[The First Aria]

The main thing an orchi does is eliminate the need for T blockers and their side effects. Typically you can get a referral for out of pocket orchiectomy without too much questions asked, but since this is being paid for by my health plan and is for transition purposes they choose to follow the unnecessarily strict WPATH guidelines for below the belt surgery

It's probably just as well....  That way, you have all of your documentation and what not in hand for maybe future needs?