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Center for Gender Medicine and Wellness

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Visit our LGBTQIA+ Services  page for links to helpful webpages about navigating the health care system.

Equitable, inclusive, comprehensive care for transgender members of our community.

Middlesex Health's Center for Gender Medicine and Wellness is committed to providing equitable and inclusive care to individuals who are transgender, gender non-conforming, or gender expansive, as well as excellence in access, services, and outcomes. As a community hospital, we believe that we are in a unique position to provide nearly a full spectrum of medical care in a safe, personal, and convenient setting. 

We understand the challenges that individuals who identify as transgender, or somewhere along the gender non-conforming spectrum, have in finding appropriate medical care to meet their individual needs. We have a dedicated Transgender Services Navigator who can help you connect with providers and services, including:

• specially-trained primary care providers
• gender affirming hormone therapy
• gender affirming surgery

Our mission at Middlesex Health to provide the safest, highest-quality health care, and the best experience possible for our community.  We take that mission seriously and know that caring for our whole community means providing sensitive, compassionate, and state-of-the-art care to LGBTQIA+ members of our community. Since 2017, we have been recognized by the Health Equity Index as a LGBTQIA+ Healthcare Equality Leader.

Understanding and affirming the lives of trans and gender diverse persons

Middlesex Health offers multiple support groups for trans and gender diverse members of our community and their allies. These groups are free and are facilitated by medical staff with special expertise in transgender care.

Support groups are held online. You are welcome to join one or more of the groups that is/are the best fit for you.

• Gender Discussion Group - Female/Feminine:  This support group focuses on providing a safe, supportive space for transgender and questioning individuals who identify as female or feel most comfortable with others who identify as female. Learn more and see upcoming dates
• Gender Discussion Group - Non-Binary:  This support group focuses on providing a safe, supportive space for individuals who identify as gender non-binary or gender non-conforming. Learn more and see upcoming dates
• Gender Discussion Group - Male/Masculine:  This support group focuses on providing a safe, supportive space for transgender and questioning individuals who identify as male or feel most comfortable with others who identify as male Learn more and see upcoming dates
• Family/Friends/Supports Group: This group is for friends, family members, and others who support transgender, gender non-conforming, or questioning persons. Learn more and see upcoming dates 

Transgender Medicine Services

Middlesex Health is proud to offer a comprehensive array of services to members of the transgender community.  

Behavioral Health Services

Gender non-conforming/transgender individuals can feel a strong conflict between their gender (inner sense of who they are) and their physical sex characteristics. This conflict can sometimes manifest itself in depression, isolation and anxiety. Middlesex Health’s psychiatrists and behavioral health clinicians are available and trained to help.

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Hormone Therapy

We recognize that gender affirming medical care is a very individualized process. At Middlesex Health, we are pleased to have specially trained medical providers in endocrinology and primary care who can deliver personalized gender-affirming hormone therapy.

Continence & Pelvic Health

Gender transition, including or not including gender confirming surgery, can bring up a wide range of concerns around bladder and bowel health, as well as sexual function and intimacy. At the Center for Continence and Pelvic Health, our urologists, gastroenterologists, OB/GYNS, and physical rehabilitation therapists work together to create customized treatment plans to meet your needs and provide compassionate, discrete, comprehensive pelvic health care.

Primary Care

At Middlesex Health, we have a network of specially-trained primary care providers who welcome the opportunity to work with you on your well-being. Our primary care offices provide a safe, welcoming environment and the physician’s relationship with you is individualized to meet your specific needs.

Physical Rehabilitation

Our physical and occupational therapists can help with chronic pain, bladder issues, movement and much more. Additionally, our speech-language pathologists offer voice therapy, working with patients to find and achieve their most authentic voice.

Physical Rehab Program

Voice Therapy

Pelvic Health Program

Gender Transition Surgery

Our surgical specialists in gynecology, urology, and plastic surgery bring expertise, experience and compassion to a host of feminizing and masculinizing surgical procedures for our transgender patients.

Find a Plastic/Reconstructive Surgeon

Find a Gynecologic Surgeon

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Infectious Disease Testing and Treatment

Our Infectious Disease specialists at the Middlesex Health Multispecialty Group can provide insight and expertise for the prevention, diagnosis, and treatment of infections of all types, including HIV and chronic Hepatitis B and C.

Learn more about our program and the providers who will support you.

• For Some Transgender People, Pandemic Paves Path To Transition | Connecticut Health Investigative Team
• Katy Tierney, APRN on Health and Care During COVID-19 | CT Voice Out Loud
• At Middlesex Health’s transgender medicine program, patients find compassion, sensitivity  | Hartford Courant
• ALLIES for the Journey | CT Voice Magazine
• A First of Its Kind Program for Transgender Community in CT | WTNH

GENDER DYSPHORIA

Not all transgender persons have gender dysphoria.

Transgender is an umbrella term that encompasses many identities (e.g., male-to-female, female-to male, cross dresser, cisgender, gender fluid), all of which challenge conventional/traditional gender expectations. Many persons who are transgender do not experience distress/discomfort related to their identity/experience. For transgender persons who do experience distress/discomfort, gender dysphoria may be present.

Gender dysphoria is complex.

Among adults, gender dysphoria is related to a strong and persistent belief that there is an incongruence between their experienced/expressed gender and their sex characteristics, and/or that they have the typical feelings/reactions of the other gender. These beliefs are accompanied by strong and persistent desires as well. These desires can include: wanting to be the other gender, wanting to be treated as the other gender by others, and wanting to have sex characteristics of the other gender rather than one’s own. (Due to developmental differences, children and adolescents experience gender dysphoria differently than adults.)

Gender transition is a process of affirmation.

There are three primary paths of gender transition. For some, the exploration and pursuit of one path is desirable. Whereas for others, two or more paths is the preferred choice.

