gender reassignment clinic

Find a Surgeon

Search by U.S. State, Procedure and Insurance Search by Country and Procedure Browse the Global Surgeon Maps

Gender Surgeons in United States

Learn about Surgeons in the U.S. who offer Male to Female (MTF) and Female to Male (FTM) procedures, also known as Gender Confirmation Surgery (GCS), Sex Reassignment Surgery (SRS) or Gender Reassignment Surgery (GRS).

Dr. Charles Garramone

Dr. Garramone is one of the most experienced Top Surgery surgeons in the world, having performed thousands of Top Surgery procedures since 2005. With Dr. Garramone, you won’t have to worry about what your Top Surgery results will look like. His FTM Top Surgery technique is sought after by thousands of patients for its consistent and predictable results.

Dr. Scott Mosser

Dr. Mosser is an award-winning surgeon in San Francisco who has been helping transgender and non-binary patients for more than 10 years. He is board-certified by the American Board of Plastic Surgeons, co-founder of the American Society of Gender Surgeons (ASGS), Medical Director of the Gender Institute at Saint Francis Memorial Hospital, a member of WPATH, and co-chair of the Surgery and Beyond professional conference. Dr. Mosser is California’s FTN / FTM Top Surgery and Breast Augmentation expert.

Dr. Angela Rodriguez

Dr. Rodriguez is a board-certified plastic surgeon in San Francisco who is dedicated full time to providing surgical care for transgender patients. Dr. Rodriguez had 14 years of craniofacial, aesthetic and pediatric plastic surgery experience before becoming a Gender Surgeon. She has a special interest in Facial Feminization and is also highly proficient in Vaginoplasty and Top Surgery.

Dr. Daniel Crane

Dr. Crane is a plastic surgeon who joined Dr. Drew Schnitt’s Inspire Aesthetics in 2022, expanding access to gender-affirming surgical care in South Florida. After completing a highly specialized aesthetic surgery fellowship where he performed countless breast, body contouring and facial surgeries, Dr. Crane worked with Dr. Schnitt to refine his skills with Top Surgery and Facial Feminization. His broad training in plastic and aesthetic surgery provides him with the knowledge and experience to help you achieve your transition goals.

Dr. Drew Schnitt

Dr. Schnitt is a board certified cosmetic, plastic, reconstructive and craniofacial surgeon who has been practicing in South Florida since 2002. His experience in cosmetic and craniofacial surgery makes him an excellent choice for gender-affirming facial surgery, as well as Top Surgery, Breast Augmentation and Body Sculpting.

Dr. Daniel Jacobs

Dr. Jacobs is an award-winning and board-certified plastic surgeon in San Francisco who joined The Gender Confirmation Center in July, 2022. Dr. Jacobs has more than 30 years of plastic surgery experience and provides outstanding surgical care for transmasculine, transfeminine and non-binary patients.

Dr. Josef Hadeed

Dr. Hadeed is a board-certified surgeon who specializes in Transgender Surgery, including chest/breast procedures, facial surgeries and body sculpting for both trans men and women. Dr. Hadeed’s practice now has two locations: Beverly Hills, California and Miami, Florida.

Dr. Michelle Lee

Dr. Lee is a fellowship-trained and board-certified plastic surgeon with deep expertise in aesthetic and reconstructive procedures for the chest/breast and face. Based in Beverly Hills, California, Dr. Lee is as well-known for her surgical precision as she is for the compassion, care and understanding that she has for all of her patients. She has the skill and artistry to help produce the aesthetic goals that transgender and non-binary patients seek with Top Surgery, Breast Augmentation and Facial Gender Confirmation Surgery.

Dr. Russell Sassani

Dr. Sassani is a board certified plastic and reconstructive surgeon who performs chest procedures, facial surgeries and body sculpting for both trans men and women in Florida. With unanimous 5 star reviews from his trans male patients, Dr. Sassani has quickly become one of the most popular Top Surgery surgeons in the Southeastern United States.

Dr. Daniel J. Freet

Dr. Freet leads a multidisciplinary team at the University of Texas that performs both male-to-female and female-to-male surgery procedures, including facial and chest surgeries as well as Vaginoplasty, Metoidioplasty and Phalloplasty. Dr. Freet accepts both insurance and Medicare.

Dr. Alvina Won

Dr. Won is a board-certified surgeon who is committed to providing the highest quality of care in a welcoming environment for all patients. Dr. Won gained significant experience with gender-affirming surgery during a year-long cosmetic surgery fellowship. Finding this work to be extremely gratifying and interesting, Dr. Won now devotes part of her practice to serving the transgender patient population. Based in Washington state, just north of Seattle, she offers Top Surgery, Breast and Buttock Augmentation, and Body Sculpting.

Dr. Gabriel Del Corral

Dr. Del Corral is a double board-certified plastic and reconstructive surgeon who offers Gender Affirmation Surgery at the MedStar Center for Gender Affirmation in Washington D.C. and Baltimore, Maryland. He is an Assistant Professor of Plastic Surgery at Medstar Georgetown University Hospital. Dr. Del Corral is fellowship trained in microsurgery, and has expertise in reconstructive surgery, maxillofacial surgery and cosmetic surgery. He specializes in gender-affirming procedures with a special focus on Vaginoplasty, Facial Feminization and Phalloplasty.

