--- title: Min Jun(Crane Center) --- 网站: 电话: {{< telephone "+1 415-625-3230" >}} 电子邮件: Min Jun 隶属于旧金山的 Crane Center for Transgender Surgery.他在纽约大学医学院从 Dr. Rachel Bluebond-Langner 学习了机器人辅助阴道成形术的技术。他提供 SRS 及 SRS 修复的手术服务。Min Jun 现时(2022 年 2 月)的手术地点位于 San Francis Memorial Hospital. ## 特点 Min Jun 所使用的技术为 Da Vinci 机器人辅助的腹膜阴道成形术。该技术从下腹开出 4-6 个 2cm 左右的刀口,并将机器人放进去,从腹部开始游离腹膜。他使用阴囊皮肤作为外部阴道皮肤以及阴唇皮肤;阴茎皮肤及龟头作为阴蒂附近的皮肤和阴蒂。这样的好处是因为阴蒂周围的皮肤得以保留,阴蒂的完整性和美观性可以得到增强。机器人接下来从内部缝合腹膜和皮肤的衔接部位,并完成手术。 ## 要求 - Crane Center 要求至少有两封精神科医生的信和一封 HRT 医生的信(推荐信内容的具体要求在页面底部) - 必须在拿到推荐信之后才能开始预约手术 - BMI 要求:强制要求低于 35,但是在正常范围内为最佳(因为伤口缝合原因) - 年龄要求:18 岁及以上无需家长同意,16 岁到 17 岁需要家长同意 ## 流程 1. 在官网 Contact 处预约 Initial Consultation 并预留保险信息(必须写清保险信息才能约上) 1. 签署 Initial Consultation 的知情同意书 1. 参加 Initial Consultation,可以向 Min Jun 提问 1. 拿到信之后发邮件预约手术 1. 获得手术日期,可以选择加入 Cancellation list(如果前面有人取消有机会提前手术时间) 1. 在临近手术日期时处理好保险问题,并在术前一个月内完成所需要的血液检查(会提前通过邮件发过来所有所需的东西) 1. 手术两日前在 Crane Center 进行术前咨询 1. 术后大约 2-3 天后出院,在 SF 附近休养 1. 术后 7,14,21 天在 Crane Center 进行术后检查 1. 术后 7 天后拆包,并开始通模具。一开始通模具的频率为一天 4 次,每次 15 分钟。之后会随时间减少次数。 ## 保险 现时(2022 年 2 月),Crane Center 旧金山接受的网络内保险有: - Cigna PPO - Blue Cross/Blue Shield PPO - Western Health Advantage - Shutter Select - San Francisco Health Plan/Healthy SF - EHN/WebTPA (Whole Foods) 其他 PPO 保险需要提前和 Crane Center 进行沟通。 现时无法接受的保险有: - Medicare - Medicaid - State Medi-Cal/Straight Medi-Cal/Fee-for-Service Medi-Cal - Tri-Care - Kaiser ## 术后照片(NSFW) [(英文 Reddit 链接)](https://www.reddit.com/r/Transgender_Surgeries/search/?q=min%20jun&restrict_sr=1&sr_nsfw=) ## 推荐信要求(英文) **Two Letters from 2 different licensed mental health specialists** - 1 letter can be from a provider who has only had an evaluative role - At least one of the letters must be from a provider with a doctorate level degree (Ph.D., Psy.D., etc.) - Texas patients: Blue Cross Blue Shield of Texas requires two letters from a Doctorate level provider (Ph.D., Psy.D. or Psychiatrist) - The mental health provider letter(s) must include ALL of the following: - Patient’s legal and preferred name - Patient’s date of birth - Date provider/patient relationship began and the frequency of contact - A statement that the patient has been diagnosed with persistent, well-documented gender dysphoria/gender identity disorder and exhibits all of the following: - The desire to live and be accepted as a member of the opposite sex, usually accompanied by the wish to make his or her body as congruent as possible with the preferred sex through surgery and hormone treatment; and - The transgender identity has been present persistently for at least two years; and - The disorder is not a symptom of another mental health disorder; and - The disorder causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. - Documentation that the patient has completed a minimum of 12 continuous months of living in a gender role that is congruent with their gender identity, across a wide range of life experience and events that may occur throughout the year. - The patient has undergone a minimum of 12 continuous months of hormone therapy (recommended for bottom surgery and breast augmentation only). - A statement that the patient has the capacity to make fully informed decisions and to consent for treatment. - That the patient is able to comply with long term follow-up requirements and post- operative expectations have been addressed. - If the patient has significant medical or mental health issues present, they must be reasonably well controlled. - Any substance use (marijuana, alcohol, etc.) is well controlled for at least 6 months prior to the patient’s surgical date. - The provider must state their experience with treating patients diagnosed with gender dysphoria. - The letter from your Hormone Provider must include: - Patient’s legal and preferred name - Patient’s date of birth - Date provider/patient relationship began and the frequency of contact - Date hormone therapy began and the frequency of treatment - That the patient has undergone a minimum of 12 continuous months of hormone replacement therapy - If the patient has a contraindication to hormone therapy, please note this