The journey on each path, to include experienced rewards and challenges, is unique to each person:

• Psychological transition: Involves experiences such as exploring beliefs about gender in general, examining one’s own gender identity, and/or processing loss related to gender transition
• Social transition: Involves experiences such as coming out, presenting as one’s identified gender, and/or changing legal documents to be consistent with one’s gender identity
• Medical transition : Involves experiences such as hormone therapy, hair removal, speech therapy, and/or gender affirming surgeries

We can develop a road map with you so that you can move forward.

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Psychologyhelp LGBT Therapy and Counseling Transgender Therapist Near Me. The Best Gender Counseling You’ll Find.

Transgender Therapist Near Me. The Best Gender Counseling You’ll Find.

It doesn’t matter if you’re male to female or female to male, there are a lot of considerations. There is a high emotional toll, and support is essential.

Finding good gender counseling near me

Unfortunately, many trans people don’t have the support you need. It’s essential to have a trained professional hold space as you navigate these waters. A good gender therapist will help you work out your feelings regarding your gender, help you decide if you want gender reassignment surgery, help you deal with coming out to your friends and family, and more.

However, there’s a high stigma and sadly it can be difficult to find a good therapist who is also knowledgeable about gender identity issues.

When I searched for gender counseling near me or a good transgender therapist near me, there weren’t many options. I can only imagine how difficult is it for those that are younger and live in more rural areas.

The Best Service to Find a Transgender Therapist Near Me

Get matched with a pride counseling gender therapist..

Effective, convenient, and affordable online sessions. Start by filling out this survey in it’s entirety.

Pride Counseling – The Best Service for Gender Counseling Near Me

Pride Counseling is an online therapy platform that specializes in mental health care for the LGBT community. The platform offers a listing of a large number of counselors and therapists, all qualified to work in mental health, and all with experience working with the LGBT community. Many are LGBT themselves. The platform offers the opportunity to find a mtf therapist or a ftm therapist, depending on your needs. The counselors vary in their treatment approaches. Some are more experienced working with specific issues (such as anxiety or relationship issues), while others have certain areas of expertise (such as CBT or mindfulness-based approaches). Whatever it is you’re looking for, you’re likely to find it on Pride Counseling.

How Does It Work?

Why it is the best.

• All counselors listed on Pride Counseling are experienced mental health care professionals. That means that every single one of them is a psychologist (PhD / PsyD), marriage and family therapist (LMFT), clinical social worker (LCSW / LMSW), or licensed professional counselor (LPC).
• All counselors listed on Pride Counseling specialize in the LGBT community. That means that they’re knowledgeable about issues regarding gender and sexuality, and they are comfortable discussing these issues.
• Have sessions from home, or anywhere else. Online sessions mean you can choose to have your sessions anywhere you’d like. You don’t have to take a bus or look for parking or ask your parents for a ride. You can also keep having sessions when you’re traveling or are unable to leave the house.
• Laptop, phone, or tablet. You can choose to walk around as you talk to your therapist on the phone, or curl up in your bed for more comfort.
• You can send unlimited messages to your therapist, and choose whether to have your sessions through live chat, phone call, or a video call.
• If you feel that the counselor that was matched to you isn’t the right fit, you can easily change your counselor, without needing to answer your introduction questions again.
• Choose your time. Are you a night owl? With Pride Counseling, you can choose which hours you want to have your sessions. You can even choose a therapist from a different time zone.
• Anonymity. With Pride Counseling, you can choose to sign up with a nickname. That option, in addition to the option of having your sessions done via live chat or phone call, means that you can choose to remain anonymous to your therapist, so they wouldn’t even recognize you if you walk by them on the street! If you’re worried about your safety or privacy or are just dealing with anxiety, this option can be a blessing.
• Affordability. Another great advantage to online therapy is that it’s often cheaper than in-person sessions.

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You Have the Ability to Go Beyond!

The Transgender Institute® (TTI) is a collaborative and comprehensive center that with its partners, offers a full spectrum of  therapeutic, psychiatric, psychological, medical, surgical, and endocrine care. We also  offer vocal training, movement, social presentation, including fashion and  many other  forms of aesthetic care  for the transgender person .  

ANNOUNCEMENT - WE HAVE A NEW PHONE NUMBER!

How Can We Help You?

Welcome! We are here to provide you with expert, specialized attention on your journey through our world-class, personalized, compassionate, and evidence-based programs.

We are PIONEERS in the field!

Our founder/director began her training with an exceptional group of transgender individuals on the leading edge of the initial transgender revolution 25 years ago. These individuals encouraged her to begin serving the population. TTI has served transgender individuals and families exclusively for over 20 years . Nothing can substitute for experience!    

We are NOT gatekeepers!

We are committed to providing gender affirming care that is inclusive and rights-based . We listen carefully to our clients and our interventi on s and treatments are based on teamwork .  We do not keep our clients in therapy longer than is necessary, depending on the client’s needs and desires.    

We DO work with non-binary individuals

We recognize that non-binary is a term that some individuals use to describe their gender presentation and connection that does not fall into one of the two binary categories, man or woman.    

We DO write all the necessary letters of referral for hormone therapy and surgeries.

We write all referral letters for hormone therapy, puberty blockers and/or all gender-affirming surgical procedures and for weight reduction surgery and therapeutic animal placement.  We also write carry letters for safety in public.  Not one has ever been rejected.

We DO provide FREE Name and Gender marker changes.

We are one of the few practices that provides FREE help to transgender individuals with changing their legal name and/or gender marker as part of the journey to live freely in public as their authentic selves. It is not necessary to hire legal assistance for this service .  

We DO provide individual, family and group therapy for all ages.

We provide personalized , individual therapy, and a safe space in group therapy to learn from other trans gender people.  Family therapy addresses the importance of support , acceptance, and understanding of family dynamics .  

We DO work with clients worldwide.

While we are based in Missouri, Kansas, and Texas, we serve and help clients worldwide.

We DO help individuals suffering from co-occuring conditions.

We collaborate with our psychiatrists to help evaluate for co-occuring conditions and identify the appropriate medical and therapeutic treatments in a safe and accepting environment.   

Gain Control of Your Life and Live Your True Gender Identity or Presentation!

