Gender-Affirming Hair Removal
We provide facial, body, and pre-surgical electrolysis as part of gender-affirming care, and we've built our practice to do it well. That means realistic hour estimates, documentation your insurer will accept, treatment notes that hold up, and a room where you don't have to explain yourself.
Electrolysis is the only FDA-recognized permanent hair removal method, and it works regardless of hair color — which matters, because laser can't treat blonde, red, grey, or white hair at all. For most people, electrolysis is what finishes the job.
What We Treat
Facial and neck hair. The most requested work, and the longest course. Full facial clearing commonly runs 1-2 hour weekly sessions over 8 months to 3 years, depending on density and whether you're on hormone therapy. We'll give you a specific estimate at consultation.
Body hair. Chest, abdomen, back, shoulders, arms, legs — whatever matters to you.
Pre-surgical clearing. Hair removal for genital and graft-site areas ahead of vaginoplasty, phalloplasty, or metoidioplasty. These have specific templates and timelines set by your surgeon, and we work directly from their requirements. Bring us your surgeon's diagram at consultation and we'll build the schedule backward from your surgery date.
Working With Your Insurance
Washington law requires insurers to cover gender-affirming treatment, and that can include hair removal — particularly pre-surgical clearing, and facial hair removal where medical necessity is documented.
Here's the honest situation. Like most electrolysis providers in Washington, we can't bill insurance directly, because electrologists aren't licensed as medical practitioners in this state. What that means is you pay us at the time of service, and submit for reimbursement yourself.
What you'll likely need from your own providers: a letter of medical necessity — usually from your primary care provider, HRT prescriber, endocrinologist, dermatologist, or surgeon — and prior authorization before treatment starts. Some plans also ask for a letter from a mental health provider. Start this early; it takes longer than anyone expects.
We can't promise your insurer will reimburse. We can promise our paperwork won't be the reason they don't.
What we do to make that work:
Superbills. Every receipt includes our NPI number, the appropriate CPT code, and the detail your insurer needs. Ask and we'll produce one for any appointment or date range.
Treatment plans for prior authorization. Most insurers want an estimate of sessions and total cost before they'll approve. We'll write one, and we'll format it so your prescriber or surgeon can submit it alongside the authorization request.
Documentation. We keep session-by-session records of areas treated and time spent, which is exactly what gets asked for when a claim is questioned.
Coordination. We're happy to talk to your surgeon's office, your HRT prescriber, or your insurance case manager directly.