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Gender Affirmation Surgical Services

A young transgender woman looks at her face in the bathroom mirror.

The Center for Transgender Health is a multidisciplinary center that offers world-class care for all aspects of the gender affirmation process. We work alongside patients to identify the surgical procedures that best meet their gender affirmation goals. Our team of surgeons specializes in transgender and gender-nonconforming surgical services including top and bottom surgeries as well as facial masculinization or feminization.

Patient Resources

 

Surgical Services

Penile construction (phalloplasty/metoidioplasty)

This surgical procedure can include removal of the vagina (vaginoplasty), reconstruction of the urethra and penile construction. Surgeons may use either vaginal tissue or tissue from another part of the body to construct the penis.

Top surgery (mastectomy or augmentation)

Bilateral mastectomy is the removal of the breasts, shaping of a contoured male chest, and refinement of the nipple and areola. Breast augmentation is the enlargement of the breasts using breast implants.

Vaginal construction (vaginoplasty)

This surgical procedure is a multistage process during which our skilled surgeons may remove the penis (penectomy) and the testes (orchiectomy), if still present, and use tissues from the penis to construct the vagina (vaginoplasty), the clitoris (clitoroplasty) and the labia (labiaplasty).

Facial feminization or masculinization

In cases where hormone therapy is not enough to feminize or masculinize the face, surgery can help. Facial feminization surgery includes a variety of procedures, such as reshaping the nose; brow lift (or forehead lift); chin, cheek and jaw reshaping; Adam’s apple reduction; lip augmentation; hairline restoration; and earlobe reduction. Facial masculinization surgery includes a series of procedures, such as forehead lengthening and augmentation; cheek augmentation; reshaping the nose and chin; jaw augmentation; and thyroid cartilage enhancement to construct an Adam’s apple.

Hysterectomy

Hysterectomy includes the removal of the uterus and ovaries (oophorectomy). Options for oocyte storage and fertility preservation are also available if desired.

Eligibility Criteria

At the Center for Transgender Health, we follow the standards of care recommended by the World Professional Association for Transgender Health. Please review the criteria for:

Have any questions?

Preparing for gender affirming surgery can be daunting. To help provide some guidance, we've collected some of the frequently asked questions about what to expect before, during and after surgery.

 

Surgical Services: An Illustrated Look

A diagram detailing facial feminization surgery.
Facial Feminization Surgery

Hillary Wilson’s illustrations of gender affirming surgery detail facial feminization, three stages of forearm flap phalloplasty and four slides of male to female vaginoplasty.

A diagram detailing stage one of forearm flap phalloplasty.
Forearm Flap Phalloplasty

​Hillary Wilson’s illustrations of gender affirming surgery detail facial feminization, three stages of forearm flap phalloplasty and four slides of male to female vaginoplasty.

A diagram detailing stage two of forearm flap phalloplasty.
Forearm Flap Phalloplasty

​Hillary Wilson’s illustrations of gender affirming surgery detail facial feminization, three stages of forearm flap phalloplasty and four slides of male to female vaginoplasty.

A diagram detailing stage three of forearm flap phalloplasty.
Forearm Flap Phalloplasty

​​Hillary Wilson’s illustrations of gender affirming surgery detail facial feminization, three stages of forearm flap phalloplasty and four slides of male to female vaginoplasty.

A diagram detailing male to female vaginoplasty.
Male to Female Vaginoplasty

​​​Hillary Wilson’s illustrations of gender affirming surgery detail facial feminization, three stages of forearm flap phalloplasty and four slides of male to female vaginoplasty.

A diagram detailing male to female vaginoplasty.
Male to Female Vaginoplasty

​​​​Hillary Wilson’s illustrations of gender affirming surgery detail facial feminization, three stages of forearm flap phalloplasty and four slides of male to female vaginoplasty.

A diagram detailing male to female vaginoplasty.
Male to Female Vaginoplasty

​​​​​Hillary Wilson’s illustrations of gender affirming surgery detail facial feminization, three stages of forearm flap phalloplasty and four slides of male to female vaginoplasty.

A diagram detailing male to female vaginoplasty.
Male to Female Vaginoplasty

​​​​​​Hillary Wilson’s illustrations of gender affirming surgery detail facial feminization, three stages of forearm flap phalloplasty and four slides of male to female vaginoplasty.

Surgical Services: An Illustrated Look

A diagram detailing facial feminization surgery.
Facial Feminization Surgery Hillary Wilson’s illustrations of gender affirming surgery detail facial feminization, three stages of forearm flap phalloplasty and four slides of male to female vaginoplasty.
A diagram detailing stage one of forearm flap phalloplasty.
Forearm Flap Phalloplasty ​Hillary Wilson’s illustrations of gender affirming surgery detail facial feminization, three stages of forearm flap phalloplasty and four slides of male to female vaginoplasty.
A diagram detailing stage two of forearm flap phalloplasty.
Forearm Flap Phalloplasty ​Hillary Wilson’s illustrations of gender affirming surgery detail facial feminization, three stages of forearm flap phalloplasty and four slides of male to female vaginoplasty.
A diagram detailing stage three of forearm flap phalloplasty.
Forearm Flap Phalloplasty ​​Hillary Wilson’s illustrations of gender affirming surgery detail facial feminization, three stages of forearm flap phalloplasty and four slides of male to female vaginoplasty.
A diagram detailing male to female vaginoplasty.
Male to Female Vaginoplasty ​​​Hillary Wilson’s illustrations of gender affirming surgery detail facial feminization, three stages of forearm flap phalloplasty and four slides of male to female vaginoplasty.
A diagram detailing male to female vaginoplasty.
Male to Female Vaginoplasty ​​​​Hillary Wilson’s illustrations of gender affirming surgery detail facial feminization, three stages of forearm flap phalloplasty and four slides of male to female vaginoplasty.
A diagram detailing male to female vaginoplasty.
Male to Female Vaginoplasty ​​​​​Hillary Wilson’s illustrations of gender affirming surgery detail facial feminization, three stages of forearm flap phalloplasty and four slides of male to female vaginoplasty.
A diagram detailing male to female vaginoplasty.
Male to Female Vaginoplasty ​​​​​​Hillary Wilson’s illustrations of gender affirming surgery detail facial feminization, three stages of forearm flap phalloplasty and four slides of male to female vaginoplasty.
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