Can anyone recommend me a good doctor in wichita falls tx, that is transgender friendly and will prescribe hormones without needing a therapist letter?

It's hard...: You have to try to patiently ask around for one, but it may not be an easy task, since not many of doctors are comfortable in dealing with transgender issues, care, and long-term f/u. But remember: being good is unnecessary to be able and willing to do, and vice versa. Of course, we wish one be perfect - good, able, willing, and ethical, but hard to come by. So, be patient to inquire; try...

Try WPATH.org: The referral directory published by the world professional association for transgender health (WPATH) is reliable place to start: http://bit.Ly/1ntyqde Also, search on HealthTap for docs in your city who self-identify as trans* knowledgeable (I found several) & call their offices. As far as a letter, not all docs require one. Current WPATH Standards of Care guidelines are just that - guidelines.