The Washington University (WashU) Transgender Center provides health care for transgender and non-binary adults over age 18. Hormone therapy and specialty services. Social work and legal assistance. Behavioral health support via referrals.

- Dr. Patricia McGuire and Dr. David Caplin - Provides top surgeries transgender folks (AMAB and AFAB) - Follows guidelines of WPATH (World Professional Association for Transgender health) - "We prefer that patients have been undergoing hormone therapy for at least 3 months and are under the care of healthcare professional experienced in transgender therapy."

- Provides top surgeries transgender folks (AMAB and AFAB) - Follows guidelines of WPATH (World Professional Association for Transgender health) - "We prefer that patients have been undergoing hormone therapy for at least 3 months and are under the care of healthcare professional experienced in transgender therapy."

"Missouri Baptist Medical Center is built around what our community needs most — services like cancer care, women’s health and the best cardiac care in the state. But most importantly, we know how it feels to require hospital care. That’s why we bring leading-edge medicine right to the heart of west St. Louis County, at the intersection of I-270 and Highway 40."

A crowdsourced document shared among LGBTQ+ Facebook groups of providers by state who will provide a letter for gender-affirming surgery after one session.