Gender Confirmation Center

Gender Confirmation Center You deserve to feel at home in your body. genderconfirmation.com Every person is an individual and every transformation is unique. We look forward to meeting you!

Years of work by leaders in the transgender community have led to sensible guidelines to help patients and their doctors make good decisions. Ultimately every decision needs to be personalized to each patient. The best choice of procedure, how and when hormones are appropriate, and which other care providers should be involved in surgery decisions are all areas which are tailored to your situation

. Principles of responsibility always prevail, though of course one approach may be right for one Female-to-Male Surgery or Male-to-Female Surgery patient but may not work well for another. We work alongside you and your professional support system to maximize safety and responsibility, ultimately keeping your personal goals in mind at all times. Take a look around and educate yourself and then whenever you’re ready for the next step, please contact us for an in-person or a virtual consult. If you see anything about this gender confirmation surgery website that can be improved please tell us! The world of transgender surgery treatment is ever-evolving, and we strive to remain sensitive and up to date.

This before & after shows a Periareolar Top Surgery performed by Dr. Scott Mosser ✨
04/24/2026

This before & after shows a Periareolar Top Surgery performed by Dr. Scott Mosser ✨

04/22/2026

In this segment of In Good Hands, Dr. Wes discusses ni**le neurotization!

We LOVE meeting all of you at our In Session events. Where should we head to next?? 👀
04/17/2026

We LOVE meeting all of you at our In Session events. Where should we head to next?? 👀

Top surgery pricing can feel overwhelming, but understanding what goes into the cost can make the process a lot more app...
04/17/2026

Top surgery pricing can feel overwhelming, but understanding what goes into the cost can make the process a lot more approachable.

Learn more at genderconfirmation.com ✨

Jeyden had top surgery at GCC several years ago and recently shared the following with us:"The staff was great! Answered...
04/13/2026

Jeyden had top surgery at GCC several years ago and recently shared the following with us:

"The staff was great! Answered my questions and returned my calls. The surgeon, Dr. Facque, was straight forward when it came to top surgery questions. Nothing felt rushed.

I also got denied three times. That in itself was a rollercoaster ride and each time the insurance department worked well with me to make sure we got closer to an acceptance.

My surgery has given me a great deal of confidence. I couldn’t be happier with top surgery."

Photos include 1-month post op (2021) and 3-year post op (2024).

This patient underwent a double incision top surgery without ni**les. The results reflect 20 months post-op, so the scar...
04/10/2026

This patient underwent a double incision top surgery without ni**les. The results reflect 20 months post-op, so the scars & the chest have fully healed. This photo set shows a result of someone who has keloid scarring.

Surgery performed by Dr. Facque ✨

For many patients, l***aplasty is the second stage of a vaginoplasty or v***aplasty, which is typically performed about ...
04/08/2026

For many patients, l***aplasty is the second stage of a vaginoplasty or v***aplasty, which is typically performed about five months after the initial bottom surgery.

During this stage, the l***a minora and cl****al hood are sculpted, mainly using skin grafts taken from the l***a majora. This technique helps tighten any loose skin remaining from the initial surgery, improving the function and desired appearance of the v***a.

At the GCC, Dr. Ley offers an innovative two-stage approach to traditional vaginoplasty. The first stage of a traditional vaginoplasty creates the va**nal canal, cl****is and l***a majora. About 5 months later, if the va**na and v***a have healed properly, a cl****al hood and l***a minora are constructed.

By splitting up this operation into two stages, the v***a has a better chance of healing properly. This has given Dr. Ley’s patients more consistent results, leaving them more satisfied with the outcome of their surgery and less likely to request a revision procedure later on.

Learn more >> https://bit.ly/419GcPR

04/03/2026

We had so much fun at last month's In Session event! A big thank you to our host, Los Angeles LGBT Center, all of the vendors that came out to join us and everyone that attended ✨

There is power in being seen for who you truly are.Today we celebrate International Transgender Day of Visibility - a da...
03/31/2026

There is power in being seen for who you truly are.

Today we celebrate International Transgender Day of Visibility - a day to honor the strength, joy, and resilience of transgender and gender-diverse people everywhere. Your story, your voice, and your life matters 🩵🩷🤍

03/30/2026

In this segment of In Good Hands, Dr. Jacobs discusses common misconceptions about skin tone and scarring, and why scar care precautions apply to all patients.

James had his double incision top surgery several years ago, and shared the following with us:✨ What did you want out of...
03/27/2026

James had his double incision top surgery several years ago, and shared the following with us:

✨ What did you want out of your surgery?

I wanted to have a flat and masculine chest, and I had also specifically asked for my ni**les to be resized a bit bigger than the standard size many top surgeons typically do. It just felt like that’s how my body would be had I been born with a flat chest. Dr. Facque was super accommodating and I’m very happy with their size.

✨ What stands out most to you about your journey with GCC?

The whole process on their end was just made so easy by the team, and they were very kind when I was finally able to get insurance coverage. I had been trying for almost 4 years to go to GCC for my surgery, but was having insurance troubles. I hadn’t expected the team to notice that I had tried multiple times to get my surgery done, and when I finally succeeded it made my struggles feel seen when it was noted how long I had been trying to get my surgery.

✨ How has your surgery impacted your daily life or sense of self?

It immediately made me feel so much more comfortable in my skin, I didn’t have to hide my chest anymore. When one of my dearest friends came to see me after I was 3 weeks post op and gave me a hug, I had the joyous revelation that I could truly hug my loved ones without any shadow of discomfort or shame in the back of my head.

These after photos show a patient 1 year post-op following a breast augmentation performed by Dr. Karamanos.The procedur...
03/24/2026

These after photos show a patient 1 year post-op following a breast augmentation performed by Dr. Karamanos.

The procedure used a silicone implant placed in a subfascial pocket, with access through an inframammary incision. This approach places the scar within the natural under-breast fold and allows for a smooth, natural-looking result as healing progresses ✨

Address

450 Sutter Street, Ste 1010
San Francisco, CA
94108

Opening Hours

Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm
Friday 9am - 5pm

Telephone

+14157801515

Website

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