This training will provide education around writing letter referrals for the purpose of gender affirming surgeries. This training is for clinicians who provide this service and assess clients for surgical readiness and gender dysphoria. This training aims to familiarize clinicians with WPATH standards of care, letter writing techniques, and rapport building with clients. This training also aims to take a destigmatizing approach to assessment and overall deconstruct the “gatekeeper” role of the clinician.