Dr. Praful Ramineni

Dr. Ramineni is a board-certified plastic and reconstructive surgeon with over 15 years of experience. Based in Washington, D.C., Dr. Ramineni performs upwards of 600 surgeries a year and has a specialization in Gender Affirmation Surgery. Recognized for his exceptional surgical skills and natural-looking results, Dr. Ramineni’s patients also praise his friendly, compassionate and professional nature.

Dr. Cassie Nghiem

Dr. Nghiem is an Ivy League-educated, fellowship-trained plastic surgeon in Washington, D.C. who specializes in transgender surgery, including Chest Masculinization and Breast Augmentation. She believes in a shared vision and works closely with her patients to deliver the best quality care that is in line with their needs. Known for her surgical skill and artistry, Dr. Nghiem’s patients also love her kind and caring demeanor.

Dr. Curtis Crane

Dr. Crane is a board-certified plastic surgeon who performs Gender Affirming Surgery procedures in Austin, Texas. Dr. Crane is one of only a few surgeons in the world who is trained as both a plastic surgeon and urologist and has also completed fellowships in reconstructive urology and gender reassignment surgery. He has been performing gender surgery since 2005.

Dr. Dany Hanna

Dr. Hanna is a Urologist and fellowship-trained Gender Surgeon who works exclusively with transgender and non-binary patients at the Hanna Gender Center in Dallas, Texas. He completed a yearlong fellowship in gender-affirming surgery and also trained with the renowned Dr. Miroslav Djordjevic in Belgrade, Serbia. Dr. Hanna specializes in Vaginoplasty and also offers Nullification, Metoidioplasty, Top Surgery and Breast Augmentation.

Dr. Thomas Satterwhite

Dr. Satterwhite is a board-certified Plastic and Craniofacial Surgeon in San Francisco who is dedicated to offering the highest level of surgical care to the transgender community. Dr. Satterwhite works exclusively with trans women, trans men and non-binary patients seeking Gender Confirmation procedures such as Vaginoplasty, Facial Feminization, and FTM Top Surgery.

Dr. Dev Gurjala

Dr. Gurjala joined Align Surgical Associates in 2019, after five years of performing gender surgery, microsurgery, and general reconstructive and aesthetic surgery in the Kaiser Permanente healthcare network. He works exclusively with trans women, trans men and non-binary patients seeking gender-affirming surgeries, including Phalloplasty, Vaginoplasty and Facial Feminization.

Dr. Lorelei Grunwaldt

Dr. Grunwaldt is a double board-certified plastic surgeon who is recognized as one of the best plastic surgeons in the Pittsburgh area due to her exceptional skills and compassionate bedside manner. Dr. Grunwaldt has helped countless transgender and non-binary adults and teens by providing a safe and caring atmosphere throughout their Top Surgery and Breast Augmentation journeys. She is honored to be able to share her surgical talents and be a trusted member of her patients’ transition team.

Dr. Michael Safir

Dr. Safir is a board-certified urologist in Los Angeles who specializes exclusively in gender-affirming bottom surgery procedures. With subspecialty certification in Female Pelvic Medicine and Reconstructive Surgery, Dr. Safir is one of a handful of urologists in the world with individual fellowship training and experience in both male and female genital reconstruction. He gained extensive experience over five years performing genital surgeries at one of the highest volume gender surgery centers in the world and is now affiliated with Align Surgical Associates out of Los Angeles. Dr. Safir’s vast experience in urology has made him a popular choice among transgender people from across the U.S. seeking bottom surgery.

Dr. John Henry Pang

Dr. Pang is a double board-certified plastic and reconstructive surgeon who performs gender-affirming genital, face and chest reconstruction surgeries. In 2019, Dr. Pang completed the intensive Transgender Surgery Fellowship training program at Mount Sinai. Now an associate surgeon at Align Surgical in San Francisco, Dr. Pang’s practice is dedicated to providing specialized care to the transgender and gender-nonconforming communities.

Dr. Drew Marano

Dr. Marano is a highly skilled plastic and reconstructive surgeon in New York City specializing in Gender Affirmation Surgery. Dr. Marano is fellowship-trained in gender-affirming facial, chest and genital surgeries, including Phalloplasty and Vaginoplasty. He is passionate about gender-affirming care and committed to providing a comfortable and supportive environment for his patients.

Dr. Paul Steinwald

Dr. Steinwald has performed FTM Top Surgery hundreds of times, and he’s well-known for having pioneered the Inverted-T procedure. Dr. Steinwald has the most experience with Top Surgery than any other surgeon in Colorado. Body Feminization and Breast Augmentation are also offered for trans feminine folks.

Dr. Kenan Celtik

Dr. Celtik is a Reconstructive Urologist who has dedicated his practice to gender-affirming genital surgery. He is fellowship-trained in Gender Surgery and has received 15 years of advanced education from some of the most highly regarded academic hospitals in the United States. With his elite training, deep expertise in complex genitourinary reconstruction, and a strong commitment to excellence, Dr. Celtik is uniquely positioned as a Gender Surgeon.

Endocrinology

• Mayo Clinic's Transgender and Intersex Specialty Care Clinic provides a home base for transgender patients and those with differences of sexual development

Oct. 16, 2020

Mayo Clinic established the Transgender and Intersex Specialty Care Clinic (TISCC) in 2015, based in Endocrinology, Diabetes, Metabolism, and Nutrition in Rochester, Minnesota. The clinic provides for the mental health and hormonal and surgical needs of transgender patients and those with differences of sexual development. Mayo Clinic is one of the first major academic medical centers to offer multidisciplinary transgender care, including a gender-affirming surgery program. The surgical program started in 2016 with breast and facial procedures; vaginoplasty surgery was introduced in 2017.

