Gender Expansive and Non-Binary Affirmation Surgery | Transfeminine Male to Female Gender Affirming Surgery | Transmasculine Female to Male Gender Affirming Surgery

GENDER AFFIRMING SERVICES

Our providers provide individualized surgical treatment options that may include full or modified procedures traditionally referred to as "transfeminine" or "transmasculine" (see below). We also provide primary care and consultation for those seeking support for healthy living in all gender identities and sexual orientations.

At the UCSF Health Saint Francis Hospital Gender Institute we offer:

GENDER EXPANSIVE AND NON-BINARY AFFIRMATION SURGERY

Individualized Affirmation Surgery Options

  • Breast augmentation
  • Genital surgery
  • Hysterectomy with or without ovaries
  • Nullification
  • Orchiectomy
  • Orthognathic/facial surgery
  • Penile preserving vaginoplasty
  • Top surgery
  • Tracheal surgery
  • Vaginal preserving metoidioplasty
  • Vocal cord surgery

TRANSFEMININE MALE TO FEMALE GENDER AFFIRMING SURGERY

These male to female surgeries are for patients who are looking to acquire female characteristics.

  • Brow Lifts
  • Facelift, neck lift, brow lift, blepharoplasties
  • Forehead Contouring
  • Genioplasty (chin contouring)
  • Jaw Contouring
  • Masseter reduction
  • Rhinoplasties
  • Revision rhinoplasties
  • Scalp advance
  • Tracheal shave (Chondrolaryngoplasty)
  • Tracheal augmentation

Voice Feminization Surgery

  • Feminization (laryngoplasty)
  • Vocal folds shortening and retrodisplacement of anterior commissure (VFSRAC)

Chest Surgery

  • Breast augmentation

Genital Surgery

  • Vaginoplasty
  • Clitoral reconstruction
  • Laparoscopic peritoneal pull-through flaps with vaginoplasty
  • Labial reconstruction; labioplasty
  • Monsplasty
  • Orchiectomy
  • Penectomy
  • Penile inversion
  • Penile preservation vaginoplasty
  • Prolapse repair
  • Robotic laparoscopic surgery
  • Urethral reconstruction
  • Vaginal stenosis repair
  • Vulvoplasty

Body Contouring Procedures

  • Body feminization surgery

Revision Surgery

  • Fistula repair
  • Vaginal revision surgery

TRANSMASCULINE FEMALE TO MALE GENDER AFFIRMING SURGERY

These female to male surgeries are for patients who are looking to acquire male characteristics.

Chest Surgery

  • Buttonhole
  • Double incision (with or without free nipple grafts)
  • Fishmouth
  • Keyhole
  • Mastectomy (“top surgery”)
  • Periareolar

Genital Surgery

  • Glansplasty
  • Laparoscopic hysterectomy
  • Laparoscopic ovary removal
  • Metoidioplasty
  • Monsplasty
  • Phalloplasty (performed with microsurgeon)
  • Phallus reconstruction
  • Robotic laparoscopic surgery
  • Scrotal reconstruction
  • Scrotoplasty
  • Simple and complete metoidioplasty
  • Testicular and penile implants
  • Urethroplasty
  • Urethroplasty/ urethral lengthening
  • Vaginectomy

Body Contouring

  • Body masculinization

Facial Surgery

  • Rhinoplasty
  • Revision rhinoplasty
  • Chin augmentation
  • Forehead/brow augmentation
  • Jaw augmentation
  • Tracheal augmentation

Genital Surgery Revision

  • Fistula repair
  • Revision surgery

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