Gender Affirmation Surgery

Adults seeking gender-affirming treatment deserve care from experts in transgender medicine, as well as holistic treatment plans that are sensitive to individual needs with a support system that doesn’t stop at the hospital doors.


Gender identity occurs on a spectrum, and gender affirmation looks different on everyone. Today, a wide range of surgical and non-surgical techniques are available to help make a person’s body match their gender identity. In collaboration with the Washington University Transgender Center, we offer hormone treatment, reconstructive surgery, pelvic and HIV screening, and other treatment options, as well as ongoing support.

Whether you want a full transition, a more ambiguous appearance that blurs the line between feminine and masculine, or are still questioning, we are here to offer support and assistance.

What We Offer

Our nationally recognized surgeons are dedicated to focusing on your unique gender affirmation surgery needs and the following conditions:

  • Breast reduction
  • Chest masculinization surgery (breast tissue removal)
  • Chest feminization surgery (breast augmentation)
  • Dermatology
  • Facial contouring
  • Hormone therapy and specialty surgical care, including endocrinology, otolaryngology, gynecology, urology and plastic surgery
  • Mental health care
  • Pelvic therapy
  • Social work and legal assistance
  • Speech therapy
  • Voice surgery
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In-Person or Virtual Visits

Why Choose Us?

The Washington University Transgender Center stands with the LGBTQ+ community in the fight for justice and health equity. As part of our work to promote an accepting and healthy environment, we provide specific training to our staff on gender topics and make space for all identities and pronouns to thrive.

Our plastic surgeons treat people using the latest techniques in gender affirmation surgery and will work closely with your endocrinologist, speech therapists and other specialists in a coordinated effort to give you the best care possible.

What to Expect

Once you request an appointment, our scheduling team will call you to schedule your initial consultation with the appropriate provider, who has special training in gender-affirming care. When you meet, you will discuss treatment options using the “informed consent” model, which means our specialist will work with you to determine the best path forward while ensuring that you understand any associated risks and expected outcomes. This model empowers you to make informed decisions with confidence.

To offer you truly comprehensive treatment, your physician will collaborate with a trusted team of experts chosen for your treatment plan, ranging from specialists in the field of primary care to plastic surgery, gynecology, urology, otolaryngology and adolescent medicine. All the medical professionals you work with will be committed to your health and well-being.

Our holistic approach to transgender care doesn’t end with treatment, however. Because people within the LGBTQ+ and minority communities have long been underserved and discriminated against in healthcare communities, we work to make a difference by providing truly equitable care to all who need our services. We will work to help you build a strong, well-rounded healthcare community that serves your needs. You deserve a team of healthcare providers you can trust in all aspects of your healthcare, not just in transgender medicine. Our program also offers the services of social workers who will advocate for you within the healthcare system and help you find legal assistance if needed.

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