Gender Affirming Surgery Services


We offer gender affirming surgery for patients with gender dysphoria — a condition in which the sex assigned at birth does not match gender identity. Currently we offer chest reconstruction techniques (sometimes known as “top” surgery), including:

  • Breast augmentation
  • Periareolar mastectomies (for patients who are candidates)
  • Double incision mastectomy with nipple grafting

Surgery is just one component of multidisciplinary care. Patients are first evaluated at Fenway Health, a BIDMC community health center that has long been recognized for providing outstanding care of lesbian, gay, bisexual, and transgender patients. The Fenway team includes a primary care physician, a psychiatrist, and a social worker, who determine whether patients have gender dysphoria disorder and meet other criteria for gender confirmation surgery.

To enhance recovery and reduce risk of complications after surgery, we require patients to be nicotine free and physically fit prior to surgery. Any patient who is obese (with a BMI of 30 and above) must lose weight before surgery. The surgery itself is done on an outpatient basis, so that patients go home the same day. Most resume normal daily activities in about 4 to 6 weeks.