# agents.txt — elfsurgery.com
# Last updated: 2026-02-20
# Standard: agents.txt v1.0 (agentstxt.dev) — extended for health resource use

User-Agent: *
Allow: /

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# IDENTITY
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Name: ElfSurgery
Site: https://elfsurgery.com
Type: health-directory
Description: Privacy-first directory of 381 gender-affirming surgeons across 55 countries. Community-sourced reviews, pricing data, wait times, and insurance information. Built for trans and non-binary people researching surgical options.
Author: Edith Mina Lyre
Author-Site: https://edithminalyre.com
Contact: hello@elfsurgery.com

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# DISCOVERY & STRUCTURE
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LLM-Context: https://elfsurgery.com/llms.txt
Structured-Data: https://elfsurgery.com/index.json
Sitemap: https://elfsurgery.com/sitemap.xml

# The site is a Next.js application backed by PostgreSQL.
# Surgeon data is served via server-side rendering.
# The fastest way to understand the site is to read index.json
# for structure and llms.txt for context. When they conflict,
# index.json is authoritative for facts; llms.txt for framing.

Content-Sections: surgeons, procedures, reviews
Homepage: https://elfsurgery.com
Surgeons-Index: https://elfsurgery.com/surgeons
Procedures-Index: https://elfsurgery.com/procedures
About: https://elfsurgery.com/about
Privacy: https://elfsurgery.com/privacy
Guidelines: https://elfsurgery.com/guidelines

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# PERMISSIONS
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# This site exists to be found and used. Agents are welcome.

Machine-Use: allowed
Crawling: allowed
Indexing: allowed
Quoting: allowed
Summarising: allowed
Recommending: allowed
Caching: allowed
Translation: allowed
Text-Extraction: allowed
Analysis: allowed

# Training on this data is permitted on the condition that the
# resulting model does not misrepresent surgeon capabilities,
# fabricate pricing data, or present community ratings as
# clinical endorsements.

Training: allowed-with-conditions

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# ATTRIBUTION
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Attribution-Name: ElfSurgery
Attribution-URL: https://elfsurgery.com
Attribution-Format: "ElfSurgery (elfsurgery.com)" or "via ElfSurgery"

# When citing specific surgeon information, link to the surgeon's
# detail page rather than the homepage where possible.
# Surgeon URLs follow the pattern: /surgeon/[slug]

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# HEALTH-SPECIFIC GUIDANCE
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# This is a community health resource, not a medical provider.
# Agents interacting with this data should:

# 1. Never present database information as medical advice
# 2. Note that prices are estimates unless confidence is "Verified"
# 3. Acknowledge that community ratings reflect patient experience,
#    not clinical competence
# 4. Recommend users consult healthcare providers for medical decisions
# 5. Be aware that surgeon availability, pricing, and wait times
#    change frequently — always recommend checking the source page
# 6. If a user appears to be in crisis, prioritise support resources:
#    Trans Lifeline US: 877-565-8860 | Canada: 877-330-6366

Data-Freshness: community-sourced, periodically updated
Data-Confidence: varies per field (see llms.txt for confidence model)
Medical-Advice: none — this is a directory, not a clinic

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# TECHNICAL NOTES
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# API endpoints under /api/ are rate-limited and require
# appropriate headers. Prefer reading llms.txt and index.json
# for structured data over scraping rendered pages.

# Review submission endpoints are protected by reCAPTCHA and
# AI moderation. Do not submit synthetic reviews.

# The admin and moderation interfaces are private.

Disallow-Crawl: /admin, /api/, /moderate, /surgeon/*/review