Services We Provide

• Well child checks and vaccinations
• Immunizations, including flu shots
• Sports and school physicals
• Asthma
• Weight loss management
• Hearing and vision screening
• ADHD assessments
• Mental health evaluation
• Psychiatric medication management
• Ongoing consultation between mental health and endocrine providers
• Menstrual suppression (stopping unwanted periods)
• Puberty blockers (ways to stop puberty hormones)
• Gender-affirming hormone therapy, both initiation and management
• Referrals for more resources in the community
• Working with outside providers and other agencies
• Working together with schools

• Gender-affirming hormone therapy, both initiation and management

• Facial brow feminization or masculinization. Forehead contouring is a surgical procedure that reduces and contours the forehead (frontal sinus setback) to create a more feminine appearance, or to add contour for a more masculine appearance. Brow lift is a surgery that raises and shapes the eyebrows into a more feminine position on the face and helps to eliminate wrinkles on the forehead and frown lines between the eyebrows and around the eyes. This is often performed in conjunction with or as part of a contouring procedure for both bone and soft tissue reconstruction. 
• Eyelid surgery/blepharoplasty is a surgical procedure that helps improve the appearance around the eyes, upper or lower lids, and addresses the contours around the eyes. When bone is recontoured around the eyes, often the overlying eyelids need to be addressed to maintain a natural appearance.
  
• Facial implants can help to enhance areas on the face including the cheek, chin with a surgical procedure that involves placing implants under the skin to provide a contoured appearance. These are often used in combination with non-surgical injections, depending on the patient’s existing features and desired look.
  
• Nose surgery/rhinoplasty is a surgery that reduces the size of the nose and reshapes the nose to appear more feminine and work in harmony with your facial features.
  
• Lip lift and/or augmentation is a procedure that alters the way the upper lip and teeth show during smiling. This helps to match the correct ratios between the lip and nose for balance and natural appearing results and to correct for differences in lip volume and position by gender.
  
• Jaw contouring is a surgical procedure that reduces the edge of the jaw bone and the muscles along the jaw to provide a smoother, rounder jawline and a more feminine appearance, or to add volume and angularity for a more masculine appearance.
  
• Face and neck lift is a surgical procedure that address the underlying facial muscle and tissue to lift and provide a natural transition, sometimes combined with other gender-affirming surgeries, particularly along the jaw line to redrape the skin over the altered jaw and neck.

Voice feminization or masculinization therapy is a service to help adapt one's voice and communication patterns to be congruent with the gender identity that reflects one's sense of self. Voice therapy does not involve laryngostroboscopy (an examination of the vocal folds).

• Voice evaluation with a speech pathologist
• Voice therapy targeted, but not limited to altering resonance, vocal quality, intonation, and breath control

• Preventative care and annual exams, pap smear and breast exams
• Management of chronic health conditions, including cancer, endometriosis, pelvic and vaginal infections, incontinence
• Contraception and preliminary infertility evaluations and treatments, including non-feminizing options
• Hysterectomy—a surgery that removes all or part of the uterus, sometimes the ovaries and/or fallopian tubes
• Salpingo-oopherctomy—a surgery that removes the ovaries and fallopian tubes
  • A hysterectomy and salpingo-oopherctomy can be performed separately or combined, depending on the patients choice and medical history.
• STD diagnosis and treatment
• Pre-exposure prophylaxis (PrEP) for HIV prevention
• Revision surgery
• Surgical sterilization via tubal ligation
• Post-vaginoplasty issues in MTF

• General infectious diseases such as skin and soft tissue infections, bone and joint infections, endocarditis, post-operative infections, urinary infections, gastrointestinal infections, including C. difficile, and fever of unknown origin.
• HIV care
• Hepatitis B and C
• Exposure to blood borne pathogens
• STD diagnosis and treatment
• Pre-exposure prophylaxis (PrEP) for HIV prevention
• Infections associated with medical devices and procedures
• Infections in immunocompromised patients, including those with cancers and organ transplants

• Chest surgery/top surgery—a gender-affirming, masculinizing surgery that removes breast tissue and forms remaining tissue to create a more masculine appearance.
• Body contouring procedures, including liposuction and tummy tuck

• Preventative care and prostate cancer screenings
• Management of chronic health conditions including cancer, kidney stones, urinary incontinence, overactive bladder and sexual dysfunction
• Orchiectomy—a surgical procedure that removes the testicles

To help integrate our surgical care options and capture your authentic gender expression, we have a strong awareness of the aesthetic qualities associated with gender, and offer additional non-surgical options.

• Dermal fillers, Botox and Kybella
• Laser hair removal

Feminizing hormone therapy is used to help develop the female secondary sex characteristics and suppress the male secondary sex characteristics.

Masculinizing hormone therapy is used to help develop the male secondary sex characteristics and suppress the female secondary sex characteristics.

If there you have an autoimmune diseases and have concerns about hormone therapy, our Rheumatology team can help work with you to manage those health concerns.

PrEP, pre-exposure prophylaxis, is a pill taken daily that is used by people who are HIV-negative to prevent HIV infection.

We offer revision surgery for patients that have had a previous surgery and may be unhappy with their results or are experiencing pain. Our providers will discuss options on a case-by-case basis.