Gender Confirmation Center

Gender Confirmation Center You deserve to feel at home in your body. genderconfirmation.com Every person is an individual and every transformation is unique. We look forward to meeting you!

Years of work by leaders in the transgender community have led to sensible guidelines to help patients and their doctors make good decisions. Ultimately every decision needs to be personalized to each patient. The best choice of procedure, how and when hormones are appropriate, and which other care providers should be involved in surgery decisions are all areas which are tailored to your situation

. Principles of responsibility always prevail, though of course one approach may be right for one Female-to-Male Surgery or Male-to-Female Surgery patient but may not work well for another. We work alongside you and your professional support system to maximize safety and responsibility, ultimately keeping your personal goals in mind at all times. Take a look around and educate yourself and then whenever you’re ready for the next step, please contact us for an in-person or a virtual consult. If you see anything about this gender confirmation surgery website that can be improved please tell us! The world of transgender surgery treatment is ever-evolving, and we strive to remain sensitive and up to date.

Before and after results from an upper blepharoplasty performed by Dr. Karamanos ✨This procedure is designed to address ...
05/29/2026

Before and after results from an upper blepharoplasty performed by Dr. Karamanos ✨

This procedure is designed to address excess upper eyelid skin and create a more refreshed, open appearance while still looking natural and like yourself.

Medical tattooing and microneedling are common parts of the surgical journey and are often a patient’s final step in ach...
05/27/2026

Medical tattooing and microneedling are common parts of the surgical journey and are often a patient’s final step in achieving their desired results.

TATTOOS:
A ni**le and ar**la tattoo is common for top surgery patients whose ni**les have either been removed during surgery or for those who would like to alter the size, shape and color of their ni**le grafts. Tattooing can also be used to recolor phalloplasties, conceal scars and increase the appearance of hair density on the scalp.

MICRONEEDLING:
Microneedling is an inkless tattoo needle therapy that can help with scar discoloration and flattening; in the case of scar tattooing, microneedling can make the tissue better able to accept the ink. Below you can find a list of before and aftercare guidelines for these services.

If you are interested in making medical tattooing or microneedling a part of your surgical journey, we have a list of three expert, trans-friendly artists that have worked successfully with GCC patients in the past on our website. Check it out >> https://bit.ly/4uuSlvB

One of the most common and effective techniques is the double incision top surgery with free ni**le grafting.Patients ch...
05/26/2026

One of the most common and effective techniques is the double incision top surgery with free ni**le grafting.

Patients choose this procedure because it accommodates larger breast sizes, excess skin, and significant tissue ptosis. It allows surgeons to safely remove all excess breast tissue while giving patients customizable control over the chest contour, ar**la resizing, and ni**le placement.

Surgery performed by Dr. Jacobs 💗

Not sure which top surgery procedure may be the best fit for your anatomy and goals?The Mosser Method is designed to hel...
05/22/2026

Not sure which top surgery procedure may be the best fit for your anatomy and goals?

The Mosser Method is designed to help patients better understand which incision types they may qualify for based on chest anatomy, desired results, and ni**le sensation goals. From keyhole and periar**lar to double incision and buttonhole procedures, there are multiple approaches depending on the individual.

Learn more at genderconfirmation.com ✨

According to the World Health Organization, transgender individuals are 13 times more likely to be HIV-positive than cis...
05/20/2026

According to the World Health Organization, transgender individuals are 13 times more likely to be HIV-positive than cis adults of reproductive age.

Expanding access to affirming healthcare, education, and prevention resources is critical for supporting the health and wellbeing of our trans communities.

Our In Session events aim to do just that. We want to see resources for EVERYONE, EVERYWHERE.

Awareness matters. Access matters. Compassionate care matters. Keep the conversation going 🏳️‍⚧️

Feat. Dr. Karamanos at our most recent event, In Session: LA

Dilation is an essential part of recovery after vaginoplasty and plays a key role in maintaining the depth and width of ...
05/15/2026

Dilation is an essential part of recovery after vaginoplasty and plays a key role in maintaining the depth and width of the vaginal canal over time.

This blog post explains when patients begin dilating, how often it’s typically done during the first year of healing, and why consistency is important for long-term results.

Learn the essential dilation schedule and tips after vaginoplasty at Gender Confirmation Center. Expert advice for successful recovery and results.

Here are results from a Dr. Jacobs patient who underwent a double incision top surgery with free ni**le grafting.Photos ...
05/14/2026

Here are results from a Dr. Jacobs patient who underwent a double incision top surgery with free ni**le grafting.

Photos show the patient 22 months after surgery, highlighting long-term healing and scar maturation ✨

05/13/2026

In this segment of In Good Hands, Dr. Facque explains why liposuction limits are based less on the amount of fat removed and more on the amount of tumescent fluid used during surgery.

“I always felt safe and respected by my surgeon and the staff. Using my name and pronouns, and making sure I was comfort...
05/08/2026

“I always felt safe and respected by my surgeon and the staff. Using my name and pronouns, and making sure I was comfortable every step of the way. I knew they had my back.

Top surgery was a life-changing experience in the best way. I am so so so much more at home and at ease in my body and feel more comfortable in my clothes as well. No doubts and zero regrets, I truly believe it saved my life and I feel like I got a second chance to enjoy the life I’m living.”

— Logan, 31 (they/them)
Double incision with free ni**le grafts by Dr. Scott Mosser 💗

05/06/2026

"I had a really great experience with the GCC. Responses were timely, appointments were efficient and professional, and I was very well taken care of throughout my time. I highly recommend my surgeon, Dr. Mosser. Even early on in my recovery, I am very satisfied!

Additionally, the support staff is incredibly well-educated and personable. The medical assistant who helped me out, Alex, relayed so much information to me in a way that was easy to understand. They are absolutely incredible and I was so lucky to work with them!

Thank you, Alex, Dr. Mosser, and GCC!"

Maddie 💗

Dr. Wes is known for his hockey-stick double incision surgeries. The curvature of the scar lines and the amount of tissu...
04/30/2026

Dr. Wes is known for his hockey-stick double incision surgeries. The curvature of the scar lines and the amount of tissue left behind is something that each patient is able to personalize.

When you book your free consultation, you'll be able to talk through these details with a board-certified surgeon at GCC and they'll guide you along to which type of surgery is right for you ✨

Address

450 Sutter Street, Ste 1010
San Francisco, CA
94108

Opening Hours

Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm
Friday 9am - 5pm

Telephone

+14157801515

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