Transgender Surgery Services
As part of NYU Langone’s comprehensive transgender health services, our surgical team provides reconstructive care that centers your vision for aligning your body and anatomy to your gender identity.
We offer surgical procedures to meet the needs of transgender and nonbinary people, and help you prepare for surgery. Our team includes highly skilled and experienced plastic and reconstructive surgeons, urologists, otolaryngologists, and gynecologists who are leaders in the field of gender-affirming surgery. Together, we perform more than 550 gender-affirming surgical procedures per year. Our collaborative approach ensures you receive the highest standard of surgical care.
For people preparing for genital surgery, you are able to meet with your plastic surgeon and urologist together to answer all of your questions and develop the treatment plan best suited to your goals. We collaborate with experts in adolescent medicine, endocrinology, physical rehabilitation, psychiatry, psychology, and reproductive endocrinology and provide referrals when needed.
Our mission is to care for the whole person, and each surgical plan is unique and tailored to meet your individual goals. All of our surgeries are performed at Kimmel Pavilion, where our patient rooms are single-bedded for your privacy.
Our experts in craniofacial surgery perform facial gender-affirming surgery, also known as facial feminization or facial masculinization surgery. These procedures include the following:
- brow lift
- cheek augmentation
- chin reshaping, also known as genioplasty
- chondrolaryngoplasty, also known as tracheal shave, to reduce of the prominence of the Adam’s apple at the front of the throat
- frontal bone and brow contouring
- hairline advancement
- jaw reduction
- lip lift
- rhinoplasty to restructure the nose
Chest and Torso Surgery
We perform gender-affirming mastectomy, also called top surgery or chest masculinization. There are several surgical options to create a flat chest and reposition and reduce the nipple and areola area.
We also perform breast augmentation, also called breast feminization, where implants are added to create larger breasts.
Reproductive Procedures and Fertility Preservation
Our gynecologists and urologists perform the following reproductive organ procedures:
- orchiectomy to remove the testicles
- hysterectomy to remove the uterus, which may include oophorectomy to remove ovaries if desired
Genital surgery, also known as bottom surgery, is used to create the desired genital anatomy.
When possible, our reconstructive plastic surgeons and urologic surgeons use the robotic da Vinci® surgical system. We are one of the country’s only transgender surgery programs that performs robotic surgery for these procedures. Robotic surgery provides surgeons with greater visibility and reach in the narrow cavity of the pelvis, which allows these procedures to be performed with a greater degree of safety and precision.
Vaginoplasty and Related Procedures
Vaginoplasty includes creation of a clitoris, labia majora, and labia minora, removal of the testicles and erectile tissue, and shortening of the urethra. A vaginal canal is created between the rectum and prostate. A robotic approach is especially helpful in the creation of the vaginal canal because it allows us to use a peritoneal flap, sometimes called peritoneal pull-through or the Davydov procedure, to achieve greater vaginal depth.
Phalloplasty and Metoidioplasty
Surgery to create a penis is a multiple step process that is unique for each person and based on their desired outcome. You may choose between two approaches: phalloplasty or metoidoplasty.
Phalloplasty uses skin from another location on the body, such as the forearm or thigh, to make a penis. Your surgeons use microsurgery techniques to connect blood vessels and nerves that allow for blood flow to and sensation in the penis. Metoidioplasty uses existing genital tissue, which enlarges in response to testosterone therapy, to create a penis.
Urethral lengthening, which creates a longer urine channel through the penis, is possible with both phalloplasty and metoidoplasty. Our surgeons perform this procedure along with vaginectomy to remove the vagina.
For both procedures you may also choose to have scrotoplasty to create a scrotum. Once the initial reconstruction is complete you can also choose to have erectile devices and testicular implants.
Recovery After Gender-Affirming Surgery
After surgery, our physical therapists at Rusk Rehabilitation work with you to help soften scars, strengthen the pelvic floor following bottom surgery, and regain motion and strength after chest surgery.
Our social worker also connects you with services that support you during recovery and as you move into life after gender-affirming surgery.
If you have experienced complications or are unhappy with the results of a previous surgery performed elsewhere, our experts specialize in revision surgery aimed at achieving your desired outcome. We accept direct referrals from other surgeons and from primary care clinicians who are assisting patients in determining next steps.
Our Transgender Surgery Team
Our gender-affirming surgery team provides care for transgender and nonbinary adults and adolescents. For appointments, please contact each doctor directly.
Plastic and Reconstructive Surgery
Gender-Affirming Support Services
NYU Langone works with the OUT Foundation, which maintains a dedicated fund to help pay for additional medical services for transgender people. The OUT Foundation seeks and develops preoperative and postoperative care including complimentary fitness classes, support groups, makeup tutorials, and career workshops. To learn more, please email firstname.lastname@example.org.