Transition support
Thrive as your authentic self. Get MTF or FTMÂ support for your medical, social, or legal transition.
Letters of support
Included in membership or $150 for non-members
Letters of support are an invaluable tool for many on their transition journey.
Get a medical* letter of support in preparation for gender-affirming surgery or legally changing your name or gender marker.Â
Meet with a provider and answer some quick, standard questions, and receive your digital letter in about 1-2 weeks.
*Mental health letters are not available at this time. Letters for non-members are only for surgery preparation
Support groups & resources
Available in Prism, included in membership
Find community and solidarity in our trans-led support groups and social spaces. Participate in guided discussions on social and medical transitioning, gender expression, hot trans topics, and more. You’ll also find friendship and meaningful connection with others in the trans community.
Check out our Resource Library for transition guides, workshop recordings, and more!
Members also receive access to a lineup of exclusive discounts for trans-positive brands.
Care coordination from a trans-focused team
Our team, most of whom are trans, is here to provide one-on-one, direct support. We’re here to help with: pharmacy coordination, connecting you to local resources (community, legal, etc.), referrals to other trans-affirming providers outside of Plume, and more.
Ready for a transformational experience?
Sign up now to meet with an affirming provider and start your Plume Clinic journey.
Gender-affirming care that goes beyond hormones
No matter where you are in your transition, we partner with you to address your unique health needs.
Frequently Asked Questions About Trans Care and Letters of Support
What is a gender-affirming letter of support?
A gender-affirming letter of support is a medical document written by a licensed provider to help gain access to services such as gender-affirming surgery or legal changes like updating names or gender markers. It confirms that care is appropriate based on individual goals and needs.
How do I get a letter for gender-affirming surgery?
To get a letter of support, the first step is to meet with a licensed provider who will review goals and ask questions about the purpose of the letter. If appropriate, they will prepare the letter and deliver it digitally, typically within a short timeframe.
What can a gender-affirming letter be used for?
A letter of support can be used for gender-affirming surgery, legal name changes, gender marker updates, and other processes that require documentation from a healthcare provider.
Who writes gender-affirming letters of support?
Letters of support are written by licensed medical providers who are experienced in transgender healthcare. These providers follow established guidelines to ensure the letter meets requirements for surgery preparation, name/gender marker updates, and other needs.
How long does it take to receive a letter of support?
After an appointment with a licensed medical provider, most letters are completed and delivered within one to two weeks, depending on the provider and specific requirements.
Do I need a letter to start hormone therapy?
In most cases, a letter of support is not required to begin hormone therapy. Many providers use an informed consent model, which allows treatment to start after discussing risks, benefits, and goals with the provider.
What kind of transition support does Plume provide?
Plume offers support across different aspects of transition, including medical letters, care coordination, access to trans-led support groups, and resources to help you navigate social, legal, and healthcare-related steps.
Can I access transition support online?
Yes, transition support can be accessed entirely online. You can meet with providers, request letters of support, and access resources and community spaces without needing to visit a clinic in person.
Stay Connected
Get content about the trans experience right in your inbox