Feminizing Surgeries

Feminizing surgeries are gender-affirming surgical procedures that create physical characteristics reflective of one’s gender identity and/or gender expression.

What feminizing surgeries are covered by the BC Medical Services Plan (MSP)?

Listed below are some links that will provide details about MSP-covered feminizing surgeries.

Breast augmentation

Breast augmentation is a gender-affirming, feminizing, top surgery that enlarges one’s breasts.


Orchiectomy is a surgery to remove the testes*testes* (with an asterisk) is used to acknowledge the many different words that are used for this body part.; a gender-affirming, feminizing, lower surgery.


Vaginoplasty is a gender-affirming, feminizing, lower surgery to create a vagina and vulva (including mons, labia, clitoris, and urethral opening) and remove the penis*penis* (with an asterisk) is used to acknowledge the many different words that are used for this body part: penis, strapless, shenis, etc., scrotal sac*scrotal sac* (with an asterisk) is used to acknowledge the many different words that are used for this body part. and testes*.

Surgery What is it? Goals

Breast Augmentation

by a plastic surgeon in BC.

A surgery to create larger breasts. Performed when breast growth from hormone therapy is insufficient.

Breasts and nipples with sensation.

Larger cup size.

Minimal scarring.


by a plastic surgeon or a urologist in BC.

A surgery to remove the testes* and scrotal sac*.

Ability to take a lower dose of feminizing medications, reducing their risks and unwanted side effects.

Eliminated need for testosterone blockers.


by GRS Clinic in Montreal.

A surgery to create a vagina. Includes removal and inversion of the penis*, testes*, and scrotal sac*.

Genitals with sexual sensation.

A urethra that enables urination while sitting.

A vagina capable of penetrative sex.

What feminizing surgeries are available, but not paid for by the BC Medical Services Plan?

Some feminizing surgeries that are not covered by MSP include:

  • Facial feminizing surgery such as reduction of the Adam’s apple, nose feminization, facial bone reduction, face lift, rejuvenation of the eyelid, and hair reconstruction.
  • Liposuction
  • Lipofilling
  • Vocal feminization surgery
  • Hair restoration

I have a consultation for a feminizing surgery. What should I talk to my surgeon about?

During your surgical consultation, you may want to ask your surgeon about:

  • The different surgical techniques available
  • The advantages and disadvantages of each technique
  • The limitations of a procedure to achieve “ideal” results
  • Before-and-after photographs of their own patients, including both successful and unsuccessful outcomes
  • The risks and possible complications of the various techniques
  • The surgeon’s own complication rates for each procedure.