Question about top surgery and finding a therapist

Im from Oregon and I just started transitioning. Im looking for advice about two related subjects. Maybe 3.

First, im looking for a therapist who maybe has experience with lgbtq+ individuals for several issues. Its something ive been thinking about looking for again for a while now, but ive also recently found out that i need a letter of approval from a mental health professional in order to get top and/or bottom surgery (not sure if even want bottom surgery or not, need more info before making the decision). Do any of you know of any resources to find someone? Letter aside, I *DO* need the therapy for other reasons as well.

Which brings me to my second question. Does anyone have any recommendations for surgeons who do this? Im on OHP so im sure options are limited. Someone suggested OHSU, but its like 2 years to even get a consult. They'd probably be my first choice if there isnt someone reputable who can get me in sooner, I just want advice from people who might have other ideas.

I read the rules and I dont *think* ive broken any of them here, but obviously if im wrong pls lmk

EDIT: Im from the US for those who dont know where Oregon is