  We recognize that transgender individuals experience an intense struggle to live fully while under pressure to conform to society’s expectations. We offer educational and affirming therapy as well as a complete array of support services to individuals and families w ho are seeking to transform their lives.   W e can support you in achieving the results you are looking for. Together we will develop a personalized plan that is right for you.  

We can support you in achieving the results you are looking for. Together we will develop a personalized plan that is right for you.

Our founder & director, Caroline Gibbs , is a Licensed Clinical Professional Counselor and National Certified Counselor, globally recognized as an educator, advocate, and provider for th e heavily  b urdened transgender population.  A new era of bias and hatred against transgender people has encouraged Ms. Gibbs to renew her mission statement of 25 years ago:    

“I pledge to serve the transgender population with steadfastness and devotion, for as long as I am able.”

To reach the fulfillment of that pledge made so long ago, Caroline has developed and delivered a unique, state-of-the-art organizational approach to transgender care. Individuals from overseas travel to Kansas City to take part in these novel classes and programs grounded in a powerful, pluralistic approach toward psychotherapy and transgender care. Working with this clientele, as Ms. Gibbs discovered years ago, requires deep specialization in the field, great respect and optimism for each client, and the ability to see “flourishing” as a distinct part of each person’s future.  

Caroline is very excited to be initiating TTI’s Research Program, which will investigate various aspects of the transgender community and experience. She is proud to announce that The Transgender Institute® is being joined by a world-renowned research scientist and psychiatrist to assist in designing our first two studies. Ms. Gibbs feels that TTI’s mission is ripe with possibilities to offer hope and help for the future of the transgender population.  

We encourage all our visitors to give us a call to gain more information and knowledge about TTI and its array of offerings.  We are always happy to hear from clinicians who would like to further their knowledge and education about the transgender field.

Thank you for taking a look at The Transgender Institute ® !  

Licensed Clinical Professional Counselor and National Certified Counselor

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We are committed to helping you discover your true self,  tap into your  full potential , find your  real path , and achieve your desired destination .  

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ATTENTION! We have a new number! Please call us at 816-800-4128 to make an appointment. At The Transgender Institute, we continue to provide compassionate, respectful and understanding transgender therapy services.

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Transgender Health & Gender-Affirming Care

OnePeak Medical believes in providing a safe, affirming, and non-judgmental space where everyone can obtain compassionate, inclusive health care geared towards optimal health and well-being.

All Are Welcome Here

We are committed to providing culturally aware care for our transgender, gender non-conforming, and non-binary patients in a safe and affirming environment. All gender identities and expressions are welcome at OnePeak Medical.

Personalized Gender-Affirming Care

We provide care that focuses on each individual and their needs, no matter what their gender identity or sexual orientation. We take the time to get to know you to gain a better understanding of your health and then build a personalized plan to help you reach your specific goals.

Coordinated Holistic Care

Patients benefit from coordinated team-based care that takes into account the whole person – body, mind, spirit, and emotions.

Unlike traditional care, gender-affirming care at OnePeak Medical is integrated into your primary care experience so you can avoid seeing multiple providers to meet all your medical needs.

Hormone Replacement Therapy

Finding the right hormone balance offers significant benefits, such as increased energy, better sleep, stabilized moods, and support in aging physically, emotionally, and mentally.

Treatment Plans Tailored to Your Unique Needs

At OnePeak Medical, we offer personalized care, tailored to each patient’s unique needs, as well as transition-specific services.

• Gender-affirming primary care, including yearly preventative exams and management of chronic and urgent health conditions
• Sexual and reproductive health care
• HIV & STI testing and prevention (PrEP)
• Hormone replacement therapy (HRT)
• Mental health support
• Anti-aging & aesthetics
• Referrals to specialists & community resources

Meet OnePeak's Gender-Affirming Care Providers

Dee Fleming

Adult Gerontology Nurse Practitioner She/Her/Hers

Dr. Treva Risher

Family Nurse Practitioner She/Her/Hers

Heather Mata

Grants Pass, OR

Dr. Kaia Deroche

White City, OR

Sarah Kalina

Georgia Nadeau

Marlene Dabestan

Jennica Miner

Klamath Falls, OR

Frequently Asked Questions

What is transgender care.

Transgender care is for patients whose sex assigned at birth does not align with their true gender.

Transgender and non-binary people require routine health care maintenance like all patients, but they are also at increased risk for certain medical and mental health conditions. Unfortunately, access to good health care can sometimes be a challenge for this community.

OnePeak Medical provides dignifying and comprehensive care for all patients regardless of sexual orientation or gender identity. We provide both general primary care as well as gender-affirming services, such as hormone replacement therapy.

Why do I need hormone replacement therapy?

Hormone replacement therapy helps to enhance the characteristics of your gender. Based on your health history and expectations, OnePeak Medical can help find the right type and dosage of hormones to assist in your transition with compassion and the latest resources.

Our Medical Providers understand how your transition can impact your life. We create personalized treatment plans designed to make your transition easier and safe while improving your quality of life.

Hormone therapy provides many changes, including:

• Make gender dysphoria less severe
• Increase or decrease in muscle mass
• Development of breasts or facial hair
• Redistribute body fat
• Changes in emotional health
• Improve sexual functioning and satisfaction

To learn more about OnePeak Medical transgender health & gender-affirming care, schedule an appointment online or call your local clinic today.

Does insurance cover transgender care?

Some health insurance plans include coverage for hormone therapy. They may also cover other transgender care services. The best way to know for sure is by calling your insurance company.

We are passionate about building lasting relationships through personalized treatments and superior care. Contact us today and schedule your consultation towards wellness and vitality.

• Patient Care & Health Information
• Diseases & Conditions
• Gender dysphoria

Your health care provider might make a diagnosis of gender dysphoria based on:

• Behavioral health evaluation. Your provider will evaluate you to confirm the presence of gender dysphoria and document how prejudice and discrimination due to your gender identity (minority stress factors) impact your mental health. Your provider will also ask about the degree of support you have from family, chosen family and peers.
• DSM-5. Your mental health professional may use the criteria for gender dysphoria listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), published by the American Psychiatric Association.

