Educational Resource

Gender-Affirming
Surgery Options

An overview of available procedures and how EURA can support you in the process.

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Overview

Surgery as a Path to Affirmation

Gender-affirming surgery encompasses a range of procedures designed to align a person's physical body with their gender identity. Not every transgender or non-binary person pursues surgery, and there is no single correct path. This page is meant as an educational overview of the types of procedures that exist, along with information on how EURA can support you in the process.

Types of Procedures

Common Gender-Affirming Surgeries

The following is a general overview. All surgical decisions, risks, and planning should be discussed directly with a qualified surgeon.

Chest Surgery

Top Surgery (Masculinizing)

Removal of breast tissue and contouring of the chest to create a masculine appearance.

Breast Augmentation (Feminizing)

Use of implants or fat transfer to enhance breast size and shape.

Genital & Pelvic Surgery

Feminizing Bottom Surgery

Procedures such as vaginoplasty, vulvoplasty, and orchiectomy.

Masculinizing Bottom Surgery

Procedures such as phalloplasty, metoidioplasty, hysterectomy, and oophorectomy.

Facial & Other Procedures

Facial Feminization Surgery (FFS)

Reshaping facial features to appear more traditionally feminine.

Facial Masculinization Surgery (FMS)

Enhancing masculine facial contours.

Tracheal Shave & Voice Surgery

Reduction of the Adam's apple or alteration of vocal cords to change pitch.

How EURA Can Help

Supporting your journey — within Eura's scope of care.

What We Offer
  • Supportive counseling and discussion of your surgical goals
  • Letters of support for surgeons and insurance authorization
  • Referrals to qualified, affirming surgeons
  • Coordination with your existing care team as needed
What to Expect
1
Consultation

Ted talks through your goals, timeline, and what documentation you may need. No judgment — just support.

2
Letter of Support

If clinically appropriate, Eura provides a letter of support for your surgeon or insurance company.

3
Surgeon Referral

Eura connects you with affirming, qualified surgeons. All procedure-specific questions are best directed to them.

Common Questions

Frequently Asked Questions

Do I need a letter from EURA to get surgery? +

Most surgeons and insurance companies require one or two letters of support from a qualified clinician. EURA can provide these letters and aims to make this process as straightforward as possible.

Will my insurance cover gender-affirming surgery? +

Many major insurance plans and Medicaid in New York cover medically necessary gender-affirming surgeries. Coverage varies by plan and procedure. It is recommended to contact your insurance directly to verify your benefits before committing to surgical planning.

Do I need to have been on hormones first? +

Requirements vary by surgery and surgeon. Some procedures (like chest surgery) do not require prior hormone therapy. Others may have minimum duration requirements. Ted will discuss your specific situation and goals during your consultation.

What if I change my mind after starting the process? +

You can pause or stop the process at any time. There is no obligation once you begin a consultation. Eura follows an informed-consent model — your autonomy is central to everything Eura does.

How quickly can EURA provide a letter of support? +

Timeline varies depending on your situation and the requirements of your surgeon or insurance company. Eura aims to complete the process as efficiently as possible and does not create unnecessary delays.

A Note on Surgical Questions

EURA's role is to support your readiness, provide documentation, and connect you with the right surgical team. Specific questions about surgical technique, operative risk, recovery, and outcomes are best answered by your surgeon directly. Once you are referred, your surgeon and their team will be your primary point of contact for all procedure-specific questions.

Need a Letter or a Referral?

If you are considering surgery and need a letter of support or help finding an affirming surgeon, reach out and Eura will get you started.