Our Gender-Affirming Programs & Services

Learn More

Alexander M. Goldowsky, MD, offers clinical expertise in the gastroenterological care of gender-diverse and sexual minority patients. For an appointment, please call 617-754-8888.

Michael S. Irwig MD, provides gender-affirming hormone therapy to transgender and nonbinary patients. For an appointment, please call 617-667-9344.

All of our obstetricians and gynecologists welcome and provide care for gender-diverse patients. Additional specialists offer gender-affirming medical and surgical care, including hysterectomies and robotic total laparoscopic hysterectomy with partial vaginectomy and colpectomy.

For pap smears, abnormal bleeding, prenatal care during pregnancy and hysterectomy at BIDMC with Drs. Viloria or Wang, please call 617-667-4600 for an appointment. For care at Fenway Health with Dr. Rajagopalan, please call 617-267-0900.

Learn More

Ryan Cauley, MD, is a plastic and reconstructive surgeon and Co-Director of Gender Affirming Surgical Services. He provides a wide range of gender affirming procedures including top surgeries, such as breast augmentation, peri-areola mastectomy, and double incision mastectomy/nipple grafting, and bottom surgeries, such as penile inversion vaginoplasty and phalloplasty (radial forearm, abdominal and thigh based). Bottom surgeries are performed in partnership with Marissa Kent, MD, of the Division of Urology.

Adam Tobias, MD, is an expert in chest reconstruction services and has been performing top surgery since 2014. He offers a wide range of reconstructive and cosmetic procedures for gender diverse patients including: double incision top surgery, periareolar mastectomy, keyhole surgery, chest wall contouring and liposuction, extreme breast reduction, breast augmentation, and breast lift (mastopexy). Dr. Tobias also welcomes patients who desire revision of chest wall reconstruction performed elsewhere.

Ashley Boustany, MD offers facial feminization surgery.

For an appointment, please call 617-632-7827 or email us.

For more information, please download our Gender Affirmation Surgery patient brochure or Chest Reconstruction Eligibility Checklist.

Learn More

The ASPIRE Clinic, led by Paulo Lizano, MD, offers diagnostic evaluation and treatment for individuals who are at risk for or are showing early signs or symptoms of psychosis.

Learn More

(Voice and Speech Therapy, in partnership with Laryngology)

Victoria Flormann, MS, CCC-SLP, Bethany Jorgensen, MS, CCC-SLP, and Barbara Wilson Arboleda, MS, CCC-SLP, are voice specialized speech-language pathologists. Through voice therapy, we help transfeminine, transmasculine, and gender-nonconforming/nonbinary individuals find a voice more aligned with their gender identities. Treatment starts with an initial evaluation to assess vocal health and take baseline data. Although most gender-diverse patients are otherwise vocally healthy, when needed, these issues can be treated concurrently with gender-affirming voice therapy.

If specific concerns about vocal health are identified, Stephanie Teng, MD, and Pavan Mallur, MD, are otolaryngologists (ENTs) who sub-specialize in issues related to voice, airway, and swallowing (i.e., laryngologists). They also provide gender affirming voice surgeries, if voice therapy is not enough. Surgical offerings include:

• Wendler's Glottoplasty - shortening of the vocal cords (for a higher pitch) by fusing the front portions together
• Tracheal shave - reducing the size of the Adam's Apple

Through behavioral, medical, and, if needed, surgical interventions, this multi-disciplinary team works closely to help patients achieve their voice and communication goals.

For an appointment, please call the Voice, Speech, and Swallowing department at 617-632-7400.

Learn More

Drs. Marissa Kent (Reconstructive Urology) and Ryan Cauley (Plastic and Reconstructive Microsurgery) are the co-directors of Gender Affirming Surgical Services. Together they oversee a multidisciplinary surgical clinic for patients seeking gender affirming bottom surgeries (genital surgery). Together with Dr. Supraja Rajagopalan (Gynecology), they offer one of the most comprehensive arrays of options for non-binary, masculinizing and feminizing “bottom surgeries” in the country. We offer an individualized approach that strives to meet each patient’s unique needs and preferences. When possible, combined procedures can be used to minimize total surgical recovery time.

Surgical offerings include but are not limited to:

• Orchiectomy – removal of the testicles
• Minimal/Zero Depth Vaginoplasty – creation of vagina without a full vaginal canal
• Penile Inversion Vaginoplasty – creation of a vagina with full depth using penile and scrotal skin
• Peritoneal Vaginoplasty – creation of a vagina with full depth using lining from the pelvis as well as penile/scrotal skin
• Sigmoid Vaginoplasty – creation of a vagina with a portion of the large bowel
• Single Stage Metoidioplasty – clitoral release, lengthening of the urethra, scrotoplasty and hysterectomy/oophorectomy when desired
• Simple Metoidioplasty – clitoral release w/wo scrotum
• Latissimus Dorsi Phalloplasty – creation of a penis using tissue from back
• Abdominal Phalloplasty – creation of penis using tissue from lower abdomen
• Radial Forearm (RFF) Phalloplasty – creation of penis using tissue from forearm
• Thigh (ALT) Phalloplasty – creation of penis using tissue from thigh

James Wren, MD, offers fertility preservation options for patients assigned male at birth and orchiectomies.

For an appointment, please call 617-667-3739 or email us.

Learn More