(11-24-2021, 08:49 PM)Joshua Wrote: Hey Alec, The WPATH Standards of Care state that hormones are required *unless not clinically indicated*. Meaning, if hormones are not right for you but Phalloplasty is medically required, then you can have surgery without hormones. There are a number of surgeons who I think would do this, among them is Dr. Crane in Austin, Texas.