Bigender, metoidioplasty and WPATH requirements

I'm doing everything ICATH so far, and eventually I want a simple release metoidioplasty. However, virtually all of the surgeons I've seen require a year living as your preferred gender.

What are the requirements for bi-gender individuals who plan to continue living as both genders? Or do they expect me to choose one gender to get the surgery?

Also, can anyone tell me anything good or bad about Dr. Daniel Dugi, III or Dr. Tuan A. Nguyen?

 

The one-year and a letter from a psych for hormones is no longer part of WPATH for anyone, at least in the US. WPATH Version 7 dropped this recommendation/requirement a few years ago. Version 7 also dropped the recommendation of letters, psych and HRT for top surgery.

At the ICATH clinic I use, you just sign a piece of paper stating that I understand the risks, they do the necessary medical work-up, and I get the HRT prescription. There's no waiting, no psych requirement at all. But they don't do surgery. They do, however, refer to surgeons.

For meta, surgeons require two years on HRT simply because that's how long it takes for testosterone to grow the clitoris large enough to give them something to work with.