Gender dysphoria is different from simply not conforming to stereotypical gender role behavior. It involves feelings of distress due to a strong, pervasive desire to be another gender.

Some adolescents might express their feelings of gender dysphoria to their parents or a health care provider. Others might instead show symptoms of a mood disorder, anxiety or depression. Or they might experience social or academic problems.

• Care at Mayo Clinic

Our caring team of Mayo Clinic experts can help you with your gender dysphoria-related health concerns Start Here

Treatment can help people who have gender dysphoria explore their gender identity and find the gender role that feels comfortable for them, easing distress. However, treatment should be individualized. What might help one person might not help another.

Treatment options might include changes in gender expression and role, hormone therapy, surgery, and behavioral therapy.

If you have gender dysphoria, seek help from a doctor who has expertise in the care of gender-diverse people.

When coming up with a treatment plan, your provider will screen you for mental health concerns that might need to be addressed, such as depression or anxiety. Failing to treat these concerns can make it more difficult to explore your gender identity and ease gender dysphoria.

Changes in gender expression and role

This might involve living part time or full time in another gender role that is consistent with your gender identity.

Medical treatment

Medical treatment of gender dysphoria might include:

• Hormone therapy, such as feminizing hormone therapy or masculinizing hormone therapy
• Surgery, such as feminizing surgery or masculinizing surgery to change the chest, external genitalia, internal genitalia, facial features and body contour

Some people use hormone therapy to seek maximum feminization or masculinization. Others might find relief from gender dysphoria by using hormones to minimize secondary sex characteristics, such as breasts and facial hair.

Treatments are based on your goals and an evaluation of the risks and benefits of medication use. Treatments may also be based on the presence of any other conditions and consideration of your social and economic issues. Many people also find that surgery is necessary to relieve their gender dysphoria.

The World Professional Association for Transgender Health provides the following criteria for hormonal and surgical treatment of gender dysphoria:

• Persistent, well-documented gender dysphoria.
• Capacity to make a fully informed decision and consent to treatment.
• Legal age in a person's country or, if younger, following the standard of care for children and adolescents.
• If significant medical or mental concerns are present, they must be reasonably well controlled.

Additional criteria apply to some surgical procedures.

A pre-treatment medical evaluation is done by a doctor with experience and expertise in transgender care before hormonal and surgical treatment of gender dysphoria. This can help rule out or address medical conditions that might affect these treatments This evaluation may include:

• A personal and family medical history
• A physical exam
• Assessment of the need for age- and sex-appropriate screenings
• Identification and management of tobacco use and drug and alcohol misuse
• Testing for HIV and other sexually transmitted infections, along with treatment, if necessary
• Assessment of desire for fertility preservation and referral as needed for sperm, egg, embryo or ovarian tissue cryopreservation
• Documentation of history of potentially harmful treatment approaches, such as unprescribed hormone use, industrial-strength silicone injections or self-surgeries

Behavioral health treatment

This treatment aims to improve your psychological well-being, quality of life and self-fulfillment. Behavioral therapy isn't intended to alter your gender identity. Instead, therapy can help you explore gender concerns and find ways to lessen gender dysphoria.

The goal of behavioral health treatment is to help you feel comfortable with how you express your gender identity, enabling success in relationships, education and work. Therapy can also address any other mental health concerns.

Therapy might include individual, couples, family and group counseling to help you:

• Explore and integrate your gender identity
• Accept yourself
• Address the mental and emotional impacts of the stress that results from experiencing prejudice and discrimination because of your gender identity (minority stress)
• Build a support network
• Develop a plan to address social and legal issues related to your transition and coming out to loved ones, friends, colleagues and other close contacts
• Become comfortable expressing your gender identity
• Explore healthy sexuality in the context of gender transition
• Make decisions about your medical treatment options
• Increase your well-being and quality of life

Therapy might be helpful during many stages of your life.

A behavioral health evaluation may not be required before receiving hormonal and surgical treatment of gender dysphoria, but it can play an important role when making decisions about treatment options. This evaluation might assess:

• Gender identity and dysphoria
• Impact of gender identity in work, school, home and social environments, including issues related to discrimination, abuse and minority stress
• Mood or other mental health concerns
• Risk-taking behaviors and self-harm
• Substance misuse
• Sexual health concerns
• Social support from family, friends and peers — a protective factor against developing depression, suicidal thoughts, suicide attempts, anxiety or high-risk behaviors
• Goals, risks and expectations of treatment and trajectory of care

Other steps

Other ways to ease gender dysphoria might include use of:

• Peer support groups
• Voice and communication therapy to develop vocal characteristics matching your experienced or expressed gender
• Hair removal or transplantation
• Genital tucking
• Breast binding
• Breast padding
• Aesthetic services, such as makeup application or wardrobe consultation
• Legal services, such as advanced directives, living wills or legal documentation
• Social and community services to deal with workplace issues, minority stress or parenting issues

More Information

Gender dysphoria care at Mayo Clinic

• Pubertal blockers
• Feminizing hormone therapy
• Feminizing surgery
• Gender-affirming (transgender) voice therapy and surgery
• Masculinizing hormone therapy
• Masculinizing surgery

Clinical trials

Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.

Coping and support

Gender dysphoria can be lessened by supportive environments and knowledge about treatment to reduce the difference between your inner gender identity and sex assigned at birth.

Social support from family, friends and peers can be a protective factor against developing depression, suicidal thoughts, suicide attempts, anxiety or high-risk behaviors.

Other options for support include:

• Mental health care. You might see a mental health professional to explore your gender, talk about relationship issues, or talk about any anxiety or depression you're experiencing.
• Support groups. Talking to other transgender or gender-diverse people can help you feel less alone. Some community or LGBTQ centers have support groups. Or you might look online.
• Prioritizing self-care. Get plenty of sleep. Eat well and exercise. Make time to relax and do the activities you enjoy.
• Meditation or prayer. You might find comfort and support in your spirituality or faith communities.
• Getting involved. Give back to your community by volunteering, including at LGBTQ organizations.

