Transgender Surgeries

At the Center for Transgender Medicine and Surgery, we perform a variety of surgical procedures in our state-of-the-art operating rooms. We will work with you to understand your goals and develop an individualized plan to meet your needs.

Our center is informed by guidelines from the World Professional Association of Transgender Health (WPATH) and the Endocrine Society. Our pre-surgery process is meant to adhere to WPATH standards, to provide necessary pre-procedure care, and to work to satisfy requirements established by your insurance company. Typical standards ask that each patient have one letter of recommendation from a mental health provider for facial surgery, one letter for chest surgery, and two letters of recommendation for genital surgery. Letters typically should come from a psychologist or psychiatrist working in the field of transgender healthcare. CTMS’ comprehensive care model means we have mental health professionals within our center who can work with you and write your letters.

As our patient, you will meet with multiple members of our team, often starting with our social worker, who will help you navigate the process. Then, you may meet with a primary care provider and often a behavioral health specialist. We try to schedule appointments to facilitate completing more than one step in a single visit. After completing the initial requirements, our team will refer you to the surgeon.

When we refer you to the surgeon, a coordinator from the surgeon’s office will reach out to you to schedule your consultation. At your consultation, you’ll meet your surgeon, discuss your goals, and agree on a plan for your surgery. Your surgeon will discuss necessary preparations, expected outcomes, risks, and recovery process and will answer any questions you may have.

You may have to make physical preparations for your surgical procedure. We will discuss this with you during your consultation. For instance, genital surgeries often require hair removal from the area where the surgery will be done. Some procedures may require the use of a tissue expander. Or in some cases, your surgeon may require you to lose weight or quit smoking to lower the risk of complications. We will schedule your surgery date with these preparations in mind.