This information in this section is intended to assist surgical assessors in discussing gender-affirming surgery with patients and to ensure patients receive adequate information about the specific surgery they are seeking.

Breast construction, or breast augmentation, is top surgery that creates or enlarges one’s breasts. View the breast construction quick reference guide.

Orchiectomy is a surgery to remove the testes, a gender-affirming, feminizing, lower surgery. View the orchiectomy quick reference guide.

Vaginoplasty is a lower surgery to create a vagina and vulva (including mons, labia, clitoris, and urethral opening) and remove the penis, scrotal sac, and testes. View our vaginoplasty quick reference guide.

Chest surgery is a top surgery that removes breast* tissue and sculpts remaining tissue into a shape that is typically considered to be more masculine. View our chest surgery quick reference guide.

Hysterectomy with bilateral salpingo-oophorectomy are two lower surgeries. Hysterectomy is a surgical procedure to remove all or part of the uterus*, and sometimes the ovaries* and/or fallopian tubes*; a gender-affirming, masculinizing lower surgery. Oophorectomy is a surgery to remove the ovaries*; a gender-affirming, masculinizing lower surgery. View our hysterectomy with bilateral salpingo-oophorectomy quick reference guide.

Metoidioplasty is a lower surgery to create a penis and scrotum, done by cutting ligaments around the clitoris* to add length to the shaft, grafting skin around the shaft to create added girth, lengthening the urethra so one can urinate from the shaft, and creating a scrotum. View the metoidioplasty quick reference guide.

Phalloplasty is a lower surgery to create a penis and scrotal sac (phase 1), then testicular implants and implants to obtain rigidity/erection (phases 2 and 3). View the phalloplasty quick reference guide.

Quick Reference Guides

These are downloadable and printable quick reference guides intended for use by providers to assist during the surgical assessment process.

Out of Country Surgery

Please refer to this page for more information.