Preparing for your appointment

You may start by seeing your primary care provider. Or you may be referred to a behavioral health professional.

Here's some information to help you get ready for your appointment.

What you can do

Before your appointment, make a list of:

• Your symptoms , including any that seem unrelated to the reason for your appointment
• Key personal information , including major stresses, recent life changes and family medical history
• All medications, vitamins or other supplements you take, including the doses
• Questions to ask your health care provider
• Ferrando CA. Comprehensive Care of the Transgender Patient. Elsevier; 2020. https://www.clinicalkey.com. Accessed Nov. 8, 2021.
• Hana T, et al. Transgender health in medical education. Bulletin of the World Health Organization. 2021; doi:10.2471/BLT.19.249086.
• Kliegman RM, et al. Gender and sexual identity. In: Nelson Textbook of Pediatrics. 21st ed. Elsevier; 2020. https://www.clinicalkey.com. Accessed Nov. 8, 2021.
• Ferri FF. Transgender and gender diverse patients, primary care. In: Ferri's Clinical Advisor 2022. Elsevier; 2022. https://www.clinicalkey.com. Accessed Nov. 8, 2021.
• Gender dysphoria. In: Diagnostic and Statistical Manual of Mental Disorders DSM-5. 5th ed. American Psychiatric Association; 2013. https://dsm.psychiatryonline.org. Accessed Nov. 8, 2021.
• Keuroghlian AS, et al., eds. Nonmedical, nonsurgical gender affirmation. In: Transgender and Gender Diverse Health Care: The Fenway Guide. McGraw Hill; 2022. https://accessmedicine.mhmedical.com. Accessed Nov. 8, 2021.
• Coleman E, et al. Surgery. In: Standards of Care for the Health of Transsexual, Transgender and Gender Nonconforming People. Version 7. World Professional Association for Transgender Health; 2012. https://www.wpath.org/publications/soc. Accessed Nov. 3, 2021.

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Gender Affirming Care

Planned Parenthood believes you deserve high-quality, compassionate health care — no matter your gender identity.

Most of our health centers provide hormone therapy and other gender-affirming services for transgender and nonbinary patients.  

Planned Parenthood is proud to provide a safe and welcoming place to get gender-affirming care. We offer services to transgender women, transgender men, and nonbinary people.

Services include:

• Estrogen and anti-androgen hormone therapy
• Testosterone hormone therapy
• Puberty blockers
• Surgery referrals
• Transition support (social, legal)

Not every Planned Parenthood health center provides all services. Check with your local Planned Parenthood health center about the services they offer.

Learn about Sexual Orientation and Gender

• Sex and Gender Identity
• Transgender and Nonbinary Identities

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Gender Affirming Care

Gender affirming care for transgender and gender non-conforming people.

Transgender and gender diverse patients can receive a full range of medical services through our Gender Affirming Care program. We offer hormone therapy, referrals to surgical affirmation and basic post-op care. Our model of care includes behavioral health consultants for brief mental health visits, second surgical letters and expert psychiatric care. We offer all primary care services including STI/HIV testing, Pre-Exposure Prophylaxis for HIV (PrEP), Post-Exposure Prophylaxis for HIV (PEP) and care for people living with HIV through our Ryan White Program.

We offer patient-centered primary care in addition to gender affirming services, including pertinent and necessary health screenings with cultural and gender sensitive providers.

To see who is currently providing Gender Affirming Care services, click here:

Gender Affirming Care Providers

Provider Resources

Frequently Asked Questions

Do you use the informed consent model for transgender hormone therapy, how old do i have to be to receive transgender hormone therapy at community health care.

Per Community Health Care policy, we can prescribe hormones to those 18 years or older. Anyone younger can be seen for primary care and referred to a specialist.

How do you decide how to prescribe hormone therapy to me?

We ask a lot of medical and personal questions, most of which we ask everyone, some are specific to hormone therapy. These are important for learning how to keep your whole body healthy. We also must make sure you are able to provide informed consent, which means you are able to understand and make major health decisions for yourself. We are committed to supporting people through an essential and exciting transition. We also take seriously our responsibility to do this safely so you can make your transition as smooth, easy, and enjoyable as possible.

How long will it take until you write my first prescription?

This depends. Most commonly we will write a prescription on the third visit. If we identify health risks we may need to take time to get you healthy and stable enough to go through this life-changing process safely and comfortably. We know for many people it is easier to make healthy decisions in a body that better matches who they really are. We believe in shared informed decision-making. This means we try to make decisions with you, not for you.

So what happens at the first two visits?

At the first one we will get a health history and order baseline labs. At the second one we will talk about your gender story and your personal goals for transition.

How will I be treated at your clinic?

The mission statement of Community Health Care is “to provide the highest quality health care with compassionate and accessible service for all”. We are committed to treating all of our patients with the dignity they deserve. All staff should use your correct pronoun. Our electronic medical record, like most, is not well designed to capture gender diversity. However we do document preferred names and pronouns and expect ourselves to be aware of this information. If you are misgendered please feel free to politely remind staff of your identity. If you have any concerns let your provider or a manager know. Your experience is important to us.

How do I get started?

Call the main appointment line at (253) 722-2161. You may choose to disclose your gender status to be scheduled, possibly more quickly, in a specialty hormone therapy appointment. Alternatively you may just ask to schedule with your chosen provider and they can help with system navigation after you meet.

I wish my PCP could do this so I don’t have to meet new people, can you help them keep taking care of me?

Absolutely. Our Head of Gender Affirming Care is available to support community providers as needed. Please forward further questions on these services to [email protected]

Get the latest information and answers to frequently asked questions about COVID-19.

Gender Reassignment Letter

Need a letter of readiness for hormone therapy or gender affirmation surgery.

Our therapists are trained in WPATH’s process to help you in your transition journey

how it works

Find a therapist.

Setup an assessment with one of our licensed therapists

Begin Therapy

Receive therapy for a minimum of 3 months

Receive Your Letter of Readiness

After 3 months, your therapist will evaluate you and write your letter in accordance to WPATH guidelines.

people talk

Here are client testimonials who have received letters from our therapists. 

