• Point of Pride Surgery Fund Application

    Point of Pride’s Annual Transgender Surgery Fund is a scholarship-like program that provides direct financial assistance to trans folks who cannot afford their gender-affirming surgery.

  • We strongly recommend that you read over the program page and requirements before applying: https://www.pointofpride.org/annual-transgender-surgery-fund

  • Your phone number*
  • What pronouns do you use?*

  • Effective Nov 1, 2026, we require all applicants to be living in the United States. 

    This was not a decision we made lightly. For more information about this decision, please see our announcement: An Important Update About the Annual Trans Surgery Fund's International Eligibility

    • If you are a US citizen living abroad, you may still apply. Please list your country as the US and your state as the state that you consider "home" in the US.

    • If you are an international citizen with documented plans to travel to the US, like for work or school, please list your country as the US and your state as the state you will be working or studying in. 

     

  • Country*
  • 0/800

  • Support Person

  • Some applicants need extra support with their application due to language barriers, disability, inconsistent access to Internet, or other factors. If you'd like to name a support person, you may do so below. Both you and your support person will be included on all emails regarding your application, so it's important that you select a support person that you trust.

    If you'd like to revoke or update your support person at any time, you may contact surgeryfund@pointofpride.org to do so. Naming a support person is optional and will not positively or negatively affect your application status. If you do not wish to name a support person, please skip this section.

    We encourage you to ensure that you have the consent of your chosen support person before including their contact information on your appliation. 

  • This is the same email address you listed for yourself above. We recommend providing a different email address for your support person. A support person not required.
  • Support person's phone number

  • This is the same phone number you listed for yourself above. We recommend providing a different email address for your support person. A support person not required.
  • Your relationship to your support person*

  • Demographic Info

    The information collected in this section helps us identify additional grant and partnership opportunities, and better serve our applicants and community. Your responses will not affect your eligibility for this (or any other) Point of Pride program.
  • Your gender identity:*

  • Please note our program requires that all applicants are 18 years of age by the date of their surgery.
  • Your ethnicity origin:*
  • Your veteran/military status:*
  • Were you discharged or currently facing separation due to your gender identity?*
  • Are you a student?*
  • What is the PRIMARY way you pay tuition?*
  • Do you have any long-standing illness, disability, or infirmity? (Long-standing means anything that has troubled you over a period of time or that is likely to affect you over a period of time.)*

  • Are you currently, or have you ever experienced...

  • Have you applied for, or do you currently receive, government disability benefits (SSI/SSDI or your country's equivalent?)*
  • Are you the primary caretaker for another individual?*
  • Are you currently, or have you ever experienced...*
    Rows

  • Annual Trans Surgery Fund Application

    Please fill out the application thoroughly and to the best of your ability. You will only have one opportunity to submit the form. In the event of a duplicate response, only the first application will be considered. The form deadline is November 30 at 11:59 PM EST. Once you submit the application, you will receive an emailed copy of your answers. We recommend you please add @pointofpride.org to your safe senders list to ensure you receive emails from us.

  • About Your Surgery

    The questions below regarding savings, health insurance coverage, or your preferred surgeon will not impact your likelihood to receive funding. We may possibly be able to connect you with other resources and opportunities. Please answer as honestly as you can.
  • What surgery are you applying for assistance for?*
  • Have you received an estimate or quote for your the procedure listed above?*
  • When did you receive the quote?*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Have you scheduled your procedure?*
  • When is your procedure scheduled?*
     - -
    2 digit month, 2 digit day, 4 digit year

  • Please note our program requires all surgeries for this application cycle take place after March 1, 2027.
  • Do you have health insurance?*
  • Please list your preferred surgeon(s), if applicable. (Up to 3)

  • To ensure a fair and unbiased review, applications are reviewed anonymously. In your written responses, please do not include your name or other personally identifying information, such as your full name, links to a personal website or GoFundMe page, links to social media pages, or anything else that could be used to determine who you are.


    You will have 800 characters for each short answer response, which is roughly 160 words.


    Your application is completely confidential and will only be shared with the review team for the purpose of reviewing your application. In the event that you are a recipient of our program, nothing you disclose is shared publicly without your permission and approval.


    We are looking for authenticity in your responses. If you choose to use AI such as ChatGPT, we ask that you do so as a tool to edit what you have already written, not create answers entirely.


    Note: This is not an English test. We will NOT consider grammar/spelling or writing ability when reviewing your responses. Above all, please give us detailed, thorough responses so we understand your unique situation.

  • Short Answer Responses

  • 0/800

  • It looks like you may have entered some personally identifying information, such as en email address, social media handle, or URL.

    To ensure a fair and unbiased review, applications are reviewed anonymously. In your written responses, please do not include your name or other personally identifying information, such as your full name, links to a personal website or GoFundMe page, links to social media pages, your employer, or anything else that could be used to determine who you are.

    Please review your response above and remove any identifying information to ensure that our reviews are able to evaluate your application without bias.
  • 0/800

  • It looks like you may have entered some personally identifying information, such as en email address, social media handle, or URL.

    To ensure a fair and unbiased review, applications are reviewed anonymously. In your written responses, please do not include your name or other personally identifying information, such as your full name, links to a personal website or GoFundMe page, links to social media pages, your employer, or anything else that could be used to determine who you are.

    Please review your response above and remove any identifying information to ensure that our reviews are able to evaluate your application without bias.
  • 0/800

  • It looks like you may have entered some personally identifying information, such as en email address, social media handle, or URL.

    To ensure a fair and unbiased review, applications are reviewed anonymously. In your written responses, please do not include your name or other personally identifying information, such as your full name, links to a personal website or GoFundMe page, links to social media pages, your employer, or anything else that could be used to determine who you are.

    Please review your response above and remove any identifying information to ensure that our reviews are able to evaluate your application without bias.
  • 0/800

  • It looks like you may have entered some personally identifying information, such as en email address, social media handle, or URL.

    To ensure a fair and unbiased review, applications are reviewed anonymously. In your written responses, please do not include your name or other personally identifying information, such as your full name, links to a personal website or GoFundMe page, links to social media pages, your employer, or anything else that could be used to determine who you are.

    Please review your response above and remove any identifying information to ensure that our reviews are able to evaluate your application without bias.

  • Before You Submit

  • Your answers to these questions will not affect your eligibility (positively or negatively) in any way, and they will not be seen by reviewers. We only wish to understand the helpfulness of our resources for applicants. Thank you!

  • Did you attend one of our "Before You Apply" information sessions or watch a recorded session before applying?*
  • Did you read our instruction packet?*
  • Did you read our FAQs?*
  • Did you feel that you fully understood the form questions and the information we were seeking?*
  • Did you use AI tools like ChatGPT, Claude, Gemini, etc. to help write your responses?*

  • By clicking the button below, you submit your application. You will not be able to edit or update your application once it is submitted.

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