Meet Our Team


Dr. Scott Mosser (He/Him)

Scott W. Mosser, MD began his career in Medicine as a Fulbright Scholar to Ecuador, where he spent a year investigating the Ecuadorian healthcare system. He is a graduate of Baylor College of Medicine (Houston, TX) and Case Western Reserve University (Cleveland, OH), where he completed his internship and six years of comprehensive general and plastic surgery training. This was followed by a year-long fellowship dedicated to cosmetic surgery, during which time he perfected his techniques in facial and body cosmetic surgery. Dr. Mosser is a board certified plastic surgeon  and is a Fellow of the American College of Surgeons (FACS) and is a member of the World Professional Association of Transgender Health.  Dr. Mosser has a private practice with offices in downtown San Francisco at 450 Sutter Street, Union Square.

Dr. Mosser has been performing gender surgeries for over 13 years and opened The Gender Confirmation Center in 2013. Since then, he has dedicated himself exclusively to gender affirming care.

Learn more about Dr. Mosser’s commitment to gender surgery and The Gender Confirmation Center’s philosophy here.

Dr. Alexander R. Facque (He/Him)

Alexander Facque, M.D. got his start in gender-affirming care as a resident at the Icahn School of Medicine at the Mount Sinai Medical Center in New York, where he first felt the importance of gender-affirming surgery. He then spent a year training under Dr. Loren Schechter as a fellow at Weiss Memorial Hospital’s Gender Confirmation Surgery and Practice Leadership in Chicago, continuing to expand his knowledge and practice. Dr. Facque is a board certified plastic surgeon  and is proud to bring his skills in facial feminization surgery, top surgery, and body contouring to The Gender Confirmation Center.

Dr. Ellie Zara Ley (She/Her)

Ellie Zara Ley, MD completed her general surgery residency at the University of Arizona before pursuing a career in plastic surgery. She then completed a fellowship in plastic and reconstructive surgery at the University of Utah. Dr. Ley also completed fellowships in craniofacial and pediatric plastic surgery at Primary Children’s Hospital in Salt Lake City, Utah under the tutelage of distinguished pediatric surgeon Dr. Louis Morales, Jr. This was followed by hand surgery and microsurgery fellowships at the University of Southern California. After serving as an assistant clinical instructor of plastic surgery at the University of Utah, she moved back to Arizona to work in private practice, which led her to the field of gender confirming surgery. Dr. Ley was trained by Dr Toby R. Meltzer, a well-known leader of the field of gender affirming surgery. Through her work with Dr. Meltzer, as well as her multi-speciality education Dr. Ley has become an accomplished and recognized expert with vast experience and knowledge in all aspects of transgender and gender diverse surgical care.

Dr. Daniel Jacobs (He/Him)

Daniel Jacobs, M.D. received his Bachelor of Science in Biochemistry from U.C. Davis with highest honors and went on to receive his Doctor of Medicine from Case Western Reserve School of Medicine with Alpha Omega Alpha honors. Dr. Jacobs completed a General Surgery residency at SC School of Medicine and a Plastic Surgery residency at USC School of Medicine. His exceptional work has been recognized through prestigious medical awards such as the ‘Sidney R. Garfield, MD Exceptional Contribution Award’ in 2017, San Jose Kaiser Permanente’s ‘Outstanding Inpatient Physician of the Year’ in 2017, and the ‘Outstanding Achievement in Medicine’ award from Santa Clara Medical Association in 2016. Dr. Jacobs is a board certified plastic surgeon  and is proud to bring his skills in top surgery to The Gender Confirmation Center.


Manage all clinical & operational teams

Andria B (She/Her), Vice President

Bianca P (she/her), Office Manager

Krystyna S (she/her), Practice Manager

Physician Associates

Physician Associates at the Gender Confirmation Center assist surgeons in the O.R. & with pre/post-op care.

Don (He/Him), Lead Physician Associate

Sophie (She/Her), Physician Associate

Jane (She/Her), Physician Associate

Jenny (She/Her), Physician Associate

Alexa (She/Her), Physician Associate

Medical Assistants

Medical Assistants at the Gender Confirmation Center conduct preoperative visits

Tania (She/Her), Lead Medical Assistant

Derek (He/They), Medical Assistant

Ra (She/Her), Medical Assistant

Ivy (She/They), Medical Assistant

Nursing Team

The Nursing Team at the Gender Confirmation Center provides education to prepare our patients for surgery, assist with minor procedures in the office, and provides post-surgery recovery education. The nursing team also provides gender affirming laser hair removal and will soon offer electrolysis.

Samantha RN (she/her)

Patient Care Coordinators

Patient Care Coordinators at the Gender Confirmation Center schedule consultations & write consult notes

Emilia (She/Her), Patient Care Coordinator

Brittany (She/They), Patient Care Coordinator

Olivia (She/Her), Patient Care Coordinator

Allison (She/Her), Patient Care Coordinator

Surgery Coordinators

Surgery Coordinators at the Gender Confirmation Center schedule patient surgeries

Nelly (She/Her), Surgery Coordinator

Ryan (He/Him), Surgery Coordinator

Billing & Insurance Department

The Billing department at the Gender Confirmation Center collects payments & issues refunds. The Insurance department submits authorization requests to insurance companies.

John (He/Him), Lead Billing Specialist

Alyssa (She/Her), Lead Authorization Coordinator

Get full instructions to set up your virtual consultation!

The virtual consultation will be billed to your insurance company. We will accept the insurance reimbursement as payment in full.