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Surgeons Who Accept Medicaid for Top Surgery
Medicaid is a state-run health insurance program that provides payment for medical services for low-income citizens. The map below shows which states have have clarified that the state Medicaid program covers transition-related care.

Important Note: Even in states not listed here, transgender exclusions in Medicaid plans may violate the Affordable Care Act and other federal and state laws. - National Center for Transgender Equality
If you live in California: This guide will help you understand the procedural steps to appeal a health care denial for health care plans that are managed by Medi-Cal.
If you live in New York: This guide [PDF] will help you navigate getting Medicaid coverage for Top Surgery in New York.
How to Proceed With Medicaid
1. Your primary care provider (PCP) writes a letter of medical necessity and requests a referral to a surgeon.
2. If approved, Medicaid will send the referral along to the surgeon, and the surgeon's office will contact you about your consultation date.
3. The surgeon will request a medical release from your PCP, a letter of recommendation from a therapist, and prior authorization from Medicaid for surgery. (Depending on your age and medical history, the surgeon may also order lab tests, a chest X-ray and a mammogram.)
The following surgeons accept state Medicaid for Top Surgery:
Featured Surgeons
California (Medi-Cal)
Gender Confirmation Center
San Francisco, CA
The Gender Confirmation Center is a San Francisco-based, multi-surgeon practice founded in 2013 by board-certified plastic surgeon Dr. Scott Mosser. The practice focuses heavily on gender-affirming top surgery, offering procedures such as double-incision, peri-areolar, and keyhole, as well as less common incision types such as fishmouth and lollipop. They are early adopters of sensory nerve preservation techniques in double-incision top surgery, which aims to improve the return of chest and nipple sensation after surgery. The practice maintains a dedicated insurance advocacy team that has secured coverage for many patients, helping make top surgery more accessible. Throughout the top-surgery process, the team emphasizes informed consent, trans-competent communication, and a highly affirming environment for local and out-of-town patients alike.
Founded in 2013 and based in San Francisco, the Gender Confirmation Center is a multi-surgeon practice focused on gender-affirming top surgery for trans and gender-diverse patients.
Gender Confirmation Center
450 Sutter St, Ste 1000
San Francisco, California 94108
855-398-7778
genderconfirmation.com
Dr. Johnson Lee
Beverly Hills, CA
Dr. Lee is a Johns Hopkins–trained, board-certified plastic surgeon in Beverly Hills specializing in top surgery for trans men and nonbinary patients. He performs both double incision and peri-areolar techniques, with surgical planning tailored to each patient’s anatomy, chest proportions, and transition goals to create natural-looking masculine chest contours. More »
Fellowship-trained plastic surgeon in Beverly Hills, in-network with Blue Shield of CA.
433 N Camden Dr., Ste 500
Beverly Hills, California 90210
310-550-2200
www.drjohnsonlee.com
In-network with Blue Shield of California; $250 in-person and virtual consultations (fee waived for in-network patients); wait times are 2 weeks for consult, surgery dates 4-6 weeks later.
Dr. Nicholas Bene
Palo Alto, CA
Dr. Bene is a board-certified Plastic and Reconstructive Surgeon and the Director of Gender Affirmation Surgery at Stanford Medicine. He is fellowship-trained in Advanced Gender Affirmation Surgery and specializes in top surgery. He is one of only a handful of surgeons offering Sensory Nerve Preservation, a technique designed to improve sensory outcomes. More »
Director of Gender Affirmation Surgery at Stanford, offers Sensory Nerve Preservation.
Dr. Bene is a board-certified plastic surgeon and Director of Gender Affirmation Surgery at Stanford Medicine. He provides the full spectrum of gender-affirming procedures, including top surgery. Dr. Bene trained in gender-affirming surgery through the fellowship program at Oregon Health & Science University, where he learned sensory nerve preservation techniques from Dr. Blair Peters.
Stanford Health Care
Plastic and Reconstructive Surgery Clinic
1000 Welch Rd.
Palo Alto, California 94304
650-723-7001
stanfordhealthcare.org
Board-certified; WPATH member; wait time 1-2 months for consult, 3-6 months for surgery.
Align Surgical Associates
San Francisco, CA
Founded in 2018, Align Surgical Associates is a multi-surgeon, gender-affirming surgical practice with offices in San Francisco and Santa Monica, California, dedicated exclusively to the care of transgender, nonbinary and gender-diverse patients. Top surgery is a major focus of the practice: their surgeons offer a range of techniques, including double-incision with nipple grafts, peri-areolar/keyhole, inverted-T/anchor and buttonhole approaches. Consultations are used to review goals, anatomy and technique options in detail, and the care team guides patients through pre-operative preparation and a structured recovery plan. The environment is intentionally designed as a “sanctuary” and home away from home, with all staff specifically trained in the nuanced techniques and support needs associated with gender-affirming, trauma-aware care from first contact through long-term follow-up.