The TISCC has seen more than 500 patients since 2015, with more than half coming from the five-state region, and one-third coming from central and southern Minnesota. The Mayo surgical team has performed approximately 150 vaginoplasties in patients ranging in age from their 20s to 70s. Not all transgender individuals choose to have surgical procedures to achieve gender congruence.

"The transgender population faces major challenges in assessing and obtaining appropriate health care," says Todd B. Nippoldt, M.D., Endocrinology, Diabetes, Metabolism, and Nutrition, at Mayo Clinic in Rochester, Minnesota, and the co-medical director of the TISCC .

Mayo Clinic believes that all patients are best served with a multidisciplinary approach. "We offer transgender patients a home base for their care where they are appropriately cared for and respected", adds Dr. Nippoldt.

"Some people erroneously think transgender patients make a choice to change their gender. Rather, it's about confirming their identity and wanting to live authentically. Being transgender indicates diversity, not pathology. Our goal is to relieve the distress associated with the incongruence between their gender identity and physical body," adds Cesar A. Gonzalez, Ph.D., L.P.,  Psychiatry and Psychology, at Mayo Clinic in Rochester, Minnesota.

Patients in the TISCC see behavioral health and endocrinology providers first. Those providers evaluate and optimize any social, mental health or medical issues. "Before initiating hormonal or surgical therapies, patients must meet World Professional Association for Transgender Health (WPATH) standards of care, which outline the steps necessary to achieve the best outcomes," says Caroline J. Davidge-Pitts, M.B., B.Ch., Endocrinology, Diabetes, Metabolism, and Nutrition, at Mayo Clinic in Rochester, Minnesota, and the co-medical director of the TISCC .

WPATH standards vary for each surgical procedure and may include letters of approval from the patient's mental health professional, prior hormonal therapy and at least one year of living as the gender with which the patient identifies. Each patient's case is discussed at the multidisciplinary TISCC case conference, and a patient proceeds to surgery only after consensus that all issues have been addressed and optimized.

In pursuit of evolving equity, diversity and inclusion, Mayo Clinic has made great efforts not just to use the correct patient-affirmed pronouns but also to modify the medical record — from how patient names are listed to what normal ranges are for gender-specific lab reports.

Studies show that after hormonal therapy and gender-affirming surgery:

• 80% of transgender individuals report significant improvement in their gender dysphoria
• 80% report significant improvement in quality of life
• 78% report significant improvement in psychological symptoms
• 72% report significant improvement in sexual function

Jorys Martinez-Jorge, M.D. , Plastic and Reconstructive Surgery, at Mayo Clinic in Rochester, Minnesota, says: " TISCC patients feel like they're trapped in the wrong body, which affects all aspects of their lives. They just want to live life like I do. We can give that to them through medical care and technologies, and it's professionally and personally rewarding."

Allied health in the Transgender and Intersex Specialty Care Clinic

Katie L. Ubl, M.S.W., sees pediatric and adult patients in the TISCC for initial consultations and ongoing counseling. "I see patients who transitioned genders years ago and want help with ongoing hormonal therapy and finding gender-affirming therapists," Ubl says. "I also see patients who have never talked to anyone about their gender confusion and distress and have taken the brave step to initiate the conversation about it. I guide them through a gender narrative and discussion of their gender identity and expression, and sexual identity. Other patients have had behavioral and hormonal therapy for years and want to talk about gender-affirming surgery. I'm here to listen to their stories, ask questions, and offer resources and guidance."

Ubl works closely with her behavioral health colleagues and the medical team in the TISCC . "All of our voices are equal, and we thrive on collaboration," she says. "We're passionate about caring for our patients. To do that, we not only collaborate with each other and the larger Mayo community but also with other similar clinics. There's a small number of transgender clinics, so we work together to make sure patients have the best possible access to supportive care.

"I'm humbled every day by our patients' resiliency and tenacity. They can't escape the incongruence between what's in their minds and the bodies they inhabit. Simply going out in the world can be a source of serious anxiety. I haven't seen anywhere else the kind of resilience required for them to show up to appointments, work, and for their friends and family. They motivate me and my colleagues to be our best every day. We learn from them and are committed to honoring the ongoing need for awareness of and sensitivity to the transgender community."

Justine S. Herndon, P.A.-C., Endocrinology, Diabetes, Metabolism, and Nutrition, at Mayo Clinic in Rochester, Minnesota, sees patients in the TISCC for medical management, as well as for initiation and monitoring of their hormone therapy before and after gender-affirming surgery. "It's important to be affirming when working with patients who have some medical mistrust," says Herndon. "Like all of our patients, transgender patients are unique individuals, and we tailor our care to their needs."

Herndon was part of a study team that presented TISCC data on perioperative outcomes of vaginoplasty in transgender women at the 2019 Endocrine Society annual meeting.

Being a transgender-friendly and affirming provider is inherent in the Mayo Clinic values. "I'm personally and professionally enriched by working with these patients, listening to their stories, determining how we can help them reach their goals and seeing the positive changes in their lives," concludes Herndon.

Outreach and education

The TISCC shares its expertise with health care providers in local communities who see patients who have had gender-affirming surgery at Mayo Clinic. In addition, the Mayo Clinic School of Continuous Professional Development offers Principles in the Care of Transgender and Intersex Patients, an annual continuing medical education course.

