Gender Surgery: Surgical Options

The gender surgeons at the Brigham and Women's Division of Plastic and Reconstructive Surgery have extensive expertise performing advanced gender-affirming surgery. Our team uses the latest medical technology to ensure optimal outcomes, including virtual surgical planning tools, custom implant design and tissue engineering.

As leaders in research as well as clinical care, our surgeons provide innovative treatment options designed to meet every patient's individual needs and goals. We have the experience and skills to perform even the most complex gender surgery, including complicated revision surgery.

Customized Surgical Treatment

We don't offer one-size-fits-all solutions; instead, we work with you to create a treatment plan designed to meet your gender surgery objectives. Our surgeons are committed to using innovation and advanced surgical techniques and technology to help give you an outward self that aligns with your inward self.

We use the most advanced technology to provide natural-looking results with the best possible functionality. For example, our surgeons have pioneered procedures that use tissue engineering and other innovations to construct functional penises.

Before surgery, we work with you by guiding you through the process of establishing surgical readiness with physical and mental health evaluations.

Treatment Options

No matter what kind of treatment you seek, our surgeons are here for you.  We provide a spectrum of gender-affirming surgical treatments, including the following:

• Top surgery: Reducing or enhancing the shape, size and appearance of the breasts through mastectomy or augmentation
• Vaginoplasty: Removing the penis and testes and using penile or other tissue to construct a vagina
• Phalloplasty: Constructing a penis and urethra using tissue from a donor site
• Metoidioplasty: Constructing a penis using existing genital tissue
• Facial gender surgery: Using various surgical techniques and reconstruction procedures, including contouring, augmentation and implantation, to reshape the face, ears or jaw
• Vocal cord surgery: Changing the tone or pitch of the voice through modification of the vocal cords and/or larynx
• Hysterectomy and/or oophoretcomy: Removing the uterus and/or ovaries