Gender Affirmation Surgery

The Pride Network Integrated Surgical Transition Team offers the full range of affirmation surgery. We follow the latest medical guidelines set by the World Professional Association for Transgender Health (WPATH).

Each person’s journey is unique. Your treatment program will depend on your goals and needs, including your overall physical and mental health and your resources. Pride Network providers listen and can offer various choices to best help you.

Facial Feminization Procedures

Facial feminization surgeries require one year of HRT, and no smoking. Some surgery requires clearance letters from psychology. Some insurance companies require a referral or letter from your primary care physician.

Procedures include:

Forehead contouring and reconstruction
Blepharoplasty, upper and lower lid (eye lift)
Face lift
Rhinoplasty (nose job)
Lip augmentation
Upper lip lift
Malar augmentation / facial fat injection (cheek implants)
Genioplasty (chin implant)
Chin contouring
Neck lift

Top Surgery

Includes chest masculinization/mastectomy or chest feminization/breast augmentation.

Masculinization requires a letter from one behavioral health specialist; depending on your insurance a letter or referral from your PCP may be required.
Feminization does not require a letter if you are self-pay. If the procedure is covered by insurance, letters or referrals may be required. At least one year on HRT is preferred.

Bottom Surgery

All bottom surgery requires letters from behavioral health and there may be other requirements.

Hysterectomy: Requires two letters, one year HRT, one year real life experience.
Orchiectomy: One letter from behavioral health, one letter from PCP or endocrinologist.
Scrotoplasty requires two letters from behavioral health and may require a PCP letter depending on the insurance company.
Metoidioplasty: Two letters from behavioral health.
Phalloplasty: Two letters from behavioral health, BMI and A1C requirements, no smoking, hair clearance.
Vaginoplasty: Two letters from behavioral health, BMI and A1C requirements, no smoking, hair clearance.