Gender Affirming Surgical Perioperative Program

GASPP logo

Members of the Gender Affirming Surgical Perioperative Program (GASPP) at Boston Children's Hospital are dedicated to providing anesthesia for all gender-affirming procedures, as well as any other procedures for gender diverse individuals.

Our Anesthesiologists and Certified Registered Nurse Anesthetists (CRNAs) provide anesthesia care for a spectrum of conditions and procedures. Each patient undergoing gender-affirming surgery at Boston Children's Hospital receives care from a team of individuals that include:

Our approach

Transgender patients and their families are known to experience a higher rate of stigma in hospital environments, and therefore are justifiably anxious about the risks of seeking care. Our anesthesia team works collaboratively along with surgeons, nurses, and with all members of healthcare team to provide culturally sensitive care to the gender diverse community. We are experienced in delivering anesthesia for vaginoplasty, metoidioplasty, phalloplasty, chest reconstruction, breast augmentation, and other gender-affirmation surgeries. No matter what type of procedure you have having, our goal is to minimize the associated stress and anxiety, provide continuity of care, and support patients and their families throughout the perioperative experience.


As GASPP continues to grow, we hope to further expand our understanding of gender-affirming concerns and anesthesia techniques by both leading and participating in various research projects.

Our areas of interest include creating anesthesia management guidelines for chest reconstruction, phalloplasty, vaginoplasty, and hysterectomy procedures. Additionally, GASPP interests focus on transgender perioperative anxiety, patient satisfaction, and Enhanced Recovery After Surgery (ERAS) protocols.

Published works and projects

  1. Aquino, Nelson J. MS, CRNA; Ganor, Oren MD; Chrisos, Haley A. PA-C; Oles, Norah BS; Boskey, Elizabeth R. PhD, MPH, LICSW Perioperative Issues With Gender-Diverse Youth, Journal of Pediatric Surgical Nursing: November 19, 2020
  2. Oles, Norah BS; Ganor, Oren MD; Aquino, Nelson J. MS, CRNA; Boskey, Elizabeth R. PhD, MPH, LICSW Surgical Affirmation for Gender-Diverse Youth, Journal of Pediatric Surgical Nursing: November 19, 2020

Patient testimony

Happy Patient with Dog in Hospital

Gender affirming surgery requires individuals to place their trust in strangers and allow themselves to be completely vulnerable. My biggest concern in regard to surgical procedures, until I met the G.A.S.P.P. team, was whether or not I was going to be laughed at for being transgender while I was under anesthesia. Since beginning my surgical journey at Children’s I never once questioned whether I would be laughed at because I knew I was surrounded by a group of professionals, who I now consider to be friends, who wanted nothing but the best for me. Returning for each follow up procedure wasn’t a source of panic because I knew that no matter what, the G.A.S.P.P. team was there. They are the element of consistency that gender diverse individuals need while navigating the complex world of not just gender affirming surgeries, but all other surgical procedures they may require.

— Harper Berriman, GASPP patient

Meet our team

Contact us

For questions, consultations, and follow-up care from the Gender Affirming Surgical Perioperative Program, email