For some transgender patients, surgeries are an essential part of their care. For those patients, gender-affirming surgeries are considered medically necessary for the treatment of gender dysphoria.
We provide the following surgeries in the Bassett Healthcare Network:
- Breast augmentation
- Masculine chest reconstruction
- Hysterectomy, with or without bilateral salpingo-oophorectomy
- Tracheal shave
For more specialized gender-affirming surgical procedures, we refer to out-of-network providers with advanced expertise.
These surgical procedures include
- Facial feminization
- Body contouring
Our team at the Gender Wellness Center can assist with the coordination of your preoperative and postoperative care. All private and public insurance companies in New York State are required to cover gender-affirming surgeries, provided patients meet criteria.
Our office follows published guidelines from the World Professional Association for Transgender Health’s (WPATH) Standards of Care (2012) and the Endocrine Society Clinical Guidelies (2017) around referrals for gender-affirming surgeries.
Not all insurance companies follow these guidelines, however, and they may have different requirements. We will work with your insurance company to ensure you meet requirements for pre-authorization.
Breast augmentation surgery, or feminizing mammoplasty, is a procedure that places saline or silicone sacs in the breast area to create larger female-appearing breasts.
Masculine chest reconstruction, also called top surgery, includes the removal of most breast tissue and the surrounding skin, as well as the alteration of the size and placement of nipples and the areola (the darker skin around the nipples) to create a male-appearing contoured chest.
Chondrolaryngoplasty, commonly called tracheal shave, is a surgical procedure in which the thyroid cartilage is reduced in size by shaving down the cartilage through an incision in the throat. This surgery generally aids those who are uncomfortable with the presence of an Adam’s apple.
These procedures are performed by Dr. Thomas Huntsman at A.O. Fox Memorial Hospital in Oneonta, New York. They are generally performed on an outpatient basis.
An orchiectomy is a procedure to remove the testicles. This procedure lowers the levels of testosterone in the body. For those individuals who are on hormone therapy, an orchiectomy can result in a decreased need for spironolactone and possibly estrogen.
Sexual functioning may change after an orchiectomy. If future fertility might be desired, patients are advised to pursue sperm banking.
This procedure is performed by Dr. Otto Sandoval at Bassett Medical Center in Cooperstown, New York.
As a gender-affirming procedure, hysterectomy may be performed with or without the removal of the fallopian tubes and ovaries (salpingo-oophorectomy). Your provider will discuss the risks and benefits of these different options with you prior to your procedure.
Hysterectomies are usually performed laparoscopically, with minimal invasion, to reduce surgical trauma, but can also be performed transvaginally, or through an abdominal incision, depending on the needs of the patient.