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Gender-Affirming Surgery

Surgical care of transgender and gender-diverse patients — feminizing, masculinizing, and non-binary procedures, plus the revision and salvage problems that follow primary GAS. Governed by the WPATH Standards of Care v8 (2022) and Endocrine Society 2017 framework, with urologists and reconstructive surgeons central to genital, urethral, and complication-management workflows.

  • OverviewSOC8 and Endocrine Society criteria for genital surgery, preoperative hair removal, fertility preservation, perioperative hormone management, and the multidisciplinary team.
  • Feminizing ProceduresPenile-inversion vaginoplasty, peritoneal pull-through, intestinal vaginoplasty, vulvoplasty / labiaplasty, and orchiectomy — technique selection by canal depth, lining, and lubrication demands.
  • Masculinizing ProceduresPhalloplasty (RFFF, ALT, latissimus, abdominal), metoidioplasty, staged urethral lengthening, glansplasty, scrotoplasty with testicular implants, and penile prosthesis placement.
  • Revision & Salvage GASNeourethral strictures and fistulae, neovaginal stenosis and prolapse, wound dehiscence, rectovaginal / rectoneovaginal fistula, and flap-failure salvage.
  • Non-Binary & Nullification ProceduresGenital nullification with urethral shortening and perineal closure for patients who do not desire a neovagina or neophallus.