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Gender Confirming/Grs Surgeon List and Resources for Preparing for Surgery

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Gender Confirming/Grs Surgeon List and Resources for Preparing for Surgery GENDER CONFIRMING/GRS SURGEON LIST AND RESOURCES FOR PREPARING FOR SURGERY Callen-Lorde encourages patients to research the credentials and qualifications of providers they are considering for any procedure. Inclusion of a surgeon on this list is in no way an endorsement or recommendation by Callen-Lorde. Table of Contents 2 Procedure Descriptions 3 Community Support Resources 3 Consultation Questions Surgeons Directly Accepting Insurance¹ 4 New York City Surgeons 5 Greater New York Area Surgeons 5 National Surgeons2 Surgeons Who Accept Out-Of-Network Benefits Only 6 New York City/Greater New York Area Surgeons 7 National Surgeons² 1. A surgeon accepting your plan does not guarantee coverage for procedures or describe what your out-of-pocket costs might be. The name of the insurance company also does not give you information about TGNB coverage. Please see Transcend Legal’s video guide for more information about insurance coverage: video.transcendlegal.org 2. Listings for surgeons outside of the New York area are compiled only for surgeons who perform some combination of genital surgery or FGCS, though other procedures performed are listed if information is available. GENDER CONFIRMING/GRS SURGEON LIST AND RESOURCES FOR PREPARING FOR SURGERY 2 Orchiectomy Vaginoplasty Procedure Removes testes, shutting down internal An incision is made in perineum, and Descriptions testosterone production. Can be space is created between rectum and done by itself, or at the same time as prostate to create a new vaginal canal. Facial Gender Confirming Surgery vaginoplasty. Some ways of doing the This opening is lined with skin from the (FGCS) procedure may limit skin available for shaft of the penis and scrotum, with Also known as facial feminization surgery future vaginoplasty, so you should see the option to add urethra lining or other or FFS, this is a general term for a group a surgeon who is familiar with TGNB tissues if there is not adequate skin. The of procedures designed to change the care or willing to learn. Some surgeons head (glans) is used to create clitoris, bone structure of the face and reshape also state that waiting multiple years kept attached to nerve connections and features that resulted from testosterone between orchiectomy and vaginoplasty made smaller, and the rest of the outside exposure. This could include either can lead to shrinkage and less skin portion of the vagina (the vulva) is made shaving down or entirely re-contouring available for vaginoplasty. Getting an using scrotal or other skin. The small of the forehead and sinus area by cutting orchiectomy means that you no longer lips of the vulva (labia minora) can be and repositioning bones (osteotomies), need to be on testosterone blockers made during the initial surgery, but often reduction and repositioning of the jaw like spironolactone. Some people with require a second minor surgery after the bone and chin using similar cuts (sliding very low testosterone levels, including vaginoplasty is healed to be prominent. genioplasty), lifting the upper lip, nose both cisgender women and TGNB people Inserting a dildo into the new vagina reconstruction/“nose job” (rhinoplasty), who have had an orchiectomy, choose (dilation) must be done several times and bringing the hair line further forward. to supplement their estrogen with very a day, then less frequently, to ensure These techniques can also be applied small doses of testosterone in order healing. This is not only about stretching in reverse to facial masculinization. to help with mood and sex drive. Once skin and keeping it from healing closed, Surgeons who practice facial gender orchiectomy is performed, there is no but also about relaxing the muscles confirming surgery often have special more genetic material to reproduce of the pelvis to allow for pleasurable training in reconstructing facial with. You can freeze genetic material penetration. features (craniofacial fellowship) using in advance for future use. If you are on hormone therapy, you might need to go bone grafting beyond a traditional Metoidioplasty plastic surgery residency. off for some period of time in order to have viable material. After orchiectomy, Metoidioplasty frees the existing erectile you will need to continue to take external tissue by cutting the tissue that holds Chest Reduction Top Surgery hormones in order to maintain bone it down against the body. The penis Periareolar (aka keyhole, peri, density and for energy and mood. might be enhanced by using nearby circumareolar, minimal scar) Any tissues to create more girth in “ring” procedure that that does not involve and “centurion” methods, but generally cutting and removing skin under the pec Hysterectomy length is dependent on growth from line, and instead using an approach in Hysterectomy is commonly used to refer testosterone. Can also loose length the area around the nipple. Results in a to removing all internal reproductive post op. Can be combined with urethral scar