I only posted it after you rightly pointed out that some readers
may find accurate info useful!
IMy take is based on the uk as thats where I am.
My understanding is that usa surgeons are the same in that they require a psych letter.
Most usa surgeons who specialise in SRS will do an orchi.
Prices from $1500, up.
Oh no...I'm sounding like one of those professional transsexuals!
which I most definitely am not! smiles...