Center for Gender Surgery | The Surgical Journey

Who can receive a surgical consult at the Center for Gender Surgery?

We see patients who have been referred by an outside behavioral health or primary care provider who has documented their diagnosis of gender dysphoria and the appropriateness of surgical treatment.

What happens during the initial consultation for gender surgery?

During the initial consultation, you will meet with both our surgical team and our social worker. Our surgical team assesses your readiness for surgery, educates you on your options and discusses the risks. Our social worker will meet with you separately to complete a thorough psychosocial assessment, including understanding your expectations for surgical outcomes, your plan for post-surgical care, and your emotional preparedness for surgery.

What happens after the initial consultation for gender surgery?

Following a consultation, our team will meet to decide whether you are ready to move forward with surgery. If the answer is yes, the team will begin to work on obtaining prior authorization from your insurance. Once this is obtained, you will move forward with any necessary hair removal, which can take up to six months.

A second scenario is that the team may determine that you will be a good candidate in the future, but that you are not ready for us to submit for authorization or to schedule surgery. This may be because you need more time in therapy or on hormones to qualify for surgery. It may also be because you need better, or additional, letters from your outside providers. Once this "homework" is complete, you may return for a second consultation.

A final scenario is that we determine that you are not a candidate for surgery. This may be because you are too early in your gender journey. It could also be for health reasons, such as having too high a BMI or a history of smoking. In this case, you may be referred to GeMS, which provides physical and psychological assessment, care and support to young people with gender dysphoria. You may return at a later time to meet with the Center staff again for reevaluation and assessment.