Surgery Center
Holistic Therapy
Most transmen will begin their gender confirmation journey with hormone (testosterone) therapy and supportive counseling. In addition to these two vital components, many transmen opt to undergo surgery to complete their transition process. While the decision to have surgery is a very personal one, transmen who do choose to have these procedures typically experience a number of benefits, including improved mental health and overall well-being, decreased gender dysphoria, enhanced self-esteem, greater satisfaction with one’s body, and an increased ability to “pass” in society as a man. In fact, gender transition surgeries are considered medically necessary by the American Medical Association. At the International Center for Transgender Care (ICTC), we offer a full suite of surgical services to assist you in your transition journey.

Mastectomy (Top Surgery)

Mastectomy, or “top surgery”, is typically the first—and sometimes the only—surgical procedure performed for the transman patient who is transitioning. Mastectomy is designed to remove unwanted breast tissue in order to create a more masculine chest appearance. Depending upon your unique needs and anatomy, a number of techniques may be utilized to achieve the desired aesthetic result. These include bilateral mastectomy with free nipple grafts, the peri-areolar/”keyhole” technique, and adjunctive lateral chest wall liposuction. Mastectomy is a very safe and commonly performed procedure, and the surgeons at ICTC will work with you to ensure the best possible results.
Read More

Facial Masculinization Surgery

Facial masculinization surgery (FMS) refers to a range of procedures that can be performed to lend a more chiseled and masculine appearance to the face. Because facial features offer important visual cues as to one’s gender, FMS is a vitally important component of the female-to-male transition. Each patient who undergoes FMS will have unique goals and needs; therefore, the surgeons at ICTC will work with you to design a customized surgical plan. In general, FMS may include a combination of forehead lengthening/augmentation, cheek augmentation, rhinoplasty, chin recontouring, jaw contouring, and thyroid cartilage enhancement (Adam’s Apple surgery).
Read More

Body Masculinization Surgery

Body masculinization surgery (BMS) is an ideal option for the transman who would like to achieve a more masculine contour throughout the upper and lower body. The traditional male figure includes a broad and defined upper torso, trim waist, and minimal fat in the lower body area. While diet, exercise, and hormone therapy play a role in masculinizing the body, certain areas of fat storage can be difficult to change without surgery. BMS is a liposuction technique that targets fat in the flanks, inner and outer thighs, upper body, chest, back, and/or buttocks to reduce the feminine “hourglass” shape and create a masculine physique. Liposuction is a safe and minimally invasive procedure, particularly when performed by the expert surgeons at ICTC.
Read More

Gender Confirmation Surgery

As the final step in his transition journey, a transman may choose to have gender confirmation surgery (GCS). The surgeons at the ICTC perform GCS using an innovative technique known as the Centurion procedure. During this procedure, the patient first undergoes vaginoplasty and a complete hysterectomy including removal of the ovaries. The existing outer genitalia are then used to create a penis that retains sensation and some function, along with a male urethra. The clitoris is used to form the head of the penis, allowing for erectile capability. Finally, a scrotum is formed using the labia majora and testicular implants are placed. At ICTC, we follow the WPATH guidelines for transgender care. Because GCS is considered a major surgery, it is essential to select a knowledgeable and skilled surgeon.
Read More
We understand that each patient has his own unique needs and expectations, which is why we take an individualized, patient-centered approach to gender transition services. During the preoperative consultation, your surgeon will take the time to discuss and understand your goals for gender transition. Additionally, he’ll thoroughly explain each procedure and answer any questions you might have. We want you to feel comfortable and happy with your decision to pursue gender transition services with us. At ICTC, we follow the WPATH guidelines for transgender care. Because GCS is considered a major surgery, it is essential to select a knowledgeable and skilled surgeon.

At the International Center for Transgender Care, we understand that surgery is a vital component of transman’s transition process. Because these procedures are so important, it is paramount to choose a surgeon with specialized knowledge and skill. Our board-certified surgeons have more than 20 years of experience treating transgender patients. We are proud to offer all of our services in a respectful, welcoming environment at our world-class surgical center in Dallas, Texas. We look forward to assisting you in achieving the very best possible results for all of your gender transition procedures. Contact us today to schedule a consultation at (972) 543-2477.

What Do our Patients Say ?

“I was shown the utmost respect by every single person starting with Angela who guided the paperwork and credit card process over the phone to the receptionist, nurses, on-call nurses, and of course Dr. Raphael. This was the first time I have ever had surgery and I am beyond happy with the total experience.”


“This staff and surgeon were top notch. They treated me in such a friendly manner and really took the time to access my individual needs. I left there feeling like I was a part of their family and can not see myself going anywhere else for this procedure.”