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Going to a Cleveland Clinic location? Comprehensive care for transgender patients involves a wide spectrum of services, ranging from routine medical visits to the physical transition process.
Few hospitals are equipped to provide such care. Even fewer hospitals offer surgical care for patients wishing to undergo gender affirmation surgery. Over the last several years, we have been actively expanding the surgical services Cleveland Clinic offers to gender and sex-minority patients. We require that patients live full time as their self-affirmed gender for more than one year, that they have undergone cross-sex hormone therapy for at least one year, and that they have letters of support for surgical transition from two mental health professionals who are well-versed in transgender patient care.
Patients who have met these criteria are deemed appropriate surgical candidates. They cannot be smokers or be excessively overweight, and they must be medically optimized for surgery if they have medical comorbidities. This procedure includes removal of the uterus and cervix as well as the fallopian tubes and ovaries in those patients who do not desire future fertility.
The procedure is often performed laparoscopically using three 5mm incisions on the lower abdomen. Hysterectomy is often performed as an outpatient procedure, but some patients may require one night stay in the hospital. Insurance Coverage: This procedure is covered by many insurance plans when criteria has been met. Please check with your insurance provider to make sure that it is covered. If it is not, you will receive information about payment plans at the time of your consultation.
This procedure includes removal of breast tissue with masculinizing chest contouring and nipple grafting in some cases. Chest surgery is sometimes performed as an outpatient procedure but some patients may require one night stay in the hospital.
Insurance Coverage: his procedure is sometimes covered by insurance plans when criteria has been met. This procedure involves enlargement of the breasts with an implant. Various techniques may be used to perform this procedure, and they are surgeon and patient dependent.
Breast augmentation is often performed as an outpatient procedure but some patients may require one night stay in the hospital. Orchiectomy is a procedure done to remove the testes which alleviates genital dysphoria in some patients and eliminates the need for androgen testosterone suppression and optimize the effects of estrogen. The procedure is done through a 3cm incision along the scrotum. Undergoing this procedure will not interfere with the possibility of having future vaginoplasty.
Orchiectomy is performed as an outpatient procedure. Vaginoplasty surgery involves creation of the vulva outer female genital structures with or without a vaginal canal. The procedure requires an inpatient stay in the hospital and if a full-depth vaginoplasty is performed, there is a required stay at a nearby hotel. For zero-depth procedures patients should expect to be in Cleveland for days after the surgery and for a Have sex Cleveland Ohio procedure, days after surgery.
Your complete postoperative recovery will be about weeks but this varies with each individual. It is performed as an outpatient procedure. Facial feminization surgery FFS involves several surgeries that can be done to feminize the facial features. These procedures include but are not limited to: rhinoplasty, forehead contouring, jaw angle reduction, chin width reduction, lowering the hairline, hair transplantation, cheek augmentation, lip augmentation and upper lip shortening.
Some procedures are performed as outpatient procedures while others require an inpatient stay. Insurance Coverage: This procedure is very specialized and often not covered by insurance plans. Please contact our office with any questions. Our surgical providers at Cleveland Clinic offer a wide range of gender-affirming procedures, including:.
See before and after photos of patients who have undergone gender-affirming surgeries, including breast augmentations, facial feminizations, mastectomies and vaginoplasty. Out of state residents: You may want to include your pre-operative day as well as the 3 days you will be in the hospital in your hotel reservation if you are traveling from afar; this will allow a safe and comfortable place for you to perform your peri-operative preparations as well as provide your guest with a place to stay nearby while you are in the hospital.
Transportation After Surgery: You must have a family member, friend or caregiver drive you home from surgery as medical transportation cannot be used upon hospital discharge. Postoperative appointments: Please plan for postoperative appointments at 3, 6 and 12 weeks after your surgery. You will need to have a driver for the 3 week postop visit. We do ask that some of our patients meet with our team psychiatrist pre and postoperatively, as well as our pelvic floor physical therapist. At the consultation we will discuss the post-operative care plan with you and determine whether you have any local providers who may be able to perform some if not all of your post-operative appointments and help arrange for physical therapy locally.
We are happy to share a list of qualified hair removal providers as well as qualified mental health providers upon request. Once all criteria have been met, Have sex Cleveland Ohio will be happy to schedule a formal surgical consultation. The SOC are based on the best available science and expert professional consensus. The overall goal of the SOC is to provide clinical guidance for health professionals to assist transsexual, transgender, and gender nonconforming people with safe and effective pathways to achieving lasting personal comfort with their gendered selves, in order to maximize their overall health, psychological well-being, and self-fulfillment.
Cleveland Clinic requires that all patients seeking the following gender affirming surgical services, must obtain a letter from a d mental health professional counselor, social worker, etc.Police reports reveal details in alleged teacher-student sexual relationship that lasted 3 years
Cleveland, Ohio Appointments Patients must have a support person to bring them home from the hospital. BMI requirements are determined by your surgeon. Patient must be tobacco-free. Female Gender-Affirming Procedures Breast Augmentation This procedure involves enlargement of the breasts with an implant. BMI requirements are determined by your surgeon Patient must be tobacco-free. Orchiectomy Surgical Removal of the Testes Orchiectomy is a procedure done to remove the testes which alleviates genital dysphoria in some patients and eliminates the need for androgen testosterone suppression and optimize the effects of estrogen.
Vaginoplasty Female Genital Reconstructive Surgery Vaginoplasty surgery involves creation of the vulva outer female genital structures with or without a vaginal canal. Patients must have a support person to stay with them during their hospital and hotel stay.
Copy of your most recent primary care medical records Genital hair removal must be completed for surgery. Facial Feminization Procedures Facial feminization surgery FFS involves several surgeries that can be done to feminize the facial features. Petar Bajic, MD. James Zins, MD.
Raymond Isakov, MD. Paul C. Candace Hrelec, MD. Dane Genther, MD. Peter Ciolek, MD. View before and after photos Special Considerations for Vaginoplasty Surgery Out of state residents: You may Have sex Cleveland Ohio to include your pre-operative day as well as the 3 days you will be in the hospital in your hotel reservation if you are traveling from afar; this will allow a safe and comfortable place for you to perform your peri-operative preparations as well as provide your guest with a place to stay nearby while you are in the hospital. Free of any non-prescribed substances including marijuana minimum 6 months.
Hair removal completed, free of regrowth. Two letters of support from qualified mental health providers dated within the past 12 months. Companion to accompany you for postoperative stay. Relationship with a mental health care provider who will see you weeks after your surgery. Orchiectomy surgical removal of the testes. Vaginoplasty female genital reconstructive surgery.Have sex Cleveland Ohio
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