Gender-Affirming Services at Yale Health

We are here to support you every step of the way on your journey to express your gender identity. At Yale Health, we provide comprehensive services and compassionate support for our transgender members. Our mission is to increase access to comprehensive, effective, and affirming healthcare services for transgender and gender-diverse people in our community.

Gender-affirming care at Yale Health consists of a multidisciplinary team approach made up of primary clinicians, nurses, care managers, mental health clinicians, obstetric/gynecologists, and endocrinologists. You play a critical role in partnering with Yale Health clinicians in your care. Together, we are strongly committed to respecting your privacy and treating you with consideration and dignity. 

Click here for a  printable resource sheet and more information on services and coverage.

Gender-Affirming Care Coordination

We offer gender-affirming care coordination to our members covered under Yale Health insurance and can help you find caregivers to fit your needs. Consult your  coverage documents  for information on  Yale Health’s coverage of treatments related to gender dysphoria and gender affirmation.

If you have questions, call 203-436-5791. Please provide your preferred name and pronouns, which can be added to your medical record.

Hormone therapy to feminize or masculinize the body

Talk to your PCP before starting testosterone or estrogen therapy. They’ll talk to you about any risks or side effects. And they'll help make sure that you’re taking the right amount of masculine or feminine hormones. Alcohol and tobacco use raise the risk of side effects when taking hormones. Ask your provider how much alcohol is safe for you and about ways to quit smoking, especially if you are considering surgery. 

Treatments to delay the onset of puberty

For parents of children who would like to explore gender-affirming care, please contact their pediatrician, who can talk to you about your options.

Surgery to change primary sexual characteristics (genital and breast surgery)

For top surgery, one letter* of support is required. For bottom surgery, one letter* of support is required, as well as a letter* from Endocrinology, if applicable. See the Member Coverage Booklet for details. Additionally, you can contact Specialty Services .

While you’re getting ready for your surgery, it’s also important to stay in shape — that means eating healthy and exercising regularly.

Taking care of your health after surgery

After surgery, talk to your PCP about safe sex and being screened for sexually transmitted diseases. You’re also covered for preventive health services based on your birth anatomy, including screenings for breast, cervical, and prostate cancers.

Gender Support Services

These may include:

• Facial changes to make you look more feminine or masculine 
• Decreasing the size of your Adam’s apple 
• Chest implants 
• Voice modification surgery 
• Electrolysis (except when it’s a part of genital reconstruction) 
• Hair grafts or implants 
• Body contouring

Fertility Preservation

Consult with your primary care provider (PCP) in Internal Medicine , Student Health , or Obstetrics & Gynecology .

Mental Health Services

Your mental health is important to us, and you might seek the assistance of a mental health professional for a number of reasons throughout your gender identity journey. Your mental health provider will evaluate your readiness for the next steps in your treatment and make recommendations.

Magellan Health , 800-327-9240, provides these services for Yale Health members. If you need assistance navigating the Magellan network, you can contact Cheryl Doebrick at 203-436-5706.

Chosen Name

We are committed to creating a welcoming environment for everyone. We recognize that many of our members use a chosen first name rather than their legal name.

How to Share Your Chosen First Name with Us (Note that MyChart uses the term “ preferred ” name.)

• During e-check under “Details about me” or at the kiosk.
• When you check in at the front desk or schedule an appointment with the Call Center.

What Else You Can Expect

• We will make every effort to use your chosen first name during your visit with us. (A legal name is sometimes required for things like medical claims and lab work.)
• Your legal name may appear on communications with your chosen first name in “quotes.” 
• As we continue to work hard to create systems to collect and use your chosen first name, we apologize if there are times when we don’t get it right. Please let us know if this happens so we can partner with you to fix it.  

You can request that your pronoun designation be added to your medical record when you meet with your provider.

You can contact the Claims Department to check the status or denials of your claims.

You can contact the Referrals Department to check your referral status or denials.

Prescription Medications

You can consult the Yale Health Pharmacy with questions about your prescriptions, refills, etc.

Your Child’s Care

For questions and concerns related to your child’s gender care, contact your pediatrician, at 203-432-0206.

* A note about letter requirements : A letter of support is required for each surgical procedure a patient wishes to undergo, and must be specific in nature with identifying the surgical procedure and indicating that the outcome of gender-affirming surgical intervention has been assessed, with risks and benefits being discussed with the patient.  The letter must be timely in relation to the requested surgical procedure and will be considered appropriate when dated within six months of a given procedure.

Note: All single occupancy bathrooms at Yale Health are designated as All Gender. These bathrooms are available in all clinical departments.

Transgender Hormone Therapy

Transgender men and women desire a permanent identity as a member of the gender with which they identify. This transition usually involves hormonal therapy and may also involve surgery.

We offer hormonal therapy for transgender individuals. People seeking transgender surgery are referred to well-established health care facilities that specialize in this procedure.

Hormonal Therapy

Transgender hormonal therapy (also called hormonal reassignment) allows development of secondary sexual characteristics that reflect the person's preferred gender identity.

Hormonal therapy for transgender people replaces the hormones naturally occurring in their bodies with those of the other sex.

• Woman-to-man hormonal treatment (testosterone treatment) is provided to promote male characteristics, such as a male pattern of body hair, a male voice and a male physical shape. The treatment also results in stopping monthly menstruation.
• Man-to-woman hormonal treatment is provided to inhibit male characteristics and promote feminine characteristics, such as breast formation and elimination of body hair growth.

Both male hormones (androgens) and female hormones (estrogens) are present in men and women alike, but in vastly different amounts. Giving the right amount of the right hormone is important in the life-long management of transgender hormonal therapy.

Psychological Evaluation

To obtain sex reassignment therapy, a full psychological or psychiatric evaluation by a certified professional will be performed prior to the start of hormonal therapy. This is important to ensure that the diagnosis of transgender re-assignment is not clouded by an underlying psychiatric disorder. 

