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For Appointments Call: (716) 898-5530

To Speak with our Office Call: (716) 898-3073


Gender Affirmation Surgery

Our team at the Erie County Medical Center offers services for gender transition.  The team includes specialists in Plastic Surgery, Urology, Gynecology, Psychology, and Speech Pathology who work together to provide both surgical procedures and support for our transgender patients.  Our goal is a functional and aesthetically pleasing result, with the focus being on patient safety.

We strive to provide patients with the most up-to-date surgical techniques while following national guidelines for transgender surgery.  Additionally, because surgery is only part of the process for patients undergoing gender transition, we also act as a portal to help our patients access mental health services, speech therapy, and hormone therapy.   Patients who meet the preoperative requirements for surgery and wish to proceed can then be considered for male-to-female or female-to-male gender affirmation surgery. 


Male-to-Female

Male-to-Female Gendr Affirmation Surgery

Male and female genitalia are actually homologous – meaning that they have a similar structure and origin in the developing fetus, even though they develop to have different appearance and function in the fully developed human. This common origin allows the Plastic Surgical principle of using “like to replace like” with regard to tissue reconstruction to be implemented in male-to-female gender affirmation surgery.  In a one-stage operation, the testicles are removed (orchiectomy), the sensate scrotal skin is repurposed to form the neo-labia.  The penis is dismantled with the skin inverted to create a neo- vagina (inversion vaginoplasty), the nerve and blood supply the glans or “head” of the penis is maintained and this is used to create a clitoris with sensation (neurovascular neo-clitoris).  The urethra is shortened and moved to a female anatomic position for sitting urination, and the blood supply to the remaining urethra is maintained with the excess urethra being opened and used to line a portion of the neo-vagina.  Fully utilizing the urethra in this manner provides a partial mucosal lining and some natural moisture in the neo-vagina.

The operation takes approximately 4-5 hours and will require a short inpatient stay. We will provide further details about this operation, typical recovery and potential complications, as well as take as much time as needed to answer your questions during an in-person consultation. Other available procedures include breast augmentation, facial feminization, and tracheal shave.

Female-to-Male Gender Affirmation Surgery

At the Erie County Medical Center, female-to-male gender affirmation surgery consists of two stages.  Stage 1 is the creation of the penis (phalloplasty) utilizing either an anteriolateral thigh flap (ALT) or a radial forearm free flap (RFFF) depending on patient concerns and medical history.  The goal of the neo-phallus (penis) is to provide an anatomically “normal” penis as well as male sexual functioning and the ability for standing urination.  Stage 2 involves the formation of the scrotum and placement of testicular implants. 

 We will provide further details about this operation, typical recovery and potential complications, as well as take as much time as needed to answer your questions during an in-person consultation.  Other available procedures include chest reconstruction and hysterectomy/oophorectomy/vaginectomy (removal of the uterus/ovaries/vagina). 

Female-to-Male