ECMC offers specialty plastic surgery and reconstructive surgery services to meet the unique needs of Gender Affirming Surgery. Contact a Patient Navigator at (716) 898-3158 for more information.

Gender Affirming Surgeries Offered

• Male-to-Female
  • Top Surgery: Breast Augmentation
  • Bottom Surgery: Vaginoplasty
• Female-to-Male
  • Top Surgery: Mastectomy/ Chest Reconstruction
  • Bottom Surgery: Phalloplasty, Metoidioplasty

Surgical Requirements

Although we recognize the WPATH standards, we must follow the current New York State law. A person must meet the following criteria to meet medical necessity for transgender surgical procedures:

• The individual must be at least 21 years of age or older
• Has been on hormone therapy for a minimum of 12 months (N/A for mastectomy)
• Must have been living in the role congruent with the individuals identity for a minimum of 12 months
• Must have two (2) letters of Behavioral Health Clearance from qualified licensed NYS health professionals:
  • One of which must be a Psychiatrist, Psychologist, or Psychiatric Nurse Practitioner
  • The other may be from a Psychiatrist, Psychologist, Psychiatric Nurse Practitioner, or Licensed Clinical Social Worker

Our team serves as a portal to help you reach pre-surgical requirements established by the World Professional Association for Transgender Health (WPATH) and NYS law. We will assist you in obtaining what you need to qualify for surgery. Individuals who desire surgical procedures or are in need of a behavioral health referral should contact the Plastic & Reconstructive Surgery Department Nurse Navigator at 716-898-5530.

Learn more about our Surgical Approval Process

Referrals are available for: Hysterectomy, Oophorectomy, Orchiectomy