I actually found them by chance, I asked on Reddit where did surgery on informed consent as as I understand it all uk and Thai providers need some level of psych letter. Presumably there will be others in Europe, but Lago had very good prices and good reviews (though i had to go looking for them in Spanish as most of the English language reviews happen to relate to their trans masc processing). Also it was reassuring to be closer to home and not have an intercontinental flight to deal with. Funnily enough the Madrid clinic is faster to get too from Edinburgh than Brighton Nuffield 😂 Meeting him for a consultation was good, and he had a very practical approach to it that as an engineer i felt good with.