Gender Affirming Surgeries

102 Pages·2017·31.03 MB·English

Gender Affirming Surgeries

Toby R Meltzer, MD
Scottsdale, Arizona
Biography
!  BS Louisiana State University Baton Rouge
!  MD Louisiana State University Medical School
!  General Surgery Residency, Charity Hospital of New Orleans
!  Plastic and Reconstructive Surgery, University of Michigan Medical
School
!  Fellowship in Burn Surgery, Wayne State University
!  Board Certification in Plastic Surgery and General Surgery
!  Assistant Professor of Surgery, Oregon Health Sciences University
(1990-1996)
!  Chief of Plastic Surgery at Veterans Administration Hospital of
Portland (1990-1995)
!  President, Oregon Society of Plastic Surgeons (1995-1997)
!  Private Practice, Eastmoreland Hospital Portland Oregon 1996-2003
!  Private Practice, Honor Health 2003-Present
Pre-operative Requirements
!  World Professional Association of Transgender
Health (WPATH)
!  Psychotherapy
!  Hormone Therapy
!  Real Life Experience
Hospitalization
!  Why? !  Why not?
!  Major surgery with life !  Reduced costs?
threatening risks
!  Self-insured
!  Regular after-care !  Insurers
!  Rapid treatment of !  Hospital acquired
complications complications
Hospitalization
!  Why? !  Why not?
!  Major surgery with life !  Reduced costs?
threatening risks
!  Self-insured
!  Regular after-care !  Insurers
!  Rapid treatment of !  Hospital acquired
complications complications
Greenbaum Surgical Specialty Hospital

Honor Health System
GENDER CONFIRMING
SURGERY FOR TRANS
FEMALES
Modern Vaginoplasty Technique
!  Penile Inversion
!  Clitoroplasty
!  Sensate Flap from
Glans of Penis
Modern Penile Inversion
Vaginoplasty
!  Penile Skin Vaginal Lining
!  Scrotum Labia Minora/Major
!  Glans Penis Clitoris
Embryologic Equivalents