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Gender Affirmation Surgery

Gender affirmation surgery describes a range of surgical procedures that modify a person’s physical characteristics to align with their gender identity. The term encompasses chest surgery, facial surgery, body contouring, and genital surgery — performed individually or in combination depending on the patient’s specific goals and areas of dysphoria.

At Centre for Surgery, gender-affirming chest surgery is performed by and , two consultant plastic surgeons on the GMC Specialist Register with subspecialist experience in gender-affirming surgery. Facial feminisation surgery (FFS) and tracheal shave are performed by , Consultant Facial Plastic Surgeon. All procedures take place at our , which holds an overall rating of "Good" from the .

A two-week mandatory cooling-off period applies after every consultation. No referral or gender clinic letter is required — adults aged 18+ can self-refer directly. 0% APR finance is available .

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Gender affirmation surgery vs sex reassignment surgery (SRS)

Language around transgender healthcare has evolved. The older term "sex reassignment surgery" (SRS) reflects a medical model that assumes a person is born with a sex which is then reassigned through surgical intervention. In current practice the preferred term is "gender affirmation surgery" — reflecting that the surgical procedures involved affirm an individual’s existing gender identity rather than reassign it.

Both terms refer to the same group of surgical procedures: chest surgery (top surgery and breast augmentation), facial surgery (FFS and tracheal shave), body contouring, and bottom surgery (vaginoplasty, phalloplasty, metoidioplasty). Centre for Surgery offers chest surgery, facial surgery, and body contouring; bottom surgery is not performed at our clinic.

Gender-affirming procedures available at Centre for Surgery

Centre for Surgery offers comprehensive gender-affirming care under one roof for transgender men, transgender women, non-binary, and gender-diverse patients. The appropriate combination of procedures is determined at based on each patient’s anatomy, areas of dysphoria, and specific goals.

For transgender men and non-binary individuals seeking a flatter, more masculine chest contour, all five FTM/N top surgery techniques are available at Centre for Surgery:

The technique is selected based on chest size, skin elasticity, and patient goals. Your will assess your anatomy at consultation and recommend the most appropriate approach. From £9,500.

For women and non-binary seeking a fuller, more feminine chest:

What does gender affirmation surgery involve?

The procedure depends on which intervention is being performed. All surgical procedures at Centre for Surgery are performed under — the safest form of general anaesthesia for day-case surgery, using only intravenous agents with no inhaled gases. TIVA produces faster emergence, less post-operative nausea, and quicker discharge than traditional general anaesthesia.

Standalone tracheal shave can be performed under local anaesthetic with optional sedation. All other procedures are performed under TIVA.

All procedures are performed as day cases — you go home the same day once recovered from the anaesthetic. A small number of patients undergoing comprehensive combined FFS may stay overnight; this is discussed in advance.

Am I suitable for gender affirmation surgery?

Suitability for gender-affirming surgery depends on the specific procedure being considered and is confirmed at a face-to-face with your surgeon. There is no single set of criteria that applies to all gender-affirming procedures — each is assessed on its own terms.

These differ from NHS gender pathways and from some private providers. Your surgeon will discuss your individual circumstances openly at . A two-week cooling-off period applies from the date consent is given to all surgical procedures.

How to prepare for gender affirmation surgery

Pre-operative preparation depends on which procedure is being performed. Detailed procedure-specific guidance is provided at your pre-operative assessment. The general below apply to all gender-affirming surgery at Centre for Surgery.

Stop all nicotine products — cigarettes, vaping, patches, gum — at least four weeks before and four weeks after surgery for soft tissue procedures. For bone procedures (forehead contouring, jaw contouring, genioplasty), six weeks of cessation before and after is required. Smoking impairs wound healing, increases risk, and is a particular concern for nipple graft viability and bone healing.

Stop blood-thinning and supplements — aspirin, ibuprofen, fish oil, vitamin E, ginkgo biloba — for one to two weeks before surgery unless otherwise . Discuss your full medication list at consultation. If you are on hormone therapy, do not stop without guidance from both your surgical team and prescribing clinician.

For TIVA procedures: no food for six hours before surgery; clear fluids only up to two hours before. For local procedures: eat normally.

Arrange a responsible adult to take you home and stay with you for the first 24 hours. Wear comfortable loose clothing on the day. Fill prescriptions in advance. Prepare a comfortable area at home with everything within easy reach.

Recovery after gender affirmation surgery

Recovery varies depending on the procedure performed. The general guidance below applies to chest surgery; FFS and body contouring follow procedure-specific recovery profiles.

Centre for Surgery is regulated by the Care Quality Commission, with an overall rating of "Good".

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How much does gender affirmation surgery cost in London?

Indicative pricing at Centre for Surgery:

All prices include:

0% APR finance is available through , subject to status. Gender-affirming surgery is classified as cosmetic by most UK private insurers and is not typically covered, though exceptions exist for procedures deemed medically necessary for gender dysphoria treatment.

