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.

Tracheal Shave

  • Chondrolaryngoplasty or tracheal shave, to reduce the Adam's Apple.
Hormone Replacement Therapy

Hormone therapy is a treatment process for people seeking to physically change their bodies to fit their sense of gender identity.

Learn More
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Transgender Non-Binary Care FAQ

Find questions and answers to topics on gender-affirming surgery, hormone therapy, counseling, and more.

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Our Doctors/Medical Providers

Kyle J. Chepla, MD

Kyle J. Chepla, MD

Plastic Surgery

139 ratings / 25 reviews
Bram R. Kaufman, MD

Bram R. Kaufman, MD

Division Director of Plastic Surgery

Plastic Surgery

177 ratings / 36 reviews
Gregory Y. Kitagawa, MD

Gregory Y. Kitagawa, MD

Obstetrics and Gynecology

239 ratings / 66 reviews
Kirtishri Mishra, MD

Kirtishri Mishra, MD

Urology

90 ratings / 17 reviews
Robert R. Pollard, MD

Robert R. Pollard, MD

Gynecology

121 ratings / 24 reviews
David J. Rowe, MD

David J. Rowe, MD

Plastic Surgery

154 ratings / 38 reviews
David W. Stepnick, MD

David W. Stepnick, MD

Department Chair of Otolaryngology

Otolaryngology

136 ratings / 33 reviews
Ali Totonchi, MD

Ali Totonchi, MD

Plastic Surgery

121 ratings / 18 reviews