Gender Reaffirmation Surgeries
Aligning Body, Identity, and Confidence
Gender identity is deeply personal — it defines how individuals see themselves and how they wish to be recognized in society. For many transgender and gender-diverse people, aligning their physical appearance with their gender identity is a vital step toward emotional well-being and self-acceptance.
At our centre, we offer comprehensive gender-affirming and genital reconstruction surgeries, performed in a respectful, confidential, and multidisciplinary setting. Our goal is to help each person achieve a body that reflects their true self, while ensuring safety, functionality, and dignity.
Understanding Gender Affirmation Surgery
Gender affirmation (also called gender reassignment or sex reassignment) surgery refers to a range of surgical procedures that modify a person’s body to better match their gender identity.
- Top surgeries (chest/breast surgeries)
- Bottom surgeries (genital reconstruction)
- Facial feminization or masculinization procedures
- Body contouring to enhance overall appearance
Legal Framework in India
- India’s Transgender Persons (Protection of Rights) Act, 2019 and the associated Rules (2020) provide a legal pathway for gender affirmation
- Any adult can undergo gender affirmation surgery (GAS) voluntarily.
- Post-surgery, individuals can apply for a revised gender certificate through the District Magistrate’s office.
- A medical certificate confirming completion of surgery is required for documentation.
- Consent and psychological readiness are essential components before surgery.
Our Philosophy and Approach
We believe in a holistic, patient centred approach to gender affirmation. Our focus is on safety, aesthetics, function, and psychological well-being.
Each patient undergoes:
- Detailed consultation and counselling to understand their goals
- Endocrinology review for hormone therapy coordination
- Psychiatric/psychological evaluation (as per national guidelines)
- Preoperative optimization of overall health
- Customized surgical planning based on anatomy and desired outcomes
We ensure that every step — from evaluation to surgery and recovery — is carried out with utmost respect, confidentiality, and empathy.
Types of Gender Affirmation Surgeries
1. Top Surgeries
A. Male Chest Reconstruction (for trans men)
Also known as mastectomy or chest masculinization, this procedure removes breast tissue and reshapes the chest to create a natural, masculine contour.
Depending on breast size and skin elasticity, techniques include:
- Double incision with free nipple grafting
- Periareolar or keyhole incision (for smaller chests) Results are long-lasting, and scars fade significantly over time.
B. Breast Augmentation (for trans women)
Involves insertion of silicone implants or fat grafting to create natural feminine breast contours, tailored to the patient’s body frame and aesthetic goals.
2. Bottom Surgeries (Genital Reconstruction)
A. For Trans Women (Male-to-Female Surgery)
- Vaginoplasty: Creation of a functional vaginal canal and feminine genitalia using penile and scrotal tissue.
- Labiaplasty and clitoroplasty refine appearance and sensitivity.
- The goal is both aesthetic and functional — allowing normal urination and sexual function.
B. For Trans Men (Female-to-Male Surgery)
- Mastectomy and hysterectomy (if desired)
- Phalloplasty (construction of penis using tissue from forearm, thigh, or abdomen)
- Metoidioplasty (using hormonally enlarged clitoris to create a smaller phallus)
- Scrotoplasty with testicular implants for natural appearance
- Urethral lengthening to allow urination while standing
Each case is planned carefully, often in staged procedures to achieve safe and optimal results.
3. Facial and Body Gender Affirmation
For individuals seeking further alignment of facial or body features:
- Facial feminization: Includes forehead contouring, rhinoplasty, jaw and chin reshaping, and tracheal shave.
- Facial masculinization: Involves jaw augmentation, chin enhancement, and brow ridge modification.
- Body contouring: Liposuction or fat grafting to create a masculine or feminine silhouette.
These procedures help reinforce self-image and social confidence.
Postoperative Care and Recovery
Recovery varies depending on the type of surgery but typically involves:
- A short hospital stay (3–7 days for major procedures)
- Regular follow-ups for wound care and healing
- Gradual resumption of daily activities
- Ongoing hormonal support and psychological counselling
We emphasize comprehensive aftercare, including scar management, physiotherapy (if required), and sexual health guidance. Our multidisciplinary team — including plastic surgeons, endocrinologists, psychiatrists, and counsellors — ensures holistic recovery.
Why Choose a Plastic Surgeon for Gender Affirmation Surgery
Plastic surgeons possess the unique combination of aesthetic skill, reconstructive expertise, and microsurgical precision needed for gender affirmation procedures.
- Functional outcomes (urination, sensation, sexual function)
- Symmetry and proportional aesthetics Minimal scarring and optimal tissue healing
- Emotional comfort and privacy
At every stage, our goal is to help patients transition safely and confidently into their affirmed gender identity.
FAQs on Gender and Genital Affirmation Surgeries
1. Is gender affirmation surgery compulsory for legal gender change in India?
No. As per the Transgender Persons Act, you can legally identify as transgender without surgery. Surgery is only required if you wish to be legally recognized as male or female after transitioning.
2. Do I need psychological counselling before surgery?
Yes. A mental health professional’s assessment ensures that you fully understand the procedure and are emotionally prepared for the transition.
3. How long after hormone therapy can surgery be done?
Typically, at least 12 months of consistent hormone therapy is advised before major gender affirmation surgery, as it helps achieve stable physical and emotional changes.
4. Will I be able to have a normal sex life after surgery?
Yes, most patients enjoy satisfactory sexual function after full recovery. Sensation is preserved or restored with modern microsurgical techniques.
5. How long is the recovery period?
Top surgeries usually heal in 2–4 weeks. Bottom surgeries may take 2–3 months for complete recovery and adaptation.
6. Are the results permanen?
Yes. Once completed and healed, the physical changes are long-lasting and life-affirming.
7. Is confidentiality maintained?
Absolutely. Your privacy, identity, and consent are protected at every step — from consultation to documentation and beyond.