around the nipple. organs: the cervix, uterus, fallopian lengthening (usually performed by Double Incision Any procedure to tubes and ovaries, although technically a surgeon who has completed a remove tissue that results in scars under “hysterectomy” only means removal of reconstructive urology fellowship) in the pectoral line. Better for bodies with the uterus. Getting all parts removed order to stand to pee, removal of the more excess skin. Nipples must be re- at once is called a “total hysterectomy vaginal opening (vaginectomy), creation placed onto the body (grafted). with bilateral salpingo-oopherectomy.” of a scrotum or ballsack (scrotoplasty), Nipple Grafting/Chest Reconstruction Removal of the vagina (vaginectomy) is creation of a ridge or head of the penis The portion of the procedure that not a required part of hysterectomy or (glansplasty), and pubic area lift and re-sizes and re-places nipples. If the other genital surgeries (metoidioplasty debulking (mons reduction). nipples are being grafted, they can and phalloplasty), but if you are planning either be entirely cut from the body and to get a vaginectomy, hysterectomy re-attached (free graft), or depending will be performed in advance or at the on the person and surgeon, can be same time. If the cervix is removed, you repositioned with nerves and blood no longer need to get monitoring pap supply intact (pedicle graft). smears. Some people choose to leave one or both ovaries in the hope that they can function as internal estrogen Breast Augmentation Top Surgery hormone production when someone Breast Augmentation: A procedure chooses to stop taking testosterone or that increases chest size by inserting a loses access to testosterone. Long term, silicone implant from under the breast you need to have either testosterone (inframammary), through the armpit or estrogen in order to maintain bone (transaxillary), or around the nipple density and for energy and mood. (periareolar). The implant then sits Some people choose to leave ovaries in either between the breast tissue and the order to retain material to genetically muscle (subglandular), or partially under reproduce with later. the chest muscle (subpectoral). New York Medicaid requires either two years on estrogen based hormone therapy or a medical inability to take hormones in order to cover this procedure. GENDER CONFIRMING/GRS SURGEON LIST AND RESOURCES FOR PREPARING FOR SURGERY 3 Phalloplasty Electrolysis Trans Media Network great information Phalloplasty uses non-genital skin Callen-Lorde recommends patients but featured surgeons are paying grafts from the body to create a new begin hair removal on skin being utilized advertisers penis. Common sites used are forearm, for genital reconstruction as soon as Topsurgery.net thigh, and abdomen. Size is dependent possible while preparing for surgery to on patient preference, donor site achieve total clearance after several Mtfsurgery.net availability, and surgeon comfort, hair growth cycles. Hair removal can phallo.net however, the penis does not grow/ take over a calendar year, even if you are shrink with arousal, and it is always the going to regular appointments every four metoidioplasty.net same size in your pants. Original tissues to six weeks. Consult your surgeon for Facebook Groups can be buried under the new penis, guidance on what areas are being used, or left exposed. Specialized plastic as techniques differ. Your surgeon or PCP Top Surgery Support (Removal/ surgeons can use microsurgery during may be able to prescribe numbing cream Reduction) phalloplasty to connect blood supply to ease discomfort if needed. Being well FTM/NB/GNC Hysterectomy and sensory nerves from the donor site hydrated before treatment also helps. We (the forearm “RFF” or thigh “ALT”) to are not aware of any scientific evidence FTM Bottom Surgery Discussion the blood supply and sensory nerves in for claims that all hair can be removed SRS / GRS / Breast Augmentation / Body existing genitals. If this is successful, during surgery. Feminization Surgery / Transgender the full erotic sensation in the genitals FFS Facial Feminization Surgery / will extend through the length of the new penis. Regardless, if the original Transgender TG TS genital tissue is contained within the Community new penis, it provides erotic sensation Resources Yahoo Groups: at the base. Can be combined with www.groups.yahoo.com/group/ urethral lengthening (usually performed Support Groups ftmsurgeryinfo by a surgeon who has completed a Stitches all trans feminine spectrum thedecidingline reconstructive urology fellowship) surgeries 2nd and 4th Tuesdays in order to stand to pee, removal of 6pm-8pm @ GMHC [email protected] ftmphalloplastyinfo the vaginal opening (vaginectomy), ftmmetoidioplasty creation of a scrotum or ballsack The Tool Shed trans masculine spectrum (scrotoplasty), creation of a ridge or genital surgery, 4th Wednesdays head of the penis (glansplasty), pubic 6:30-8pm @ Mt Sinai CTMS area lift and debulking (mons reduction), [email protected] Consult Questions and insertion of testicular implants and A consultation is your chance to learn if a erectile device. Books surgeon will meet your needs.
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