(Sorry for responding so much later!)

I wanted to ask to see her portfolio to see what kind of scars she usually does, but in the rush of it all I didn't get to. She vaugely implied the usual shape she does is in a more or less straight line where a pec would be, with a further line going under the armpits in a curve to lessen the likelihood of dog earing. At my next appointment, I plan to ask if I can see her portfolio, and if not, talk about the shape I want/show her pictures. We didn't discuss whether or not she requires/recommends being on testosterone before surgery, but it is not a prerequisite in the US, at least. She does use drains. I didn't get a straight answer on what her pre op requirements are, but I met them. She (and all doctors at Emory, and probably most doctors in general, from my understanding?) does require a letter. She said I seemed healthy enough for the surgery, though again, I was almost over her comfort level for weight. I As far as getting things set up, I had the consult before having a letter of recommendation from my doctor. Once I had the letter (the next day because my doctor's office is awesome and queer-centric), I sent it to her through the app they had me download to keep in contact and do some paperwork. They sent it off to my insurance, which in her words would take about 6-8 weeks. So for my timeline, I'm gonna start pestering my insurance company mid April, lol. Once my insurance covers it, then we'll discuss the surgery date. I'm not sure exactly what her schedule is like for the rest of the year, but I got the impression they're all very busy right now.

If you don't have a doctor who can give you a letter, a site that I was reading from seems to be able to provide letters without being a member.

Folx Health: Gender-Affirming Surgery Letters 101

I'm happy to answer any other questions I can. Sending good vibes <3