Founded in 2018, Align Surgical Associates is a multi-surgeon, gender-affirming surgical practice in San Francisco and Los Angeles that devotes its work to trans, non-binary and gender-diverse patients. For top surgery, the team offers a full range of masculinizing chest procedures—double-incision, keyhole/peri-areolar, inverted-T and buttonhole—delivered in a highly supportive, sanctuary-like environment with staff specifically trained in gender-affirming care.
Align Surgical Associates Inc.
2299 Post St, Ste 207
San Francisco, California 94115
415-530-5335
alignsurgical.com
Dr. Walter Lin
San Francisco, CA
Dr. Lin is a fellowship-trained Plastic Surgeon in San Francisco who performs Top Surgery. His expertise in microsurgical breast reconstruction has shaped his approach to gender-affirming care and led to the co-development of a novel nerve transfer technique designed to preserve chest sensation after Top Surgery. He joined the Buncke Clinic and the San Francisco Transgender Institute in 2017. More »
Fellowship-trained, exceptionally skilled plastic surgeon with deep expertise in gender surgery.
Dr. Lin is a fellowship-trained Plastic Surgeon in San Francisco who performs Top Surgery. Drawing on his background in microsurgical reconstruction of the breast, he co-developed a novel nerve transfer technique to help preserve chest sensation after Top Surgery. In his 2025 study of 27 patients, the technique proved safe, did not affect appearance, and showed early signs of improved sensation.
The Buncke Clinic
45 Castro St, Ste 121
San Francisco, California 94114
415-684-5206
www.buncke.org
Board-certified; WPATH member; in-person or phone consultations; uses Informed consent (doesn't require a letter); wait list one month.
Connecticut (Husky)
Dr. Laurel Chandler
Darien, CT
Dr. Chandler is a Harvard fellowship-trained plastic surgeon who has received specialty training in Top Surgery from some of the best experts in the field. Based in Fairfield County, Connecticut, Dr. Chandler provides personalized care for a diverse range of patients, up to 90% of whom are transgender or non-binary. More »
Specialty training in Top Surgery, Connecticut practice dedicated to gender-affirming care.
Chandler Plastic Surgery
777 Post Rd, Ste 304
Darien, Connecticut 06820
203-423-3132
www.topsurgeryconnecticut.com
Fellowship-trained; board-certified; WPATH member; no BMI limit; uses informed consent (no letter requirement); wait list 2-3 months; $200 consult fee.
Illinois
Dr. Loren Schechter
Chicago, IL
Dr. Schechter is one of the country's foremost experts on gender-affirming surgery. He is the Medical Director of the Gender Affirmation Surgery Program at Rush University Medical Center in Chicago. Dr. Schechter's outstanding surgical skills and more than 20 years experience with transgender surgery have made him a popular surgeon. More »
RUSH University, Gender Affirmation Surgery
1725 W. Harrison St., Ste 818
Chicago, Illinois 60612
(312) 942-3640
doctors.rush.edu/details/17876
Board-certified; no BMI limit; free initial phone consult; wait list 2 months.
Maryland
Dr. Gabriel Del Corral
Baltimore & Washington, D.C.
Dr. Del Corral is a board-certified plastic surgeon who performs Top Surgery at the Medstar Center for Gender Affirmation in Washington D.C. and Baltimore, Maryland. Dr. Del Corral specializes in gender-affirming surgery and also performs Phalloplasty and Body Masculinization. Hysterectomy is also available at Medstar, allowing patients to complete their surgical transition at a single institution. More »
Medstar Center for Gender Affirmation
9105 Franklin Square Dr, Ste 214
Baltimore, Maryland 21237
443-777-7631
www.drdelcorral.com
Board-certified; WPATH member; in-person and virtual consultations; wait list 2-3 months.
Medstar Center for Gender Affirmation
110 Irving St NW
Washington, DC 20010
443-777-7631
www.drdelcorral.com
Board-certified; WPATH member; in-person and virtual consultations; wait list 2-3 months.
New Jersey
Dr. Drew Marano
Livingston, NJ & New York, NY
Dr. Marano is a board-certified, fellowship-trained plastic surgeon based in New York City. He is a co-founder of GAMMA (Gender Affirming Medical and Microsurgical Associates), where he provides safe, affirming, and expert surgical care for transgender and nonbinary individuals. If you are seeking Top Surgery in New York or New Jersey, Dr. Marano is an exceptional choice. More »
Highly skilled Top Surgery specialist in New York City & NJ.
Dr. Marano is a board-certified plastic surgeon in New York City specializing in gender-affirming top surgery. He has devoted his career to advancing gender-affirming surgical care while fostering a supportive environment for patients. Dr. Marano has also collaborated with Dr. Keith to expand the use of sensory nerve preservation in top surgery.
GAMMA (Gender Affirming Medical and Microsurgical Associates)
200 South Orange Ave, Ste 295
Livingston, New Jersey 07039
201-449-1000
gammanyc.com
Board-certified; WPATH member; wait list one month.
GAMMA (Gender Affirming Medical and Microsurgical Associates)
GAMMA (Gender Affirming Medical and Microsurgical Associates)
374 W 11th St.
New York, New York 10014
201-449-1000
gammanyc.com
Board-certified; WPATH member; accepts insurance; wait list one month.
