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Treating Gender Dysphoria in Adolescents

Gender dysphoria in adolescents is a serious medical concern that cannot be overlooked or ignored. Gender care for adolescents includes but is not limited to gender-affirming hormone therapy, pubertal hormone blockers, surgery, and psychosocial support. We are committed to fostering a community that is supportive of adolescent gender care. In this article, we give an overview of evidence-based gender-affirming healthcare options for adolescents and how surgery may fall into that.

Rapid Onset Gender Dysphoria

Rapid onset gender dysphoria (ROGD) is an unfounded theory that purports transgender identities are social contagions. In other words, it falsely claims that by being exposed to transgender people, youth can experience an onset of gender distress. ROGD has not been recognised by any major professional association as a valid mental health diagnosis, and use of the term has been heavily discouraged by the (WPATH) World Professional Association for Transgender Health, the Journal of Pediatrics, and other medical organizations. This is due to a lack of reputable evidence, major methodological issues in existing research, and its likelihood to cause harm by stigmatizing medically necessary gender-affirming care. 

A Technical Guide to Gender Affirming Hysterectomy

A Technical Guide to Gender Affirming Hysterectomy Medically reviewed by Nicole M on July 11, 2024. Gender-affirming hysterectomy is a surgical procedure that involves the removal of the uterus. Transgender, non-binary and gender expansive patients with uteruses may benefit from this procedure to alleviate the gender dysphoria or discomfort associated with the presence of their natal reproductive organs. In some cases, this procedure helps address issues with pelvic pain, abnormal uterine bleeding, or precancerous cervical conditions [1]. Since Dr. Ley (she/her/they) does not perform this procedure, we recommend that patients undergo a hysterectomy with a gynecological surgeon 8-12 weeks prior to their bottom surgery procedure. At this time, the GCC …

Gender-Affirming Surgery: A Comprehensive Guide

Gender-affirming surgery is an umbrella term for a series of surgical procedures that help transgender, non-binary and gender non-confirming individuals alleviate their gender dysphoria and promote a sense of congruence between their physical body and gender identity. Below we outline the different types of gender-affirming surgeries that are documented in the World Professional Association for Transgender Health’s (WPATH) Standards of Care 8 (SOC8) alongside important cost, insurance, and recovery information often solicited by patients.

Understanding the Types, Costs, Benefits and Risks of Transgender Surgery Procedures

“Transgender surgery” is a commonly searched term that refers to gender-affirming procedures for trans, non-binary, and gender non-conforming patients. Specifically, these are procedures that alter a patient’s body to help them experience greater gender congruence and gender euphoria as a result. In this article, we discuss the different kinds of gender-affirming surgical procedures, their costs, benefits as well as risks.

Insurance Coverage for Transgender Surgery

Insurance Coverage for Gender-Affirming Surgery Medically reviewed by Paul Gonzales on March 13, 2024. Navigating insurance coverage for gender affirmation surgery can be complex, but many insurance providers now recognize these forms of healthcare for transgender individuals as medically necessary and thereby deserving of coverage. This guide aims to simplify the process of finding and applying for insurance coverage for gender-affirmative surgery, also known as gender confirmation surgery. The GCC’s list of insurance providers that cover gender-affirming surgeries Below you can find a list of insurance providers for which our team has successfully obtained approval for top surgery procedures from here. If you don’t see your insurance listed here or …

Pre-Operative Assessment and Goal-Setting for Gender Affirming Body Contouring: Masculinization and Androgenization

Pre-Operative Assessment and Goal-Setting for Gender Affirming Body Contouring: Masculinization and Androgenization Medically reviewed by Jennifer Richman on February 22, 2024. This article is an introduction for those interested in gender affirming body contouring to de-feminize, masculinize and/or androgenize their body shape–sometimes referred to as body masculinization surgery (BMS). We discuss the common effects of an estrogenic vs. androgenic puberty on bone structure and soft tissue–such as overall body shape, upper vs. lower body fat ratios and hip to waist ratios–to explain what gender-affirming liposuction can accomplish. We hope this information will help patients craft realistic goals and have more informed conversations with our surgeons about relieving gender dysphoria and …

Gender Affirming Facial Surgery for Non-Binary Patients

Gender Affirming Facial Surgery for Non-Binary Patients This article is an overview of how the techniques of Facial Masculinization and Facial Feminization Surgery (FMS and FFS) can be incorporated into Gender Affirming Facial Surgery for non-binary patients. Gender Confirming Facial Surgery and Gender Affirming Facial Surgery are both umbrella terms commonly used in the field of gender confirmation surgery to refer to the vast array of reconstructive facial surgery options that can be used to help achieve gender euphoria. We go over how the unique needs of gender expansive, gender fluid and androgynous-identifying patients can be made through hairline, forehead,  cheek, nose, jaw, chin and adam’s apple surgery. What is …

Permanent Hair Removal for Transgender Patients in SF

Permanent Hair Removal for Transgender Patients in SF Hair removal is a critical medical intervention for many trans, non-binary, and gender expansive people. Hair removal is used to remove the amount of hair on targeted parts of the body, commonly including the face, torso, arms, and legs. It is often used to prepare for bottom surgery and/or to reduce hair that causes gender dysphoria or gender incongruence related to hair growth. Hair Removal at The Gender Confirmation Center The Gender Confirmation Center exclusively offers laser hair removal (LHR) in our office but can provide outsider referrals for electrolysis hair removal (EHR) treatments. Although we’re unable to offer electrolysis, the information …

Estrogen: For Trans Women, Transfeminine, Non-Binary, and Gender-Expansive Folks

Estrogen: For Trans Women, Transfeminine, Non-Binary, and Gender-Expansive Folks This page is intended to be an informational resource only. The information on this page is not meant to be a substitute for professional medical advice from your primary care physician or endocrinologist. If you are interested in going on estrogen, please consult with licensed medical health experts. Dr. Mosser is not an endocrinologist and can’t prescribe estrogen or testosterone blockers. Estrogen is used as a form of hormone replacement therapy (HRT) to subdue secondary sex characteristics associated with being assigned male at birth and going through an androgenic puberty. Estrogen therapy can stimulate ‘feminization,’ often including breast growth, body fat …

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