10 tips to become a transgender-friendly provider

Most health care providers have had little or no formal training in addressing the needs of transgender patients, which can contribute to the stress that members of the transgender community may develop through stigmatization, avoidance, discrimination and prejudice.

• If you have a question about your patient's gender nonconformity, don't be afraid to ask.
• Ask patients their preferred names and pronouns, and use them during encounters. If you make a mistake, apologize and continue.
• The preferred name and pronoun often will differ from what is in the medical record. Many transgender people haven't changed their names and genders legally. Ask the patient if you can use this preferred name and pronoun in the medical record. Many patients have access to their medical records, and your sensitivity should be reflected in the notes.
• If possible, intake forms should include an option to disclose transgender status.
• Sensitivity training should be required for all staff members who interact with the patients. The Center of Excellence for Transgender Health at the University of California, San Francisco has published a helpful online course called Acknowledging Gender and Sex: Supporting Health Care Providers in Serving Transgender Patients and Clients.
• Public restrooms should include a unisex option.
• Have local transgender resources, such as support groups, available to help guide the patient if needed.
• Include transgender health topics as part of medical school and training programs to increase the competence of future leaders in transgender health care.
• Provide faculty development in transgender health. Many national and international meetings include transgender health topics, and more online resources are available.
• Phone a friend: Identify qualified providers in your area who can answer transgender-related questions.

For more information

Davidge-Pitts C, et al. MON-197 peri-operative outcomes of vaginoplasty using an individualized approach to hormone management in transgender women. Journal of the Endocrine Society. 2019;3(suppl 1):MON-197.

The original version of this article was published in Mayo Clinic School of Health Sciences Connections Spring 2020 issue, page 8 .

Mayo Clinic Principles in the Care of Transgender and Intersex Patients 2020 ― LIVESTREAM. Mayo Clinic.

Acknowledging Gender and Sex: Supporting Health Care Providers in Serving Transgender Patients and Clients. University of California, San Francisco, Prevention Science, Department of Medicine.

Receive Mayo Clinic news in your inbox.

Related content.

• Medical Professionals

Make twice the impact

Your gift can go twice as far to advance cancer research and care!

Gender-Affirming Surgery (Top Surgery)

Gender-affirming surgery is a collection of surgical procedures for adults ages 18 and older diagnosed with gender dysphoria. The operations are often referred to as “top surgery" and "bottom surgery.” Duke Health offers several top surgery options to transgender, gender-diverse, nonbinary, and gender-nonconforming adults who want their appearance to align with their internal identity. If, after a consultation with our doctors, you decide to pursue top surgery, we work toward a positive outcome that improves your physical, emotional, and psychological well-being.

What You Should Know About Gender-Affirming Surgery

Choosing to pursue gender-affirming surgery is an individual, personal decision. You’ll want to consider how it will change your quality of life and how it will help you achieve your goals.

Gender Dysphoria One important step is understanding how much you are affected by gender dysphoria, a diagnosis that the American Psychiatric Association defines as a conflict between your physical or assigned gender and the gender with which you identify. 

Candidates for Top Surgery To be a candidate for top surgery, you must:

• Be 18 or older
• Be in good health without illness or a condition that can increase your risk of surgical complications
• Have a BMI under 35
• Provide a clearance letter from your mental health or primary care provider stating you have gender dysphoria and you have been living in your assigned gender for at least 12 months

Top Surgery Costs Some private insurance plans will cover transgender surgery when it is used to address a diagnosis of gender dysphoria. Check with your insurance plan to determine your coverage.

Understanding Which Top Surgery Is Right for You There are several approaches to transgender surgery. We will review these with you during your initial consultation and make a recommendation based on your physical exam and medical history.

You May Have Scars Your surgeon will use the natural contours of your breasts to minimize scarring as much as possible. In some cases, depending on your breast size and weight, a small bunching of tissue may result in scars known as “dog ears” following mastectomy. These can be corrected later with revision surgery.

Understand the Risks Top surgery carries the same risks as other standard surgeries. These include the risk of bleeding and infection and risks associated with general anesthesia. Your doctor will discuss these risks with you if surgery is recommended.

Initial Consultation and Tests

Consultation and Exam Your first step will be an in-person consultation. Our providers spend time meeting with you, evaluating your anatomy, answering your questions, and determining if this surgery will help you achieve your goals.

Your surgeon will review your family history, general health status, lifestyle habits such as smoking, previous operations, any medications you may be taking, and conditions that can put you at risk for surgery.

Measurements, Photographs, Tests Your breasts will be measured and assessed for size and shape, and photographs may be taken for your medical record. Before treatment is recommended, you will also undergo one or more of the following tests.

• Blood tests may be necessary to evaluate your hormone levels. Pre-surgical testing also requires several blood tests to assess your liver and kidney function and to determine if you have a previously undetected infection, blood disorder, or anemia.
• A mammogram may be performed to look for any underlying breast abnormalities. Additional imaging, including ultrasound and MRI, may also be requested.

Recommending Treatment Based on these findings, your surgeon will recommend an approach to surgery. She will discuss the expected outcome, potential risks and complications, and your post-operation recovery. Alternatively, your surgeon may recommend that you lose weight, quit smoking, or discontinue medication before surgery to ensure you experience the best possible outcome.

If You Take Hormone Therapy Some gender-affirming hormone therapy , such as testosterone, can be continued if you pursue transgender surgery. Others, such as anti-estrogen therapy, may be stopped. Your surgeon will explain what you need to do to prepare for surgery.