A local transgender program called Pathways  offers professional and supportive programs dealing with issues of gender identity. Pathways also offers psychiatric evaluations to program participants, as well as information, guidance about resources and peer group support.

Therapy Based on Guidelines

Initial care includes a physical exam and blood test to check the individual’s overall health. Hormonal therapy is geared to an individual’s goals and therapy is monitored by clinical response and blood tests. Therapies are adjusted as needed based on response. Hormones are given as oral or injected medications.

Therapy is based on care standard guidelines established by The Endocrine Society called Endocrine Treatment of Transgender Persons. The guidelines were developed by a task force of content experts and co-sponsored by the European Society of Endocrinology, European Society of Pediatric Endocrinology, Lawson Wilkins Pediatric Endocrine Society, and the World Professional Association for Transgender Health. The guidelines address treatment of adolescents, hormonal therapy for transgender adults, long-term care and sex re-assignment surgery.

People who desire transgender hormonal therapy are encouraged to see a trained medical professional, who will prescribe the right medications and monitor your care over time. The physician carefully watches for complications as you slowly begin taking an increased level of hormones.

Physicians throughout Wisconsin refer their patients to us for transgender hormonal therapy. We share our expertise with these community physicians so they can continue local care for their patients.

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Is Counseling Needed Before Gender Transition?

• Psychological: Male
• Psychological: Female

For people with  gender dysphoria,  transitioning from one’s birth gender to their desired gender can be a big step. It can involve hormonal treatment as well as surgery. Some professionals recommend a mental health screening and psychotherapy beforehand as part of the process. But is that really necessary?

The AMA Journal of Ethics discussed the debate in a recent commentary.

On one hand, counseling can help patients better understand the complex procedures and the adjustments that will be needed, even if one has been living as their desired gender for a while. Also, many view gender reassignment surgery as permanent, and patients need to be prepared.

On the other hand, many patients are confident about their decision and see no reason for a mental health professional to intervene or approve the transition. Others feel that the transition can be modified if they change their mind, even if a complete reversal is not possible.

According to the commentary, the World Professional Association for Transgender Health (WPATH) advises mental health screenings and recommends psychotherapy before any body modifications are made. However, such decisions could be made on a case-by-case basis.

It is still important for patients to provide informed consent before any hormonal or surgical procedure is conducted, acknowledging that they understand the procedures, the risks and benefits, consequences, and alternatives, the commentary noted.

AMA Journal of Ethics

Murphy, Timothy F., PhD

“Should Mental Health Screening and Psychotherapy Be Required Prior to Body Modification for Gender Expression?”

(November 2016)

http://journalofethics.ama-assn.org/2016/11/ecas2-1611.html

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Find a provider who specializes in sexual medicine in your area.

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Gender-Affirming Care

Gender-affirming health care for children and adolescents.

Contact us: 253-792-6630

Mary Bridge Children’s Hospital does not provide gender-affirming surgeries. Our Gender Health Clinic provides a multidisciplinary three-step process that includes education, resources and affirming medical support.

We respect all parties with medical decision-making authority and do not provide treatment without their consent.

A safe harbor for trans and gender-diverse youth

The Mary Bridge Children’s Gender Health Clinic accepts new patients up to age 17 1/2 and younger and provides gender-affirming care for people up to age 18 or until they complete high school.

Our services are for children and adolescents:

• Who do not identify within the traditional definitions of male or female
• Whose gender identity is different than their assigned sex at birth
• Who identify as transgender, gender nonconforming, nonbinary, gender neutral and all other gender-diverse identities

Our priority is to ensure a space for your child or adolescent to receive gender-affirming care tailored to their needs and those of your family. Patients and caregivers turn to us because we offer:

Personalized, evidence-based care. Our care team follows the Endocrine Society’s clinical practice guidelines for transgender medicine and research and the treatment of gender dysphoria/gender incongruent persons . We also follow the standards of care set forth by the World Professional Association for Transgender Health (WPATH) . Patients rely on us to provide accurate information, support, referrals and gender-affirming medical treatment — such as puberty blockers and hormone replacement therapy — according to individual needs.

A collaborative, multidisciplinary team. Our care team includes gender health board-certified physicians, psychologists, a clinical social worker, a registered dietitian and many other health care professionals. Our close-knit collaboration allows us to coordinate your care so you and your family can focus on your gender journey.

An innovative gender health research program. We partner with the MultiCare Institute for Research and Innovation to generate patient-centered research that will improve access to and the quality of gender-affirming care, supporting trans and gender-diverse youth and their families. Learn more about our gender health research program .

How to refer a patient

Please fax referrals to the Mary Bridge Children’s Pediatric Endocrinology Clinic at 253-864-3939.

What to expect and next steps

Before scheduling an initial appointment with the Mary Bridge Children’s Gender Health Clinic, you will need a referral from your primary care provider. This referral should be sent to the Mary Bridge Children’s Pediatric Endocrinology Clinic with a gender dysphoria diagnosis.

Once a referral has been sent, our gender health care coordinator will contact you directly to provide additional information and schedule your first appointment. To learn more about next steps, please visit our Appointment Expectations page .

If you have additional questions or would like to learn more about the services offered by the Gender Health Clinic, members of our clinical team are available to speak with you. To speak directly with our care coordinator, call 253-307-0788 .

Hanna Gender Center

• 255 Lebanon Rd, Suite 112 Frisco, TX 75036

• Breast Augmentation

Metoidioplasty

• Non Binary Chest Surgery
• Hydrafacial Treatment

A Gender-Affirming Surgeon Dedicated to Serving the TGNB Community

Book a vaginoplasty consultation with Hanna Gender Center and experience compassionate and professional care.

Learn more about our Med Spa services that enhance your transition by targeting your hair and skin goals.

Trusted Transgender Surgery Experts in Dallas, TX

Schedule A Consult

Find Our Location

Meet Dr Hanna

Read our FAQ

Featured services.

Vaginoplasty

Nullification

A procedure that involves removing all genital tissue to create a relatively smooth genital area.

Hair and Skin Services

Treatment options that enhance your transition by resurfacing skin, removing hair, and more. 

