What is Microvascular Phalloplasty?

By Dr. Michael Safir, reconstructive urologist, Los Angeles office What is microvascular phalloplasty, and how does it differ from other genital reconstructive surgeries? Microvascular phalloplasty is a surgical technique used to construct a neophallus, or new penis, using tissue from the patient’s body, such as the forearm, thigh, or abdomen. This approach is distinguished by: […]

Top 5 tips for choosing a gender-affirming surgeon

For transgender, nonbinary and gender-expansive patients, choosing a gender-affirming can be one of the most important health decisions they will ever make. But how do you know the surgeon you choose is the right one for your embodiment goals? Below is a list of tips to help guide you in the decision-making process and find […]


Align Surgical Associates’ active research program is unique among private surgical practices. We sat down recently with Align’s first research director, Dr. Arya Akhavan, to find out more: 1. Introduce yourself and tell me about your role. I’m a plastic surgeon who took a break from my residency training to dive fully into research. I […]

Considerations for Single-Scar Phalloplasty

What is single-scar phalloplasty?   Phalloplasty is a complex gender-affirming procedure that creates or reconstructs a penis for transgender men. This type of surgery has a lot of parts to it, and it may come with complications, which makes it a challenging procedure to do well in medicine.   Phalloplasties have traditionally required patients to […]

Introducing Robotic Vaginoplasty

By Dr. John Henry Pang, plastic and reconstructive surgeon and Dr. Thomas Satterwhite, plastic surgeon We are excited to begin offering a new option in genital (bottom) surgery: robotic peritoneal pull-through – or “PPT” – in 2024. We know that this procedure is generating a lot of buzz right now, which means there is also […]

How Common is Post-Surgical Regret? Setting the Record Straight

Recently, Dr. Jedrzejewski and Dr. Safir hopped on Instagram Live to discuss the prevalence of post-surgical regret. In this conversation, Dr. Jedrzejewski shares details about a recent study she co-authored about surgical regret in gender-affirming surgery, and both doctors discusscommon misconceptions. Check out the Instagram Live video below to learn more! https://www.youtube.com/watch?v=E1q5V7teGfg Facebook Twitter LinkedIn

Fertility Considerations for Gender-Affirming Bottom Surgery Patients

Despite the common misconception that transgender people do not wish to have biological children, about 19% of transgender U.S. adults are parents. While most genital or “bottom” procedures alter or eliminate the ability to conceive children, fertility is possible for transgender and nonbinary individuals. So, it is crucial that someone considering gender-affirming bottom surgery discuss […]

2023 Conference Wrap-Up

It’s been an exciting year in the gender-affirming care and surgery space! With all the conferences we’ve attended, here are some quick takeaways from the team:   The Align team out to dinner after a successful day at the 2023 USPATH Scientific Symposium! Dr. Satterwhite: There are so many of us fighting for the well-being of our […]


We’re so excited about our new Santa Monica location serving Southern California! Our Los Angeles team offers a full array of gender-affirming procedures for transgender, nonbinary and gender-diverse individuals. Meet the team Dr. Mittermiller, Adelina and Dr. Safir at Align Surgical’s Los Angeles office. Dr. Michael Safir is a board-certified reconstructive urologist specializing in the […]


We are excited to welcome Breanna Y. Jedrzejewski, M.D., M.P.H, to Align Surgical. Dr. Jedrzejewski is a reconstructive plastic surgeon specializing in gender-affirming surgical procedures for the face, body, chest or “top” and genital or “bottom” areas. She is based at Align Surgical’s San Francisco office and sees patients from around California and beyond. Dr. […]


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