Gender Affirmation

Gender Affirmation


Physical and emotional transition, done with great care and research, aligns your outer appearance with your inner identity. Any path you choose on your journey is appropriate. What is important is that you feel secure, comfortable and healthy along the way. Here at the University of Miami Hospital, we are committed to serving you during this exciting time.

Your choice of surgeons and program is determined by many factors including the credentials of the surgeon, our commitment to excellence, the friendliness of the office and hospital staff, our location, and value. We believe that our comprehensive and detailed package is the premier choice.

Your first priority is the skill and credentials of our team whose members are at the top of their field:

Ajani Nugent, MD – Plastic & Reconstructive Surgeon
Desha I. Gelles-Soto, APRN – Plastic & Reconstructive Surgery Nurse
Carlos Medina, MD – Urogynecologist
Nicholas J. Hauser, MD – Urologist
Stephen Friedman, MD – Psychologist
Adam Lloyd, MM, MA, CC-SLP – Voice Specialist


  • Breast Augmentation
  • Facial Feminization (FFS)
  • Gluteal and hip augmentation
  • Orchiectomy
  • Vaginoplasty
  • Labiaplasty
  • Clitoroplasty


Facial Feminization Surgery (FFS)

FFS for our M2F patients can sometimes be the most important decision in your transition. These delicate procedures shift the male facial patterns to a softer, feminine appearance. The differences between male and female facial features vary with age, ethnicity and how early hormonal therapy was started.

The most feminizing procedures include advancing the hairline, lifting the brow and flattening the supraorbital rims. Many patients also choose rhinoplasty to re-sculpt the nose, straighten the bridge and refine the tip. If necessary a tracheal shave and jaw contouring will soften the facial appearance even more. Cheek and lip enhancements can give both a rounder and smoother appearance. Subtle cheek augmentation could entail inserting a small implant underneath the skin or volumizing the area with dermal fillers. Lip work could include either a lip lift, which shortens the upper lip, and the use of fillers or fat transfer injections for plumping the lip.

Cosmetic Procedures – Please check with your insurance to see if you are covered for the procedures below:

  • Brow reduction
  • Brow lift
  • Facelift
  • Forehead reduction/contouring
  • Rhinoplasty – Nasal contouring
  • Cheek bone augmentation or reduction
  • Mentoplasty – Jaw augmentation
  • Lip augmentation
  • Tracheal shave (Adams Apple excision)
  • Silicone Removal
  • Voice Surgery
  • Hair Restoration


Our medical providers are committed to ensuring that all patients have access to high quality, comprehensive medical and mental health care with compassion and sensitivity in a confidential setting, regardless of sexual expression or gender identity.
Let me know if you have any questions. Thank you.

Click here for LGBTQ Services


University of Miami is a fully accredited 560 bed hospital located in Downtown Miami, Florida. Patients undergoing genital procedures, including GAS (gender affirmation surgery), will enjoy the utmost privacy during their outpatient or inpatient procedures. A private room will be made available for inpatient procedures in our very modern, comfortable hospital. Our staff is very familiar with caring for a wide range of patients including celebrities, politicians, and royalty. Your privacy is our pleasure.


Patients under the age of 18 will need parental consent for genital procedures. For patients with Gender Identity diagnosis, our physician staff follows the guidelines of the World Professional Association of Transgender Health (WPATH). These guidelines are established to ensure that you are fully prepared for surgery. They recommend one/two referral letters prior to undergoing surgery. These letters must be from an experienced mental health professional, who you have worked with for over a year. Letters must state that gender affirming surgery is the correct course of treatment for the patient.

To find out more information or to set up an appointment, please call toll-free 866-GENDRUM, that’s 866-436-3786 or e-mail us at