Unfortunately approval for funding may be denied.

If funding is denied, you can ask your surgeon if they will appeal this decision for you.

If your surgeon does not agree to appeal the MSP decision, you have the following options:

• If your consult was with a surgeon working from the central waitlist for upper surgery: Contact the central waitlist for upper surgery and ask to be referred to another surgeon OR have your primary care provider refer you directly to surgeon providing gender-affirming breast construction surgeries

• If your consult was with a surgeon not working from the central waitlist: have your primary care provider refer you directly to another surgeon who provides gender-affirming breast construction surgeries OR refer you to the central waitlist for upper surgery using the Trans Care BC Upper Surgery Referral Form

It is important to know that going through an appeal process, or applying for funding with a different surgeon, does not guarantee that the decision will be reversed.