We have psychiatrist on our panel. After consultation with Dr Kaushik at Olmec, you will be guided to our psychiatrist. If you are having definite gender dysphoria then diagnosis takes only one visit. After diagnosis , you may go top surgery at the earliest.
Yes you will need a letter at least from one psychiatrist.
Better if you get letter fron one psychaitrist and one psychologist and one endocrinologist or these can be managed, once you are at OLMEC.
We will provide all the documents regarding Sex change surgery which will suffice for changes in legal documents.