Align with Expert Care. Thrive as You.

Affirming care for your unique vision—face, top surgery, or both.
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We Offer a Range of Surgeries to Support Your Transition

From gender-neutral chest surgery to facial harmony and body sculpting, our offerings are designed to adapt, not dictate. Every plan is collaborative, rooted in your goals and how you want to show up in the world.

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Body Contouring & Liposculpture

Body contouring reshapes the torso, hips, thighs, or buttocks using liposuction and fat grafting to achieve your desired proportions. Whether you're seeking a more angular or curvier silhouette, these procedures are tailored to support your gender identity. Many patients bundle body sculpting with chest or bottom surgery to reduce overall downtime and recovery.

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Bottom Surgery

Bottom surgery refers to genital reconstruction options including vaginoplasty, phalloplasty, metoidioplasty, and orchiectomy. These procedures focus on form, function, and sensation, preserving or restoring erogenous and tactile feeling through microsurgical techniques. Whether you’re seeking a standalone procedure or a staged journey, our care model includes urology, pelvic PT, and emotional health support under one roof.

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Chest Surgery

Gender-affirming chest surgery modifies the chest contour to create a flatter or more rounded appearance, depending on your personal goals. Options include breast augmentation, chest reduction, mastectomy, or nipple and areola repositioning. Whether you're seeking a more androgynous, masculine, or feminine silhouette, our surgeons use techniques that prioritize sensation, scarring, and aesthetic detail.

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Facial Surgery

Facial surgery reshapes the bone and soft tissue of the face to align with your identity and self-image. Procedures can include contouring of the forehead, brow, nose, jaw, and chin, along with fat grafting, facelifts, or tracheal shaves. Whether you want to soften or masculinize your facial features, the goal is to bring harmony between how you feel and how the world sees you. Many patients see results within weeks, most returning to daily activities in 2–4 weeks.

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Hairline & Brow Options

Hairline advancement, brow bone reshaping, and brow lifts help affirm facial appearance by adjusting one of the face’s most expressive regions. These procedures can elevate or soften the brow line and modify the shape or height of the hairline to better match your personal gender expression. They are often performed as part of a broader facial surgery plan and can significantly reduce gender dysphoria related to facial misgendering.

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Non-Surgical Procedures

From laser hair removal to injectables, skin resurfacing, and PRP therapy, our non-surgical offerings help affirm your identity without invasive surgery. These services support pre-op planning or post-op refinement, helping reduce dysphoria and enhance comfort with your appearance. Every treatment plan is developed with gender-specific protocols and patient sensitivity in mind.

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Revision & Complication Management

We offer compassionate, expert-led care for individuals seeking revision after unsatisfactory outcomes or complications from previous procedures. Whether you're addressing loss of sensation, visible scarring, or functional challenges, our team specializes in microsurgical salvage and nerve repair. We believe everyone deserves a second chance at alignment, without judgment, only support.

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Tracheal Shave (Adam’s Apple Reduction)

A tracheal shave reduces the prominence of the thyroid cartilage (commonly referred to as the Adam’s apple) through a precise, voice-sparing technique. This outpatient procedure uses a hidden, endoscopic approach and is often paired with voice surgery when desired. For many individuals, smoothing this visible cue is a decisive step toward comfort and confidence in their appearance.

Am I a Candidate for Gender Affirmation Surgery?

If you’re seeking surgical or non-surgical care to align your appearance with your identity, you’re in the right place. Our approach meets you where you are with compassion and understanding. Whether you're exploring options or ready to take the next step in your care journey, we're here to support you.


What We’ll Look at Together:
  • Your goals and vision for gender expression
  • Your overall physical and emotional health
  • Readiness and support for the post-op journey
  • Insurance coverage and documentation needs

You set the pace. We support the path.

 

Why Trust The Center for Gender Affirmation

Microsurgery Experts

Nationally recognized for nerve-sparing techniques that preserve sensation and function.

Continuity of Care

One team across your full journey, from consults to revisions.

Proven Results

Over 130 bottom surgeries with published success rates.

Affirming Experience

We center your identity, goals, and comfort at every step.

Flexible Surgical Design

No “one look” — just your goals, realized with artistry and precision.

Contact Us Today

Real People. Real Stories of Transformation.

Watch patients share their journeys—what changed, what stayed true, and what it means to finally feel whole.

Why Trust the Center for Gender Affirmation

Microsurgery Experts

Nationally recognized for nerve-sparing techniques that preserve sensation and function.

Continuity of Care

One team across your full journey, from consults to revisions.

Proven Results

Over 130 bottom surgeries with published success rates.

Affirming Experience

We center your identity, goals, and comfort at every step.

Flexible Surgical Design

No “one look” — just your goals, realized with artistry and precision.

 

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TCGA - Non-Binary Transition Procedures - Your Journey Starts Here

Your Journey Starts Here