Dr. Sean Herman
Montclair, NJ
The Institute for Advanced Reconstruction
1 Bay Ave, Ste 4
Montclair, New Jersey 07042
833-598-2417
www.advancedreconstruction.com
Board-certified; WPATH member; accepts insurance, New Jersey Medicaid and Medicare; wait list one month.
More about Dr. Herman »
New York
Dr. Rachel Bluebond-Langner
New York, NY
Dr. Bluebond-Langner is a board-certified plastic and reconstructive surgeon specializing in gender-affirming surgeries at NYU Langone Health in New York City. As a leader in transgender surgical research and innovation, Dr. Bluebond-Langner actively develops and studies new techniques to optimize patient safety, outcomes, and satisfaction. Her work has introduced several novel procedures, including Nipple-Preserving Inferior Ellipse Top Surgery—a technique that offers improved chest contouring while preserving nipple sensation and aesthetics. More »
NYU Langone Plastic Surgery Associates
222 East 41st St., 7th Flr.
New York, New York 10017
646-501-4449
www.nyulangone.org
Board-certified; WPATH member; BMI limit of 40.
Oregon (OHP)
OHSU Transgender Health Program
Portland, OR
Oregon Health & Science University’s Transgender Health Program in Portland provides multidisciplinary gender-affirming care for transgender, nonbinary and gender-diverse patients. The plastic and reconstructive surgery team includes Dr. Jens Berli, Dr. Blair Peters and Dr. Monica Llado-Farrulla, who offer masculinizing chest surgery tailored to each patient’s anatomy and goals. OHSU’s program emphasizes coordinated care, surgical expertise and long-term support within a major academic medical center environment.
OHSU’s Transgender Health Program in Portland offers multidisciplinary gender-affirming care, including top surgery provided by a team of experienced reconstructive surgeons.
Oregon Health & Science University
Transgender Health Program
Plastic and Reconstructive Surgery Clinic, South Waterfront
3303 S. Bond Avenue, 5th floor
Portland, Oregon 97239
Pennsylvania
Dr. Kathy Rumer
Philadelphia, PA
Dr. Rumer is a board-certified surgeon in the Philadelphia tri-state area whose practice is geared exclusively toward transgender patients. She is an expert in FTM Top Surgery, performing at least 150 Top Surgeries a year. Her patients' results, along with her extensive education and experience, have made her a highly sought after surgeon. In addition to performing hundreds of gender-affirming procedures each year, Dr. Rumer also directs a 1-year gender surgery fellowship program. More »
Rumer Gender Surgery
630 Germantown Pike
Lafayette Hill, Pennsylvania 19444
855-782-5665
www.rumergendersurgery.com
Board-certified; WPATH member; wait list 2-4 months; $75 consult fee.
Texas
Dr. Dany Hanna
Frisco, TX
Dr. Hanna is a Gender Surgeon who works exclusively with transgender and non-binary patients in Dallas, Texas. In 2021, he established the Hanna Gender Center to provide excellence in surgical care for this historically under-served community. Dr. Hanna is one of few surgeons in United States who has completed a yearlong fellowship in Gender Surgery, with a special focus on Top Surgery and other masculinizing procedures. More »
Hanna Gender Center
255 Lebanon Rd, Ste 112
Frisco, Texas, 75036
972-327-5524
hannagendercenter.com
WPATH member; $200 consult; wait list: 1 month for consult, 3 months for surgery date.
Washington DC
Dr. Gabriel Del Corral
Baltimore & Washington, D.C.
Dr. Del Corral is a board-certified plastic surgeon who performs Top Surgery at the Medstar Center for Gender Affirmation in Washington D.C. and Baltimore, Maryland. Dr. Del Corral specializes in gender-affirming surgery and also performs Phalloplasty and Body Masculinization. Hysterectomy is also available at Medstar, allowing patients to complete their surgical transition at a single institution. More »
Medstar Center for Gender Affirmation
9105 Franklin Square Dr, Ste 214
Baltimore, Maryland 21237
443-777-7631
www.drdelcorral.com
Board-certified; WPATH member; in-person and virtual consultations; wait list 2-3 months.
Medstar Center for Gender Affirmation
110 Irving St NW
Washington, DC 20010
443-777-7631
www.drdelcorral.com
Board-certified; WPATH member; in-person and virtual consultations; wait list 2-3 months.
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Browse All Surgeons - Surgeons Who Accept: Insurance - Medicare - Medicaid
References
Which U.S. States' Medicaid Programs Provide Coverage for Gender-Affirming Hormone Therapy and Gender-Affirming Genital Surgery for Transgender Patients?: A State-by-State Review
Zaliznyak M, Jung EE, Bresee C, Garcia MM. J Sex Med. 2021 Feb;18(2):410-422.
Our findings show that only 25 of 51 (49%) include Gender Affirming Surgery as covered benefits. Our experience suggests that the process to confirm coverage can be especially time-consuming and frustrating for patients.
Last updated: 04/13/26