Why Choose the Hanna Gender Center?

At the groundbreaking Hanna Gender Center, you become part of our family from day one. Dr. Hanna is a highly-skilled independent gender-affirming surgeon who treats the whole patient using a holistic, patient-centric model. He guides you every step of the way and is involved in every aspect of your care – from start to finish. Our support team is also there for you, helping schedule consultations, surgeries, and follow-up appointments, providing comprehensive aftercare instructions and guidance, as well as offering hair and skin surfaces to continue to enhance your transition.

The Hanna Gender Center utilizes a multidisciplinary approach to ensure exceptional results. We tailor male-to-female, female-to-male, and non-binary procedures to align with your gender identity. Seeing your smile when the dressings come off is our greatest reward, and our gender confirmation surgeons work hard to make it happen.

Dr. Hanna in The News

Recently, Dr. Hanna was asked to discuss transgender topics with Greg Louganis.

What We Offer

At the Hanna Gender Center, we strive to meet the needs of everyone in the LGBTQ community. We offer a variety of procedures to transform your entire body and ensure it matches your preferred identity. Some of the most common requests our gender-affirming surgeons perform include Metoidioplasty  for trans men, Breast Augmentation and Vaginoplasty for trans women, as well as Nullification and Orchiectomies for non-binary individuals. Once your procedure is complete, we offer ongoing Med Spa services to address hair and skin needs that align with your gender identity.

A procedure for trans men that involves creating a penis from the patient’s existing genital tissue.

Orchiectomy

Are you interested in working with dr. hanna contact us today to schedule a consultation..

• [email protected]
• (972) 327-5524

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. Bauback Safa

Dr. Safa is an internationally renowned Reconstructive Microsurgeon and the Medical Director of the San Francisco Transgender Institute. He and his team have performed more than 700 Phalloplasty surgeries since 2012, making him one of the most experienced Phalloplasty surgeons in the world.

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 13 years. He is board-certified by the American Board of Plastic Surgeons, co-founder of the American Society of Gender Surgeons (ASGS), Founder 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. Kriya Gishen

Dr. Kriya is an ivy-league trained plastic and craniofacial surgeon in Beverly Hills who specializes in Facial Feminization Surgery. Dr. Kriya is fellowship-trained in craniofacial surgery which gives her the knowledge and experience needed to perform reconstructive facial surgery with a high degree of skill and finesse. She is known not only for her surgical mastery but also for her deeply personal manner with her patients. In addition to Facial Feminization, Dr. Kriya is also highly proficient in Body Sculpting and Breast Augmentation.

Dr. Shahin Javaheri

Dr. Javaheri is a double board-certified plastic and reconstructive surgeon in San Francisco who specializes in facial, breast and body contouring procedures. With 27 years of experience, Dr. Javaheri has earned a reputation for his surgical skill, artistic touch and attention to detail. His work with transgender patients has focused on Facial and Body Feminization, Facial and Body Masculinization, Breast Augmentation, Body Sculpting and utilizing 3D technology to create patient-specific implants.

Dr. Heidi Wittenberg

Dr. Wittenberg is a highly experienced urogynecologist and reconstructive pelvic surgeon in San Francisco who works exclusively with trans and non-binary patients. Dr. Wittenberg is the Director of MoZaic Care, which specializes in gender affirming genital and pelvic surgeries, a Founder Surgeon and Co-Director of the first SRC accredited Center of Excellence in Gender Confirmation Surgery at Greenbrae Surgery Center, and the Medical Director of the Gender Institute at Saint Francis Memorial Hospital.

Dr. Toby Meltzer

Dr. Meltzer is a plastic and reconstructive surgeon who has been performing gender-affirming procedures since the early ’90s. Dr. Meltzer is widely recognized as one of the leading surgeons in the field of Gender Surgery, having completed over 4000 surgeries. He currently performs approximately 200 genital reconstruction surgery cases per year in Scottsdale, Arizona.

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. Mang Chen

Dr. Chen is a highly experienced Reconstructive Urologist in San Francisco who specializes in bottom surgery procedures for transmasculine individuals. He has performed hundreds of Phalloplasty, Metoidioplasty and related procedures, and has deep expertise in urological repair surgeries.

Dr. Loren Schechter

Dr. Schechter is one of the country’s foremost experts on transgender surgery. He is the Medical Director of the Gender Affirmation Surgery Program at Rush University Medical Center in Chicago. Dr. Schechter has been performing gender-affirming surgeries for more than 20 years. Since 2013, he has performed approximately 100-150 gender-affirming procedures every year. He offers the full spectrum of gender-affirming procedures.

Dr. Andrew Watt

Dr. Watt is a Reconstructive Microsurgeon at the Buncke Clinic, widely considered to be the birthplace of microsurgery. He is a highly accomplished Phalloplasty surgeon, having performed hundreds of microvascular Phalloplasty and related procedures with his team in San Francisco.

Dr. Adam Bonnington

Dr. Bonnington is a highly skilled obstetrician-gynecologist in San Francisco who is passionate about working with underrepresented patient populations and has a particular interest in caring for transgender and gender expansive individuals. Dr. Bonnington joined MoZaic Care as a Surgical Associate in 2020 and performs Vaginoplasty, Orchiectomy and Hysterectomy.

Dr. Walter Lin

Dr. Lin is a fellowship-trained Plastic Surgeon at the Buncke Clinic in San Francisco. Dr. Lin has a sub-specialization in reconstructive microsurgery and is dedicated to the advancement of care in microsurgical reconstruction of the extremities, breast, and lymphatic systems. His experience in these areas has contributed to his exceptional skills in gender-affirming Top Surgery and Breast Augmentation.

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. Joel Beck

Dr. Beck is a board certified plastic and reconstructive surgeon who has been performing transgender surgery procedures since 2003. Based in Charlotte NC, Dr. Beck routinely performs Facial Feminization Surgery, Breast Augmentation, Top Surgery, Body Contouring and Hair Restoration.

Top Surgery Summer Special Price: $6500

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.