Top Surgery in Nebraska
The political and social climate can feel uncertain for trans Nebraskans. Even so, gender-affirming care for adults remains legal, including hormone therapy and surgery. (Nebraska does, however, restrict gender-affirming surgeries for people under 19 under LB 574.) The challenge is more about finding affirming providers, navigating long wait times, and getting insurance coverage.
In terms of providers, Nebraska’s most prominent academic option is the Gender Care Clinic at the University of Nebraska Medical Center, which offers gender-affirming services, support, and referrals to trans-friendly primary and specialty providers.
Insurance coverage for gender-affirming surgery may be available through employer-based plans, including plans that follow medical policies like those published by Blue Cross and Blue Shield of Nebraska, which outlines criteria and documentation requirements for gender reassignment surgery coverage. Coverage varies by plan type and employer, and denials are common when documentation doesn’t match policy criteria or when plans include exclusions.
If you’re shopping for insurance: Out2Enroll’s Nebraska resources can help you understand what plans are more likely to cover gender-affirming care, how to read exclusions, and how to appeal denials.
Unfortunately, Medicaid coverage for gender-affirming care in Nebraska is excluded, meaning top surgery is typically not covered. People seeking surgery usually have to explore other insurance options, fundraising, or financing pathways. Paying out of pocket and/or traveling out of state to access highly experienced surgeons may still be the most straightforward route for some people, particularly if they need shorter wait times or specific techniques or policies (such as no BMI limit).
Stay up to date on policy changes: A good starting point is to stay connected to local advocacy and policy updates through OutNebraska. Paired with Out2Enroll’s insurance navigation tools, these resources can help you stay informed, plan proactively, and find the most realistic path toward surgery, whether that means local care, out-of-state specialists, or strategic insurance selection.
Surgeons in Nebraska
Dr. Sean C. Figy, MD
University of Nebraska
Gender Care Clinic
Great Plains Health
501 W. Leota St.
North Platte, Nebraska 69101
Accepts insurance, Medicaid and Medicare.
Dr. Perry Johnson, MD
University of Nebraska
Gender Care Clinic
Village Pointe Aesthetic Surgery
17617 Burke St.
Omaha, Nebraska 68118
Accepts insurance, Medicaid and Medicare.
Dr. Cassidy Mitchell, MD
Lincoln Aesthetic Surgical Institute
Bryan West Campus, West Medical Plaza, Tower A
2222 S. 16th St., Suite 430
Lincoln, Nebraska 68502
Accepts insurance, Medicaid and Medicare.
Last updated: 01/06/26