Top Surgeries

Chest reconstruction - mastectomy, breast reduction.

We use different approaches to remove breast tissue and contour breasts to appear more masculine. The right approach depends on your anatomy and the size of your breasts. Techniques for medium to large breasts include nipple-sparing, double incision, buttonhole, and inverted-T incision. Keyhole and peri-areolar techniques may be used for smaller breasts or for those with good skin elasticity. Your surgeon will discuss your options with you after your physical exam and consultation.

Breast Augmentation

There are also many different approaches to breast augmentation, including the use of implants and fat grafting. We can also combine breast augmentation with body contouring, liposuction, and neurotoxin injections such as Botox injections and dermal fillers.

The Procedure Length

On average, top surgery takes about two to three hours and is performed under general anesthesia in an outpatient ambulatory surgery center. In some case, an overnight stay may be required. Sometimes a second procedure is needed to further tighten skin and achieve optimal cosmetic results.

Your chest will be wrapped in bandages, and a compression chest vest or surgical bra will be worn after the procedure. Drains will be required after mastectomy but not after breast augmentation. Initial recovery takes about one week. It may take three to six months for all swelling to subside and scars to fade.

Duke University Hospital is proud of our team and the exceptional care they provide. They are why we are once again recognized as the best hospital in North Carolina, and nationally ranked in 11 adult and 9 pediatric specialties by U.S. News & World Report for 2023–2024.

Why Choose Duke

You'll Work With a Plastic Surgeon Experienced in Gender Affirmation Surgery Our plastic surgeon has worked with many individuals seeking gender confirmation surgery. She is fellowship trained in body contouring, which means she has completed additional training in procedures that improve the body shape. Our surgeon is also a member of the World Professional Association for Transgender Health (WPATH), a nonprofit organization working to standardize and improve transgender care.

Duke Health Is Committed to the LGBTQ+ Community Duke Health values diversity and has taken many steps to show its commitment to eliminating discrimination, promoting equality, and standing beside our lesbian, gay, bisexual, transgender, and queer (LGBTQ+) community. Duke University Hospital, Duke Regional Hospital, and Duke Raleigh Hospital are recognized as LGBTQ+ Healthcare Equality Leaders by the Human Rights Campaign Foundation for perfect scores across areas of patient-centered care, support services, and inclusive health insurance policies for LGBTQ+ patients.

Related Care

• Gender-Affirming Hormone Therapy

Jump to content

Updated visitor policies

Other michigan medicine sites.

• About Michigan Medicine
• UofMHealth.org
• Medical School
• Find a Clinical Trial

Michigan Medicine

Federated search page form block, quick links.

• Patient Portal Login
• For Health Providers
• Maps & Directions

Transgender Services

Transgender-youth.jpg.

The Comprehensive Gender Services Program (CGSP) at Michigan Medicine helps transgender, gender nonconforming, and non-binary adults access and obtain the highest quality gender affirming medical care.

Our team of medical providers includes physicians from OB/GYN, Family Medicine, Plastic Surgery, Endocrinology, and Urology. Our team of mental health clinicians includes clinical social workers who have many years of experience working with people of diverse gender identities.

Our team believes that identifying with a gender that is different from one’s sex is a normal part of the human experience, and that people with all gender identities, including non-binary and gender queer identities, deserve equal access to the highest quality care.

CGSP providers at Michigan Medicine are members of the World Professional Association for Transgender Health (WPATH), and medical and mental health services are provided consistent with the WPATH Standards of Care.

Follow this link for Child & Adolescent Gender Services

Insurance Information

CGSP is not able to recommend particular insurers or plans, as there is much variation from insurer to insurer and plan to plan. If you have questions about your insurance coverage for gender affirming medical care, please contact your insurance company directly.

While we can inform people about the insurance plans that are accepted for payment at Michigan Medicine (and most plans are accepted) the fact that a plan is accepted at Michigan Medicine does not provide any information about what services the insurance plan will cover. In order to know what one’s insurance plan will cover, it is necessary to call the insurer and ask them directly. In order to ensure accurate information from the insurer, it is sometimes advisable to obtain a copy of one’s actual insurance plan.

Gender Health Services

We provide affirming, inclusive healthcare for adult transgender patients. Your goals and needs take center stage. 

To help make your healthcare experience as positive as possible, we commit to:

• Listen first
• Remove barriers to your care
• Treat you with dignity and respect
• Make your well-being our top priority

UVA providers follow the clinical practice guidelines from the Endocrine Society . We've earned recognition from the Human Rights Campaign Foundation for our support of LGBTQ patients .

Gender Health Services at UVA

At UVA, we strive to offer the full spectrum of healthcare for our transgender patients. From primary care to gender-confirming surgery, from voice therapy to mental health services, we’re here to remove barriers from your care. View gender services transcript.

Gender Health & Transgender Health at UVA

We have skill and experience caring for patients who are transgender, nonbinary, intersex, genderfluid, and asexual. Gender-inclusive services include:

• Primary care
• Hormone therapy
• Mental health
• Voice therapy
• Gender-confirmation surgery

Surgical options include facial plastic surgery, procedures for trans men , and procedures for trans women .

Transgender Health Clinic

Find trans-friendly doctors providing hormone therapy, urological care, primary healthcare. Legal and wellness support also offered.

