Transgender Care

UR Medicine's health professionals take a multidisciplinary approach to supporting transgender patients, including adolescents and adults. Your team of transgender care experts may include:

• Mental health therapists
• Surgeons
• Speech specialists
• Pediatric and adult endocrinologists
• Gynecologists
• Physical therapists

Our providers listen to and honor the needs and perspectives of patients and their families. We offer ongoing education and training to ensure that our services are inclusive and our staff are culturally sensitive to the needs of our transgender patients.

Services

The following gender-affirming care is offered at these divisions and departments across UR Medicine:

Plastic Surgery

• Gender-affirming top surgery: Top surgery is a procedure that removes or augments breast tissue, reshaping the chest to create a more feminine or masculine appearance.
  • Top surgery for chest feminization: Breast augmentation is a common approach for chest feminization. This procedure involves a surgeon inserting an implant into a pocket created behind the pectoral muscle or breast tissue.  
  • Top surgery for chest masculinization: Common approaches include double incision mastectomy, keyhole top surgery, buttonhole top surgery, or gender affirming breast reconstruction. These procedures work to remove breast tissue and reshape or reposition nipples.  
• Gender-affirming facial surgery: May include a variety of procedures to create a more feminine or masculine face in addition to changes made by hormone replacement therapy.
  • Feminizing facial surgery: Brow lift, forehead and hairline modification, cheek reshaping, chin reshaping, jaw contouring, Adam’s apple reduction, nose reshaping, earlobe reduction, and lip augmentation/lip lifting. 
  • Masculinizing facial surgery: Cheek augmentation, nose reshaping, chin reshaping, jaw augmentation, and forehead augmentation.

Otolaryngology (ENT)

• Gender-affirming communication treatment
• Vocal therapy
• Gender-affirming facial surgery
• Tracheal shaving

Adolescent Medicine at Golisano Children’s Hospital (caring for youth and young adults through age 26)

• Mental health and wellness services
• Gender-affirming hormone therapy
• Pubertal blockade (medications that stop or pause puberty)
• Social work services

Urology

• Orchiectomy (surgical removal of the testes)

Gynecology

• Hysterectomy (surgical removal of the uterus)
• Oophorectomy (surgical removal of the ovaries)

Adult and Reproductive Endocrinology

• Gender-affirming hormone therapy for people over 18 years of age
• Fertility services

Mental Health and Wellness

• Mental health care and assessment