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Gender Affirmation Surgery FAQs

Gender is the distress that arises from a mismatch between a person’s gender identity and their body. It can affect mental health, social functioning, and quality of life. options include social transition, hormone therapy, surgery — or any combination of these. Not everyone with gender dysphoria pursues surgery, and is not a clinical requirement for any particular gender identity.

For those who do pursue surgery, gender-affirming procedures address the specific physical features that contribute to . The choice of which procedures to undergo — and in what order — is highly individual.

No. Adults aged 18+ can self-refer for any gender-affirming procedure at Centre for Surgery — no GP referral, no gender clinic letter, and no of gender dysphoria is required. You can book a directly by calling or emailing

A mandatory two-week period applies after every consultation before surgery is booked, regardless of how certain you are about proceeding.

We operate on adults aged 18 or over only. Centre for does not perform gender-affirming surgery on minors under any circumstances.

This depends on the specific hormone therapy and the planned. Standard feminising or masculinising hormone therapy at doses does not usually require cessation before surgery. Some hormone treatments — those with thrombotic risk — may require a pause before surgery under TIVA, in Nasolabial Fold (Smile Line Fillers) with standard pre-operative guidelines.

Your surgeon and anaesthetist will review your specific hormone at pre-operative assessment. Do not stop any prescribed medications without consulting your prescribing doctor and your surgical team.

All chest surgery, FFS, and body contouring procedures are performed under . Standalone tracheal shave can be performed under local anaesthetic with optional sedation. TIVA is the safest form of general anaesthesia for day-case surgery — using only intravenous agents with no inhaled gases.

Yes — all surgical procedures involving an incision result in scarring. Scar location, length, and visibility depend entirely on the procedure performed. For top surgery, scar position varies by technique: keyhole produces the least visible scars (confined to the areola border); double incision and inverted T produce scars; periareolar scars are confined to the areola margin.

Final scar appearance is not assessable until at least 12 months post-operatively. Silicone gel from six weeks post-operatively, sun protection on healing scars, and non-smoking throughout recovery all support optimal scar quality.

All surgical procedures carry risks. The specific risk profile depends on which procedure is performed. General risks bleeding, infection, wound healing complications, asymmetry, and unsatisfactory aesthetic outcome requiring revision. risks are discussed in full at consultation. See our individual procedure pages for detailed risk information.

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This depends on which procedures you have. Top surgery and body contouring do not affect reproductive organs and do not, on their own, prevent biological . Hormone therapy can affect while taken; this should be discussed with your prescribing clinician. Bottom surgery (not performed at Centre for Surgery) typically does affect future biological parenthood — sperm banking or egg/embryo preservation should be before bottom surgery if biological is a goal.

Most UK private insurers classify gender-affirming surgery as cosmetic and do not cover it. Some policies cover specific procedures deemed medically necessary for gender dysphoria treatment — check directly with your insurer. The NHS provides gender-affirming surgery via specialist gender pathways with significant waits ( 12–18 months or longer). Self-funded private surgery at Centre for Surgery is schedulable within weeks of consultation.

Centre for Surgery welcomes transgender, non-binary, and gender-diverse patients. We use inclusive language throughout, ask about and use your affirmed name and pronouns, and approach gender-affirming care with respect for each patient’s individual identity and goals. Our clinical team is experienced in gender-affirming procedures and the specific medical considerations relevant to and non-binary patients.

Why choose Centre for Surgery for gender-affirming care?

Chest surgery is performed by and . FFS and tracheal shave are performed by . All three are consultant plastic / facial plastic surgeons on the GMC Specialist Register. You can verify their registration directly on the .

Our Baker Street clinic is by the , with an overall rating of "Good". The CQC inspection report is publicly available, and we encourage patients to read it before booking.

Adults aged 18+ self-refer directly. No GP letter, no gender clinic referral, no mandatory diagnosis of gender dysphoria, no mandatory assessment, no mandatory hormone therapy.

All procedures are performed under TIVA — the safest form of general anaesthesia for day-case surgery.

Standard practice for all surgical procedures. No surgery is scheduled before this period has elapsed.

Available through Finance, subject to status.

Chest surgery, facial surgery, and body contouring all performed at the same Baker Street facility. Patients requiring multiple procedures can plan a sequenced approach with the same surgical team.

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Your initial consultation is £100, redeemable against the cost of your procedure.

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Centre for Surgery is a CQC-regulated private hospital on London’s Baker Street, delivering plastic and cosmetic surgery through GMC-registered specialist surgeons. Our expertise spans facial including and , , for men, and body contouring procedures such as and . Patient safety, surgical excellence and natural-looking results sit at the heart of everything we do.

Centre for Surgery is a CQC-regulated private hospital on London’s iconic , offering plastic and cosmetic surgery led by GMC-registered consultant surgeons.

Marylebone

London

W1U 6RN

Mon – Sat, 9am – 6pm

Saturday consultations available