Dr. Reid is a member of WPATH and does believe in their mission and recommendations.  However, each individual has a unique experience, and this is taken into account.  So ultimately, Dr. Reid subscribes to the “informed consent” model for his patients.  As such, a therapist’s letter is recommended but not an absolute requirement.  Testosterone therapy is not an absolute requirement but does offer the benefits of increased pectoralis muscle size.  Dr. Reid does follow the WPATH standards for patients under the age of 18.