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Gender Confirmation Center

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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.

02/03/2026

We’re thrilled to welcome Dr. Eric Lin to the GCC surgical team!

Dr. Lin is a board-certified plastic and reconstructive surgeon with nearly 30 years of experience, specializing in chest reconstruction, breast reduction, and gender-affirming breast procedures. He earned his MD and MPH from UCLA’s David Geffen School of Medicine and completed his Plastic Surgery residency at the University of Washington - training that laid the foundation for his thoughtful, patient-centered care approach.

Beyond gender-affirming surgery, Dr. Lin brings deep expertise in post-cancer breast reconstruction, and he continues to serve as a Clinical Associate Professor of Plastic Surgery, shaping the next generation of surgeons.

Dr. Lin believes in listening closely to patients, treating everyone with dignity, and helping individuals make informed decisions about their surgical goals. We’re honored to have him join GCC and support our community with compassion and excellence 💛

02/01/2026

At the Gender Confirmation Center, we honor Black History Month - not just in February, but always.

Black trans and q***r history is foundational to Black history itself. It’s a story of resilience, creativity, and resistance that continues to shape culture, community, and the ongoing fight for justice. These contributions are not confined to the past... they are alive, evolving, and leading us forward.

This month, and every month, we celebrate and uplift the brilliance, strength, and joy of Black trans and q***r lives! Black history is living history.

01/30/2026

Growth doesn't follow a deadline. Every journey unfolds in its own perfect time 💗

01/28/2026

In this segment of In Good Hands, Dr. Ley reflects on how gender-affirming surgery - particularly bottom surgery - has evolved over the past decade, and why having choices matters.

01/25/2026

This photo set shows a 6 month post-op result following double incision top surgery with ni**le grafts, performed by Dr. Karamanos.

At six months, swelling has continued to settle and scar maturation is underway, allowing the chest contour to become more defined over time. As with all procedures, results and healing timelines vary based on individual anatomy and aftercare.

Learn more about top surgery options at genderconfirmation.com!

01/23/2026

A metoidioplasty or “meta” is a gender-affirming bottom surgery procedure. It involves releasing the erectile tissue (sometimes called the cl****is or phallus), which has often grown from testosterone hormone therapy, from its surrounding ligaments. This gives the patient’s natal erectile tissue a more prominent, forward position.

This illustration shows the two types of metas that Dr. Zara Ley offers. Dr. Ley is a board-certified surgeon, a transgender woman of color and former patient herself who offers a full-spectrum of gender-affirming surgeries (top surgery, facial surgery & body contouring as well). Please note that the illustration shows two of the most common types of metas; Dr. Ley can and has personalized metoidioplasty procedures to fit patients' unique goals.

A simple metoidioplasty procedure or simple meta involves releasing the enlarged cl****is or p***s from its surrounding ligaments. The p***s is then allowed to move into a more forward and elevated position. Skin grafts are taken from the l***a minora to cover the exposed part of the p***s, increasing its girth. Patients can opt to have skin grafts taken from another part of the body if they would like to preserve their l***a minora. The g***s or head of the p***s will still be exposed.

A complex meta is a metoidioplasty that involves a primary urethral lengthening (PUL). To perform the PUL, a skin graft is taken to lengthen the patient’s urethra. In doing so, the urethra will exit at the tip of the phallus, allowing the patient to urinate while standing. Dr. Ley requires that all patients who undergo a PUL also undergo a simultaneous vaginectomy (removal of the vaginal canal) to reduce the risk of urinary complications.

As the illustration shows, most complex meta patients choose to undergo a scrotoplasty alongside this procedure, which is the construction of a scrotal pouch, often made from skin grafts taken from the l***a. Later surgeries can add silicone testicular implants if a patient would like.

Learn more at genderconfirmation.com ✨

01/20/2026

This varies widely depending on which type of bottom surgery is performed. It can be relatively short and simple with low risk of complications (i.e. simple metoidioplasty only) to quite a lengthy recovery (weeks to months) and with higher risk of complications (i.e. phalloplasty).

01/18/2026

In this segment of In Good Hands, Dr. Jacobs shares how he unexpectedly found his way into gender affirming surgery.

01/17/2026

Becoming yourself is not a trend. It is a lifelong act of courage 🫶🏼

01/14/2026

Dr. Ley is a board-certified plastic surgeon, a transgender woman of color, and a former patient herself. She offers a full spectrum of bottom surgery procedures to transgender and non-binary patients and has extensive experience performing AND teaching the radial forearm flap (RFF) phalloplasty technique shown here.

One of the major advantages of RFF phalloplasty is the ability to connect the sensitive forearm nerve to the cl****al nerve. This gives the phallus the potential for heightened, erogenous sensation once fully healed. Some patients may experience limited or no nerve regeneration, which would result in normal tactile sensation instead.

Nerve healing typically begins around 3 weeks after surgery. Patients may feel tingling sensations as regeneration progresses, and the buried cl****al nerve should continue to provide heightened sensation.

It’s important to know that RFF phalloplasty is a multi-stage surgical process with a long recovery period, which can affect mental health. A strong support network, including loved ones and a mental health professional, is essential.

After the phallus is created in the first stage of surgery (i.e., what this illustration depicts), additional stages of surgery will be needed to accomplish the following:

• A primary urethral lengthening to allow urination while standing
• A split-thickness skin graft to cover the forearm donor site
• G***s construction (g***splasty)
• Scrotoplasty, tissue expanders, and testicular implants
• Mons resection or panniculectomy to reduce skin/fat above the groin
• Placement of an erectile device

Learn more at genderconfirmation.com ✨

01/12/2026

We are excited to announce that Dr. Ley will offer the option of ni**le neurotization in conjunction with many forms of masculine top surgery!

This procedure offers the potential to retain original ni**le sensation after free ni**le grafts. Dr. Ley has had extensive experience through her training and career working with peripheral nerves, from replanting amputated digits, facial nerve restoration in children, traumatic nerve repair, nerve grafts, and microsurgical phalloplasties.

GCC has worked with certain insurance plans to help cover this option. Our office is ready to consult with you and review your options regarding neurotization and insurance coverage for it.

*Results vary depending on anatomy. A thorough consultation with our surgeons is needed to discuss surgical procedures, expectations, and potential risks.

01/09/2026

From forehead contouring and jaw shaping to rhinoplasty and tracheal reduction, Facial Feminization Surgery is thoughtfully tailored to each patient’s goals and anatomy.

Learn more >> https://bit.ly/49FNi3q

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

http://www.genderconfirmation.com/

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