FTM Top Surgery in Wyoming

The unfortunate reality in 2025 is that there are currently no surgeons practicing Top Surgery in Wyoming. A surgeon briefly operated in Casper but has since left, leaving residents without in-state options. This means that anyone seeking Top Surgery must travel to neighboring states such as Colorado, Utah, or Montana where established surgeons provide this care.

Coverage through Wyoming Medicaid is essentially nonexistent. While it does not explicitly exclude gender-affirming surgery for adults, there are no known cases of surgical approvals, and recent legislative efforts have focused on further restricting such funding. Private insurance may cover surgery depending on the plan, but patients still need to plan for out-of-state travel and the associated costs of transportation, lodging, and time away from work.

Some Wyoming clinics can provide hormone therapy and referrals, and advocacy groups like Wyoming Equality can help connect patients to out-of-state resources. However, the overall political climate in Wyoming is hostile to gender-affirming care, with laws already banning treatment for minors and lawmakers pushing to further limit adult care. For patients in Wyoming, pursuing Top Surgery therefore requires navigating out-of-state options, financial planning, and leaning on support networks that can help bridge the gaps left by the state’s restrictive healthcare landscape.

 

Last updated: 08/28/25