Aligning Body with Identity. Empowering Lives with Confidence.
Gender Affirmation Surgery (GAS)—also known as Sex Reassignment Surgery (SRS) or Gender Confirmation Surgery—includes a group of surgical procedures designed to help transgender individuals align their physical appearance and anatomy with their gender identity. These procedures can be a vital step in the journey toward gender congruence, self-acceptance, and improved quality of life.
At the practice of Dr. Richie Gupta, we are proud to offer comprehensive, compassionate, and evidence-based care for individuals undergoing gender transition. With over two decades of surgical experience and a deep understanding of both aesthetic and reconstructive principles, Dr. Gupta performs gender affirmation surgeries with respect, privacy, and personalized care at every step.
Who is Gender Affirmation Surgery for?
These surgeries are intended for transgender and non-binary individuals who:
Have a diagnosis of gender dysphoria
Have undergone psychological evaluation and counseling
Have completed an appropriate period of hormone therapy (as per WPATH guidelines)
Are seeking to surgically modify primary and/or secondary sexual characteristics to align with their gender identity
Gender affirmation is more than surgery
Every patient receives a comprehensive treatment plan that is aligned with the latest international standards (e.g., WPATH Standards of Care).
For Male-to-Female (MTF) Individuals
- VaginoplastyConstruction of a neovagina using penile and scrotal tissue. This procedure creates a sensate, functional vaginal canal, allowing for penetrative intercourse and a natural appearance.
- Breast AugmentationFor individuals whose breast development from hormone therapy is insufficient, silicone breast implants are placed to achieve a feminine chest contour.
- Facial Feminization Surgery (FFS)A combination of procedures that soften masculine facial features—may include forehead contouring, rhinoplasty, jaw and chin reshaping, and tracheal shave.
- Body ContouringLiposuction and fat grafting to enhance feminine curves, waistline, hips, and buttocks.
- Voice Surgery (Optional)Modification of vocal cord tension and resonance to achieve a more typically feminine pitch and tone.
For Female-to-Male (FTM) Individuals
- Top Surgery (Bilateral Mastectomy)Surgical removal of breast tissue to create a masculine chest, with nipple resizing and repositioning.
- MetoidioplastyA procedure where hormone-enlarged clitoral tissue is released and repositioned to form a small neophallus. It may allow for urination while standing.
- PhalloplastyConstruction of a neopenis using tissue grafts from the arm, thigh, or abdomen. Can be combined with urethral lengthening and penile implants for erectile function.
- Scrotoplasty and Testicular ImplantsCreation of a scrotum using labial tissue, followed by the insertion of testicular prostheses for aesthetic and psychological comfort.
- Hysterectomy & OophorectomyRemoval of the uterus and ovaries, typically recommended as part of surgical transition for transgender men.