Gender Reassignments

Gender Reassignment Surgery

Please note that Dr. Bram Kaufman does not currently provide genital reassignment surgery. Bodily surgeries, including facial feminization surgery, are available. Please see our surgical gender reassignment surgeries below.

Gender reassignment procedure aims to alter the physiological appearance of the patient in accordance with the gender they identify with. This procedure may be performed on individuals who are either male, but have been identified as female, or female, who have been identified as male.

Gender reassignment surgery can help patients who may have less developed or fully developed breasts. It allows for a change of breasts from one gender to another, depending on the patient’s actual sexual orientation. Following a diagnosis, the patient will have to undergo a three stage treatment program, involving hormone therapy, real life test, and sex reassignment surgery.

Hormone Therapy

Hormone therapy will involve androgen hormone delivery for biological females changing to male, and delivery of estrogen, progesterone, and testosterone blocking hormones for biological males changing to female. The therapy may continue for about 12 months, and is usually accompanied by a Real Life Test.


Patients may choose to receive cosmetic surgeries such as buttock and thigh lift, liposuction, and abdominoplasty.

Our practice is currently in the process of the developing a team to perform the “bottom” surgeries which will require collaboration between multiple departments such as gynecology, urology, plastic surgery and others. Cosmetic procedures we currently perform include breast augmentation, liposuction, rhinoplasty, facial bone construction, cheek implants, brow lift, lip augmentation, chin recontouring, jaw recontouring, and eyelid surgery.

Vocal cord surgery or voice training may also be a part of the elective procedures to accomplish an adequate gender transformation.

Impact of Hormone Therapy

With gender reassignment hormone therapy, biological males can expect breast growth, reduction of body hair and fat redistribution in certain areas. Biological females can expect an increase in body and facial hair, weight gain, heightened sexual appetite, and a heavier voice.

To learn more about cosmetic treatment and procedures or to schedule a consultation by Cleveland Ohio area plastic surgeon, Dr. Bram Kaufman, please contact us at  1-216-778-2245 or click here.