Frequently Asked Questions
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Is Gender Confirmation Surgery covered by insurance?
We are advocates for insurance auth no matter your insurance status for all transgender procedures. If we aren’t able to secure insurance coverage for your procedures, we have several non-insurance payment options, including cash pay, payment plans, and plastic surgery care credit. Inquire with our office to learn more.
How long does it take to schedule a top or bottom surgery?
From booking your procedure(s) to operation, the timeline is generally quiet efficient — usually one to two months. Factors that affect this timeline are type and complexity of surgical procedures scheduled.
How long do these surgeries take?
For example, some facial feminization or masculinization procedures can often be performed within a day. Vaginoplasty and phalloplasty (bottom surgery) are more complex, and could require up to a one-week hospital stay.
How do I prepare for my gender confirmation surgery?
In preparing for surgery, your surgeon may advise you to:
- Stop smoking
- Avoid anti-inflammatories,aspirin, and certain herbal supplements
- Get lab testing or a medical evaluation
- Provide letters of recommendation from mental health professionals
- Take certain medications or adjust existing medications
Top surgery and facial surgeries can often be performed in out-patient plastic surgery centers. Bottom surgery is typically performed in a hospital, with anesthesia.
Depending on your individualized plan of care, and as per your surgeon’s best judgement, one or multiple follow-up procedures may be performed on an outpatient basis.
Where does the surgery take place?
Vaginoplasty and phalloplasty (bottom surgeries) require hospital facilities. For those procedures and other procedures to take place in a hospital, our team works with Ochsner Baptist.
For single-stage or minor procedures, these can be done in a hospital or in an outpatient plastic surgery center. Our team works in many of the cosmetic surgery centers in the region, for patients that want a nicer experience or prefer to pay out of pocket rather than go through the hassle of insurance and hospital authorizations.
What drugs are used during the surgeries?
Local anesthesia is a drug injected directly to the site of an incision during an operation to relieve pain.
Intravenous sedation is administered by injection into a vein to help you relax.
General anesthesia is a drug or gas during an operation to relieve pain and alter consciousness.
Who are our options in the Gulf Coast area?
For hormone therapy there are a fair number of providers. Ochsner and Crescent City, all along the Gulf Coast and Alabama, Mississippi, etc., Big group of people that do the medical aspect of therapy. I’m the person who’s been trained to do the bottom surgery. There’s an ENT who also does facial fem. Top surgery there are a lot of plastic surgeons who will offer it but very few who’ve completed addl. training and very few who accept insurance and go the extra mile to exhaust ins. options for coverage.
One struggle for the transgender community has been the gap in understanding between the transgender experience and the medical community at large. Transgender patients are often confronted with incorrect pronouns, terminology, and a general lack of understanding around their preferences, options, and expectations when discussing medical and surgical options with medical professionals.
Learn more about Gender Dysphoria, Gender Incongruence, and language around transgender procedures.