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Top Surgery in Virginia

Trans Virginians face challenges, but there are some positives regarding gender-affirming care in the state. Virginia Medicaid covers gender-affirming services for individuals diagnosed with gender dysphoria, including primary care, hormone replacement therapy (HRT), and mental health support.

For uninsured or Medicaid-covered individuals, organizations like Health Brigade provide primary care, HRT, and mental health services. Those with employer-sponsored or private insurance should contact the Virginia League for Planned Parenthood's Trans Health Line. Additionally, the Transgender Assistance Program of Virginia (TAPVA) works to combat homelessness within the transgender community. These dedicated support networks contribute to the resilience and well-being of trans Virginians.

While Virginia Medicaid covers Top Surgery, procedures like body contouring and fertility preservation are excluded. Although the state has a fair number of Top Surgery surgeons, few accept insurance. As a result, many Virginians seek care in nearby Washington, D.C., or Charlotte, NC, where more experienced, insurance-accepting surgeons practice.

Surgeons in Virginia

Austin-Weston, The Center for Cosmetic Surgery

Austin-Weston, The Center for Cosmetic Surgery, is a long-established, multi-surgeon practice in Reston, Virginia. The center provides a welcoming, fully accredited surgical environment where transgender patients can access gender-affirming procedures with dignity and support. Austin-Weston's five surgeons offer a broad range of techniques—including double-incision with nipple grafts, keyhole, peri-areolar, inverted-T and buttonhole approaches—tailored to each patient’s anatomy and goals. Consultations emphasize education, detailed surgical planning, and transparent discussions of outcomes, while the care team guides patients through every stage of preparation and recovery. The practice prioritizes an inclusive experience, with staff trained in gender-affirming communication, pronoun use, and respectful, individualized care from first contact through long-term follow-up.

Austin-Weston, The Center for Cosmetic Surgery in Reston, Virginia, is a multi-surgeon practice offering inclusive, gender-affirming care in a supportive, accredited setting. Austin-Weston's five surgeons offer a broad range of techniques—including double-incision with nipple grafts, keyhole, peri-areolar, inverted-T and buttonhole approaches—tailored to each patient’s anatomy and goals. The care team is trained in gender-affirming practices, ensuring a respectful and knowledgeable experience throughout consultation, surgery and recovery.

Dr. Andrew Kochuba Dr. Andrew Kochuba, MD
Dr. Byron Poindexter Dr. Byron Poindexter, MD
Dr. Robert Sigal Dr. Robert Sigal, MD
Dr. Oscar Manrique Dr. Oscar Manrique, MD, FACS
Dr. Cassie Nghiem Dr. Cassie Nghiem, MD

Austin-Weston, The Center for Cosmetic Surgery
1825 Samuel Morse Dr.
Reston, Virginia 20190
703-893-6168
www.austin-weston.com
Board-certified (except Dr. Nghiem, who is board eligible); wait list varies for each surgeon; $100 consult fee.

  • Medical Financing
  • Private / Employer Insurance
  • Medicaid (some CA plans)
  • Medicare
  • Dr. Robert DeConti, MD
    DeConti Plastic Surgery
    7229 Forest Ave., Ste. 101
    Richmond, Virginia 23226
    Takes insurance.
  • Dr. Amir Ghaznavi, MD
    AMG Plastic Surgery
    13454 Sunrise Valley Dr., Ste 130
    Herndon, Virginia 20171
  • Dr. Philip E. Grubb, Jr., MD
    Carilion Clinic Plastic and Reconstructive Surgery
    817 Davis St., Suite 2
    Blacksburg, Virginia 24060
    Takes insurance, Medicaid and Medicare.
  • Dr. Claude Hawkins, MD, MBA
    Sentara Plastic Surgery
    1925 Glenn Mitchell Dr., Ste. 206
    Virginia Beach, Virginia 23456
    and:
    301 Riverview Ave., Ste. 400
    Norfolk, Virginia 23510
  • Dr. Ruth Hillelson, MD, FACS
    Henrico Doctor's Hospital
    7601 Forest Ave.
    Richmond, Virginia 23229
  • Dr. Marwan Khalifeh, MD
    7601 Lewinsville Rd., #300,
    McLean, Virginia 22102
  • Dr. Stephen Montante, MD
    Plastic Surgery Richmond
    611 Watkins Centre Pkwy., #350
    Midlothian, Virginia 23114
  • Dr. Karishma Reddy, MD
    Reddy Plastic Surgery
    13925 Coalfield Commons Place, Building 4, Ste. 102
    Midlothian, Virginia 23114
  • Dr. Navin Singh, MD
    Washingtonian Plastic Surgery
    7601 Lewinsville Rd., Ste. 200
    McLean, Virginia 22102
  • Dr. Matthew Stanwix, MD
    Richmond Plastic Surgeons
    14401 Sommerville Court
    Midlothian, Virginia 23113
    Uses Informed Consent.
  • Dr. John Stranix, MD
    Dr. Brittany Behar, MD
    University of Virginia Plastic Surgery
    1300 Jefferson Park Ave., 4th Floor
    Charlottesville, Virginia 22908
    Take insurance, Medicaid and Medicare.
  • Dr. Guy Trengove-Jones, MD, PC
    Fort Norfolk Plaza Medical Bldg.,
    301 Riverview Ave., Suite 100
    Norfolk, Virginia 23510
  • Dr. Rhett N. Willis Jr., MD
    Charlottesville Plastic Surgery
    1410 Incarnation Dr., Ste. 205A
    Charlottesville, Virginia 22901
  • Dr. Neil Zemmel, MD, FACS
    Plastic Surgery Richmond
    11934 W Broad St., #200
    Richmond, Virginia 23233
  • Dr. John Zinsser, MD
    Zinsser Plastic Surgery
    1501 Maple Ave., Suite 101
    Richmond, Virginia 23226

Last updated: 11/30/25