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You don't need to see a psychologist before getting an implant - at least, I didn't. And the GP ... that depends. If you have a GP you see regularly, it's not a bad idea to discuss it with them, but most GPs know very little about CIs. The only part of the process that it's really necessary to involve them in is getting your medical records to the ENT or implant surgeon. And possibly a referral - I'm not sure how Medicare deals with that.