Transgender Support: Navigating the Experience

UVA Health strongly supports the LGBTQ community. We provide gender-affirming care, services, and support for patients going through gender transition. UVA Health doesn't discriminate, exclude, or treat differently patients or visitors based on their race, age, color, national origin, religion, disability, sexual orientation, gender, gender identity, or gender expression. 

UVA Health is a community of healing, compassion, inclusion, and respect for all. Discrimination and prejudice have no place here. See our non-discrimination policy .

Find Local Transgender Support

From our family medicine and mental health providers, you can access:

• Family education and support
• Guidance on name and gender-marker changes on legal documents
• Financial advice about uncovered medical treatment
• A list of therapists who can write letters recommending hormone therapy
• Information about using and obtaining prosthetics, binders, other elements of gender expression
• A review of possible medical and surgical treatments and surgical referrals

Community Resources & Transgender Support

Find LGBTQ-friendly support:

• Transgender Health Alliance of Central Virginia
• UVA LGBTQ Center
• Transgender Health Services at the Virginia Department of Health

Support for Youth & Young Adults

Along with basic primary care, we provide therapy, family education, puberty blockers, more.

Make an Appointment

How to find an NHS gender dysphoria clinic

Trans and non-binary people's general health needs are the same as anyone else's. But trans people may have specific health needs in relation to gender dysphoria.

Your particular needs may be best addressed by transgender health services offered by NHS gender dysphoria clinics (GDCs).

All NHS GDCs are commissioned by NHS England, who set the service specifications for how they work.

A GP or another health professional can refer you directly to one of the GDCs. You do not need an assessment by a mental health service first. Neither does the GP need prior approval from their integrated care board (ICB). 

The websites of the clinics listed on this page also have useful information for you to think about before you see a GP. 

Children and young people's gender services

Children and young people should be referred to the National Referral Support Service for the NHS Children and Young People's Gender Service .

These NHS services specialise in helping young people with gender identity issues. They take referrals from anywhere in England.

Gender dysphoria clinics in London and the southeast

The Tavistock and Portman NHS Foundation Trust: Gender Dysphoria Clinic for Adults

Lief House 3 Sumpter House Finchley Road London NW3 5HR

Phone: 020 8938 7590

Email: [email protected]

The GDC website has an overview of information useful for anyone with gender identity needs, not just those in the area.

Gender dysphoria clinics in the north

Sheffield Health and Social Care NHS Foundation Trust Gender Dysphoria Service

Porterbrook Clinic Michael Carlisle Centre 75 Osborne Road Sheffield S11 9BF

Phone: 0114 271 6671

Email: [email protected]

The  Sheffield clinic's website includes information about referrals, clinic opening hours and links to eligibility criteria.

Leeds and York Partnership NHS Foundation Trust Gender Dysphoria Service

Management Suite 1st Floor The Newsam Centre Seacroft Hospital York Road Leeds LS14 6WB

Phone: 0113 855 6346

Email: [email protected]

The Leeds clinic's website covers referrals, commonly used medicines and information on the clinic's Gender Outreach workers.

Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Northern Region Gender Dysphoria Service

Benfield House Walkergate Park Benfield Road Newcastle NE6 4PF

Phone: 0191 287 6130

Email: [email protected]

The Northern Region Gender Dysphoria Service website has a range of leaflets, including information about referral, hormones and support groups.

Gender dysphoria clinics in the Midlands

Northamptonshire Healthcare NHS Foundation Trust Gender Dysphoria Clinic

Danetre Hospital H Block London Road Daventry Northamptonshire NN11 4DY

Phone: 03000 272858

Email:  [email protected]

Visit the  Northampton clinic's website for more information about how to get a referral and the role of the GP.

Nottinghamshire Healthcare NHS Foundation Trust The Nottingham Centre for Transgender Health

12 Broad Street Nottingham NG1 3AL

Phone: 0115 876 0160

Email: [email protected]

Visit The Nottingham Centre for Transgender Health website  for more information about how to get a referral.

Gender dysphoria clinics in the southwest

Devon Partnership NHS Trust West of England Specialist Gender Dysphoria Clinic

The Laurels 11-15 Dix's Field Exeter EX1 1QA

Phone: 01392 677 077

Email: [email protected]

The Laurels' website has information about the types of services on offer and the help available during transition.

New gender dysphoria services in 2020

In 2020 new NHS gender dysphoria services for adults will open in Greater Manchester, London and Merseyside.

These services will be delivered by healthcare professionals with specialist skills and based in local NHS areas, such as sexual health services. Full details will be available once each service is opened.

Initially, access to these services will be available to people who are already on a waiting list to be seen at one of the established gender dysphoria clinics.

NHS England will assess how useful these new pilot services are.

Page last reviewed: 13 May 2020 Next review due: 13 May 2023

Skip to content

Gender and Sexuality Development Program

Children’s Hospital of Philadelphia is committed to providing the best and most compassionate care to the patients and families we serve. We look forward to working with our newly elected officials and continuing to advocate for policies that protect comprehensive healthcare for all children, inclusive of their gender identity. We fully support our colleagues in the Gender & Sexuality Development program and will continue to ensure that our patients and families have access to the highest quality care.

The Gender and Sexuality Development Program offers psychosocial and medical support for gender nonconforming, gender expansive and transgender children and youth up to age 21 and their families. Our multidisciplinary team includes specialists in gender identity development from Social Work and Family Services , Adolescent Medicine , Endocrinology , and Behavioral Health . We work with your family to best meet the needs of your child or youth who is transgender or gender nonconforming. We also provide consultation and training for providers and organizations interested in learning how to better serve the needs of gender nonconforming youth.

