPAA-compliant video conferencing, PECGNA offers secure, convenient, and professional evaluations tailored to each patient’s unique needs. Our multilingual team ensures accessibility and cultural sensitivity, providing an inclusive experience for individuals from diverse backgrounds.

Personalized Assessments and Diagnosis
We are dedicated to providing comprehensive, individualized neuropsychological assessments
that empower individuals to achieve their full potential.
Specialized Expertise in Immigration and Forensic Mental Health Evaluations
At PECGNA, our licensed clinicians hold advanced doctoral degrees (Psy.D. or Ph.D.) and collaborate with legal experts, including a psychologist with a Juris Doctorate focused on immigration law. This unique blend of clinical and legal proficiency ensures that our psychological evaluations are clear, objective, and fully compliant with legal and evidentiary standards.
Language-Specific and Culturally Aware Mental Health Assessments
We provide comprehensive psychological evaluations in multiple languages—including English, Spanish, Mandarin, and Thai—to reflect each client’s linguistic and cultural context. Our clinicians are trained in cross-cultural competency, enhancing both accuracy and empathy in every assessment.
Nationwide Telehealth Access with Rapid Scheduling
PECGNA delivers HIPAA-compliant psychological assessments via secure video conferencing, available in all 50 states. Clients benefit from flexible scheduling, including next-day appointments, seven days a week. Expedited services are also offered for time-sensitive immigration and legal matters.
A Trusted Resource for Immigration Attorneys Across the U.S.
Legal professionals consistently rely on PECGNA for thorough, unbiased psychological reports that support immigration applications, asylum cases, and court proceedings. Our evaluations offer evidence-based insights that strengthen legal arguments and help clients navigate high-stakes processes with confidence.
Flexible and Accessible Payment Options
We are committed to reducing financial barriers by offering multiple payment plans, including an interest-free 18-month option. This makes our services more accessible to individuals and families facing emotional and economic stress related to immigration challenges.
Customized and Legally Sound Evaluation Reports
Each immigration psychological report is tailored to the individual’s circumstances and written to align with legal standards for use in immigration court, USCIS filings, and legal petitions. Our reports are detailed, clinically sound, and designed to clearly support each client’s legal case while affirming their emotional well-being.

Pre-surgical Mental Health Evaluations
At PECGNA, our pre-surgical psychological evaluations play a critical role in assessing a person’s mental and emotional readiness for medical procedures such as bariatric surgery and gender-affirming operations.
Whether you’re a provider seeking psychological clearance or a patient planning for an upcoming procedure, our licensed clinicians deliver comprehensive, evidence-based assessments that foster informed choices and support positive post-surgical outcomes.
Through detailed telehealth mental health assessments, PECGNA helps patients and care teams understand psychological strengths, identify potential challenges, and create a foundation for long-term recovery and wellness. Our evaluations are conducted with clinical rigor and cultural sensitivity, ensuring every person is fully supported throughout their surgical journey.
Expert Evaluations for Surgical Readiness
For individuals planning to undergo bariatric surgery, gender-affirming procedures, or other elective interventions, a pre-surgical psychological evaluation is a critical component of comprehensive care.
At PECGNA, we conduct thorough telehealth mental health assessments to evaluate each patient’s emotional preparedness, psychological stability, and capacity to follow post-operative protocols. These evaluations are designed to promote surgical success and enhance long-term well-being.
Our licensed clinicians deliver clear, clinically grounded recommendations to assist medical providers and patients in making informed, confident surgical decisions. With a patient-centered approach and nationwide accessibility, PECGNA ensures that every evaluation supports health, safety, and a smoother post-surgical journey.

Expert Evaluations for Surgical Readiness
Individuals preparing for procedures such as weight loss surgery and gender-affirming surgery can benefit from a professional pre-surgical psychological evaluation.
PECGNA’s comprehensive assessments evaluate emotional readiness, mental health stability, and the ability to adhere to post-surgical requirements, ensuring the best possible outcomes.
Our evaluations provide clear, evidence-based recommendations to support informed surgical decisions while prioritizing patient well-being and long-term success.