Learn more about the Gender and Sexuality Program

How We Can Help

The Gender Program offers a variety of services based on individual and family needs. Our services include:

• Comprehensive gender assessment
• Gender affirming medical care
• Monthly support groups
• Insurance advocacy
• Legal support
• Lending library for parents, children and adolescents
• Connections to local stylists and salon owners who are LGBTQ friendly
• School, church, community, and healthcare provider trainings
• Referrals for ongoing outpatient therapy and/or psychiatric treatment

You Might Also Like

Supporting mental health of your transgender child.

Find information on how to seek mental health services for you and your child.

Talking to Kids: Gender & Sexual Identity

How to talk to your kids about gender and sexual identity.

Orthopox (Monkeypox)

Answers to these frequently asked questions about orthopox (monkeypox) may help you better understand the virus.

• Skip to main content
• Keyboard shortcuts for audio player

Heated arguments at the Supreme Court in newest abortion case

Nina Totenberg

The Supreme Court heard arguments in a case examining a federal-state conflict over emergency abortions. Catie Dull/NPR hide caption

The Supreme Court heard arguments in a case examining a federal-state conflict over emergency abortions.

Inscrutable. That is the only word to accurately describe the Supreme Court's latest abortion argument Thursday.

At issue is a clash between federal and state law about how pregnant women must be treated in the emergency room. Specifically, whether a state may ban medical termination of a pregnancy if the woman's health, but not her life, is in grave danger.

Supreme Court to examine a federal-state conflict over emergency abortions

The case centers on a law enacted in 1986 to stop hospitals from turning away uninsured patients or dumping them on other hospitals. It's known as the Emergency Medical Treatment and Labor Act, or EMTALA. The law says that as a condition for receiving Medicare funds, hospital emergency departments must stabilize a patient whose life or health is at risk. If the hospital can't do that, it must provide safe transport to a facility that can.

But Idaho and a few other states have now enacted laws that ban emergency abortions unless the mother's life, but not her health, is at risk.

Shots - Health News

What's at stake as the supreme court hears idaho case about abortion in emergencies.

At the Supreme Court lectern Thursday, Idaho Solicitor General Joshua Turner defended the restrictive law, declaring that the state is entitled to make decisions about the practice of medicine within its borders. But he faced some unusually angry questions from the court's three liberal justices, all women, with an occasional assist from conservative Justice Amy Coney Barrett, who is firmly opposed to abortion.

Justice Sonia Sotomayor hammered Turner with a series of real-life examples of women in dire health circumstances, who would be denied a medically necessary abortion under the Idaho law. She interrupted him so often that Chief Justice John Roberts at one point intervened to lower the temperature and get an answer from Turner.

Drawing an analogy not involving abortion, Sotomayor, a diabetic, observed that "no state licensing law" would permit the state to tell doctors, "don't treat diabetics with insulin, treat them only with [far less effective] pills.... Federal law would say you can't do that."

Supreme Court allows Idaho abortion ban to be enacted, first such ruling since Dobbs

Justice Elena Kagan asked Turner what in EMTALA says that a woman has to be at "death's door" before doctors treat her with a necessary emergency abortion to stabilize her condition.

"That understanding is a humble one with respect to the federalism role of the states as the primary care provider for the citizens, not the federal government," Turner answered.

"It may be too humble for women's health, you know," Kagan observed, caustically.

And Justice Ketanji Brown Jackson said that EMTALA established a "federal mandate" that preempts state laws.

Pummeled with questions, Idaho's Turner refused to commit to which health-threatening conditions could be legally treated with abortions under state law. Could an abortion take place to preserve a woman's organs? Her fertility? To save her from future debilitating kidney disease or strokes?

Turner's ambiguous answers prompted surprise from Justice Barrett, a mother of seven who has herself had miscarriages. "Counsel, I'm kind of shocked actually because I thought your own expert had said below that these kinds of cases were covered. And you're now saying they're not? Turner's replay clearly didn't satisfy her. She accused him of "hedging."

Chief Justice Roberts asked who would make the decision, other than the doctor, as to what constitutes a permissible emergency abortion and what the standard would be.

Turner replied that there is no objective standard, just a subjective one. The doctor's decision would not be judged based on what a "reasonable doctor" would do, only on whether he personally acted in good faith.

Arguing the other side of the case on behalf of the Biden administration, Solicitor General Elizabeth Prelogar faced an equal barrage of questions, mainly from the court's conservative justices.

Could a woman's psychological health be justification for an emergency abortion? No, replied Prelogar.

Three justices—Roberts, Barrett, and Neil Gorsuch—all asked if EMTALA provides exceptions for doctors or hospitals with religious objections to abortion.

Prelogar replied that conscience objections exempt both from performing abortions under EMTALA, but she added that the Department of Health and Human Services "had never come across a hospital that had a blanket objection to providing life-preserving and health-preserving pregnancy termination care."

Several conservative justices also sought to flesh out what limits there might be to laws that condition federal aid, such as the funding to hospitals governed by EMTALA. Barrett and Gorsuch, for instance, asked if gender-reassignment surgery could be banned at hospitals as a condition for receiving federal money.

Prelogar replied that in her view Congress has that power.

And Justice Samuel Alito, author of the decision overturning Roe v. Wade, looked up at the clock at one point and observed that an hour and a half into the argument, "one potentially very important phrase in EMTALA has hardly been mentioned...and that is EMTALA's reference to the woman's 'unborn child.'"

"The statute did nothing to displace the woman herself as an individual with an emergency medical condition," Prelogar replied. "In many of the cases you're thinking about, there is no possible way to stabilize the unborn child...it's inevitable that the pregnancy is going to be lost, but Idaho would deny women treatment in that circumstance even though it's senseless."

A decision in the case is expected in the summer.

• Supreme Court

Alexei Navalny: a daring Kremlin critic dies behind bars

Anti-corruption campaigner Alexei Navalny, whose death in a remote Arctic prison was announced on Friday, was long the most prominent face of Russian opposition to President Vladimir Putin.

Issued on: 16/02/2024 - 16:40

Long a thorn in Putin ’s side, Navalny was so loathed by the Kremlin leader that he refused to mention him by name.

The 47-year-old was for over a decade Putin's most vociferous critic, running against the long-time ruler in 2018 and frequently blasting what he perceived as rampant corruption under his watch.

Part of a class of younger leaders seeking democratic change after years of post-Soviet oligarchy, Navalny leveraged fatigue with the Kremlin to gain millions of followers on social media.

He continued to defy Putin even as most other dissidents fled abroad.

But after returning to Russia from Germany, where he had been recovering from a near-fatal poisoning attack that he said was orchestrated by the Kremlin, Navalny was locked up in 2021.

During his time behind bars, he appeared in grainy videos from makeshift court hearings, directing much of his criticism at the offensive in Ukraine and its human toll.

His message – relayed to fans through social media content – contrasted dramatically to that of Putin, a Soviet-styled, 71-year-old former KGB agent who has ruled for over 20 years.

Russia, Navalny said, was "floundering in a pool of either mud or blood, with broken bones, with a poor and robbed population, and around it lie tens of thousands of people killed in the most stupid and senseless war of the 21st century."

His criticism, which resonated with thousands of young supporters, proved a source of irritation for a Kremlin that rights groups have accused of wiping out dissent by any means necessary.

Read more Death of Alexei Navalny decimates the Russian opposition

His death will only exacerbate these concerns.

A fearless opponent

Navalny, regarded in the West as Putin's most credible challenger, had campaigned across the country to be president, published corruption investigations that embarrassed the Kremlin and rallied massive crowds onto Russia's streets.

His return to Russia in January 2021 despite facing jail put him on a collision course with Putin, after Navalny blamed his poisoning attack in Siberia on the Kremlin.

"I'm not afraid and I call on you not to be afraid," he said in an appeal to supporters as he landed in Moscow, moments before being detained on charges linked to an old fraud conviction.

His arrest spurred some of the largest demonstrations Russia had seen in decades, and thousands were detained at rallies nationwide calling for his release.

Weeks later, Navalny's team countered Putin with the release of "Putin's Palace", an investigation into a lavish Black Sea mansion that his team claimed was gifted to Putin through corruption.

The revelations forced a rare denial from Putin, who quipped that, if his security services had really been behind the poisoning, they would have finished the job.

The Kremlin critic's daring opposition earned him the EU's  Sakharov Prize  for human rights, awarded later that year.

An earlier Navalny corruption video targeting then prime minister Dmitry Medvedev spurred large demonstrations in 2017, with protesters carrying rubber ducks that became a symbol of the protests.

Ahead of a presidential election in 2018, Navalny toured cities across the country to drum up support but was barred from running because of the old fraud charge.

"(Putin) fears me and he fears the people I represent," he told AFP at the time.

Before that, he had challenged Sergei Sobyanin to become Moscow mayor, securing a significant chunk of support and blasting an unfair election for his loss.

'You cannot shut my mouth'

At rallies and in courtrooms, Navalny was a convincing public speaker and rallied protesters around home-grown slogans like "the party of crooks and thieves" to slam the ruling United Russia party.

But he was tainted by an early foray into far-right nationalism, and a pro-gun video from 2007 routinely resurfaced in which he compared people from the ex-Soviet South Caucasus region to cockroaches.

Navalny also remained a fringe figure for a large portion of Russian society, who back the Kremlin's official portrayal of him as a Western stooge and convicted criminal.

He had become such a thorn in the Kremlin's side that Putin refused to pronounce his name in public. His anti-corruption group was shuttered and his top allies are either imprisoned or in exile.

Navalny's team said he had been harassed in prison and repeatedly moved to a punitive solitary confinement cell.

He said guards had subjected him and other inmates to "torture by Putin", making them listen to the president's speeches.

Read more Navalny's penal colony in the Arctic is direct heir to the Russian Gulag

Still, Navalny was upbeat and sardonic on social media accounts curated by aides, even despite his conditions.

The lawyer by training had fought for basic rights and taken prison officials to court. He had also tormented them, filing formal requests for a kimono and a balalaika – a traditional musical instrument – and to be allowed to keep a kangaroo.

"You cannot shut my mouth," he declared.

Asked in the 2022 film, titled "Navalny", what his message would be for the Russian people in case he were killed, he replied: "Don't give up. You mustn't, you can't give up.

"All it takes for evil to triumph is for good people to do nothing. Therefore, don't do nothing."

(FRANCE 24 with AFP)

Daily newsletter Receive essential international news every morning

Take international news everywhere with you! Download the France 24 app

• Alexei Navalny
• Vladimir Putin
• political prisoners

The content you requested does not exist or is not available anymore.