Physician-Ordered Psychological Evaluations
For many medical and elective procedures, a physician-ordered psychological evaluation is a key step in determining a patient’s emotional and psychological readiness. These evaluations ensure patients are mentally prepared, can follow post-surgical guidelines, and have a realistic understanding of expected outcomes.
You may need a pre-surgical psychological assessment for:
Bariatric (Weight Loss) Surgery
Gender-Affirming Medical Procedures
Organ Transplant Candidacy
Chronic Pain Treatment Plans
Other Medically Necessary or Elective Surgeries
At PECGNA, we specialize in telehealth psychological evaluations, providing in-depth, evidence-based reports that support both healthcare providers and patients. Our assessments are conducted by licensed professionals with expertise in clinical and forensic psychology, ensuring clarity, compliance, and compassionate care.
These objective evaluations aid in clinical decision-making while prioritizing long-term health outcomes, emotional resilience, and patient safety.
Types of Pre-Surgical Evaluations
Provided by PECGNA
Our team provides specialized pre-surgical psychological evaluations for legal matters, including weight loss surgery,
gender-affirming surgery, and other necessary surgeries.
A psychological evaluation is a crucial step in the pre-surgical process for individuals considering bariatric surgery. This assessment ensures that patients are mentally and emotionally prepared for the lifestyle changes required for long-term success after surgery.
Psychologists conduct these evaluations to assess mental health conditions such as depression, anxiety, disordered eating patterns, and behavioral factors that may impact post-surgical outcomes. The evaluation also helps identify support systems, coping strategies, and readiness for the significant dietary and lifestyle adjustments required after surgery.
The Bariatric Surgery Psychological Evaluation Process Includes:
Clinical Interview and Behavioral Assessment
The evaluation begins with a detailed clinical interview where the psychologist gathers information about the patient’s weight history, relationship with food, emotional eating patterns, previous weight-loss attempts, and overall mental health.
Assessment of Psychological and Behavioral Readiness
The clinician evaluates key factors such as:
- Emotional well-being and stability
- Motivation and expectations for surgery
- Ability to adhere to post-surgical dietary and lifestyle changes
- Presence of disordered eating behaviors or psychological conditions
Diagnostic Findings
If applicable, the psychologist may provide a formal diagnosis, such as binge eating disorder, anxiety, depression, or other psychological conditions that could impact post-surgical success.
Review of Medical and Behavioral History
The clinician may review prior medical records, weight-loss attempts, and relevant psychological history to provide a well-rounded evaluation.
Supportive Statements and Recommendations
The psychologist provides recommendations that may include:
- Pre- or post-surgical mental health support
- Behavioral therapy for emotional eating or disordered eating patterns
- Coping strategies for adjusting to post-surgical changes
The final report is shared with the surgical team to ensure that the patient is fully prepared for the physical and psychological demands of weight loss surgery.
A psychological evaluation for gender-affirming surgery is an essential step for individuals seeking medical transition. Many surgeons and insurance providers require a mental health assessment to ensure the patient is prepared for surgery and understands the physical, emotional, and social impacts of the procedure.
Psychologists conduct these evaluations to assess gender dysphoria, mental health stability, coping strategies, and readiness for surgery. The evaluation also provides support and guidance for patients as they navigate their gender-affirming journey.
Types of Gender-Affirming Surgeries
Gender-affirming surgeries vary based on individual goals and medical needs. Common procedures include:
- Top Surgery (Chest Surgery) – Mastectomy (chest masculinization) or breast augmentation (chest feminization)
- Bottom Surgery (Genital Surgery) – Phalloplasty, metoidioplasty, vaginoplasty, or orchiectomy
- Facial Feminization or Masculinization Surgery – Procedures to refine facial features to align with gender identity
- Body Contouring – Liposuction or fat grafting to achieve a more masculine or feminine silhouette
- Voice Surgery – Modifications to vocal cords to achieve a desired pitch
The Gender-Affirming Surgery Psychological Evaluation Process Includes:
Clinical Interview and Gender Identity History
The psychologist conducts a thorough interview to understand the individual’s gender identity, history of gender dysphoria, transition goals, and social support network.
Assessment of Psychological and Emotional Readiness
Key areas of evaluation include:
- Mental health history, including depression and anxiety
- Coping mechanisms for post-surgical adjustments
- Understanding of the surgical process and expected outcomes
- Social and emotional support system
Diagnostic Findings and Letters of Support
If applicable, the psychologist may provide a formal diagnosis of gender dysphoria and issue a letter of support required for surgery, following WPATH (World Professional Association for Transgender Health) guidelines.
Recommendations for Ongoing Support
The psychologist may recommend:
- Continued therapy for emotional processing and adjustment
- Resources for building a strong post-surgical support system
- Mental health services for managing stress and expectations
This evaluation helps ensure that individuals are fully informed and emotionally prepared for gender-affirming surgery, providing them with the psychological support they need for a successful transition.
A psychological evaluation is often required before an organ transplant to assess a patient’s emotional readiness, ability to adhere to post-transplant care, and overall mental health stability. These evaluations help ensure that transplant recipients can successfully manage the lifelong medical and psychological changes that come with organ transplantation.
The Organ Transplant Psychological Evaluation Process Includes:
Clinical Interview and Medical History Review
The psychologist gathers information about the patient’s medical history, past treatments, and understanding of the transplant process.
Assessment of Psychological Readiness
Key areas of evaluation include:
- Emotional resilience and ability to cope with a major medical procedure
- Understanding of post-transplant lifestyle adjustments
- Adherence history with past medical treatments and medications
- Presence of psychological conditions such as depression or anxiety
Cognitive and Behavioral Functioning
The evaluation determines whether cognitive or behavioral factors may impact the patient’s ability to comply with post-transplant care.
Supportive Statements and Recommendations
Recommendations may include:
- Psychological support for anxiety or emotional distress
- Behavioral strategies for medication adherence
- Therapy referrals for ongoing adjustment support
The final report is provided to the transplant team to support informed decision-making and optimize patient outcomes.
A pre-surgical psychological evaluation may be required for various other medical procedures, including pain management interventions, reconstructive surgeries, and cosmetic procedures. These evaluations assess a patient’s mental and emotional readiness for surgery and ensure they have realistic expectations about outcomes.
The General Pre-Surgical Psychological Evaluation Process Includes:
Clinical Interview and Patient History
The psychologist gathers information about the patient’s medical history, motivations for surgery, and past psychological concerns.
Assessment of Psychological Readiness
Key evaluation areas include:
- Emotional stability and coping skills
- Understanding of the surgical procedure and post-operative expectations
- Ability to adhere to recovery protocols
Diagnostic Findings and Treatment Recommendations
If necessary, the psychologist may provide a formal diagnosis and suggest:
- Pre-surgical counseling for emotional readiness
- Post-surgical mental health support for adjustment
- Behavioral strategies to aid in recovery
A comprehensive report is shared with the surgical team to ensure that the patient is fully prepared for their procedure, improving both medical and psychological outcomes.
Schedule Your Pre-surgical PSYCHOLOGICAL Evaluation Today
Get Started With PECGNA
Contact PECGNA to schedule a free, 15-minute consultation and learn how our specialized evaluations can support your journey.