Align Surgical Associates is a gender-affirming surgery practice that specializes in serving transgender, nonbinary, gender-diverse, and gender-nonconforming patients. With offices in San Francisco and Los Angeles, California, our practice brings together surgical expertise, compassionate care, and deep respect for the people who place their trust in us.

Get To Know Align

Click on the links below to learn more about our practice.

Dr. Gurjala speaking with a patient during a consultation in a medical exam room
Six surgeons. Two locations. One specialized focus.

Some surgeons "offer" gender-affirming surgery among many other services. For Align, it's the center of our life's work. Our 6 board-certified surgeons have committed themselves wholly to gender-affirming care and research. This means we aren't just helping patients reach their embodiment goals; we are helping to make their care better—better understood, better supported, and performed in the best way possible. Meet the specialists behind the transformations.

Our Mission

Our mission is to provide gender-affirming care with excellence and a genuine human connection.

What We Stand For

Three core values guide our practice:

Kindness

We believe all people deserve to be treated with respect, care, and dignity—without exception.

Authenticity

We care about getting to know you, connecting with you, and being real with you.

Innovation

We continuously refine our techniques through research, experience, and collaboration.

Our Values in Action

We listen.

We take the time to understand your goals and tailor your surgical plan to you.

We are present.

From consultation through recovery, we remain accessible, responsive, and engaged in your care.

We advocate.

We actively support our patients and the broader LGBTQIA2S+ community through education, mentorship, and outreach.

Our community involvement includes speaking engagements and faculty positions, sponsorships, internships, volunteer work, and philanthropy in support of the LGBTQIA2S+ community.

Our Commitment to You.
  • We lead with your goals and make decisions—together.

    Your plan starts with what matters most to you, such as function, sensation, privacy, recovery realities, and your day-to-day life.

  • We give honest recommendations.

    We'll be transparent about what a technique can and can't reliably do for your anatomy and priorities, and we'll explain why we're recommending a particular approach.

  • We treat the whole person.

    We don't reduce care to a single concern or body area. We look at your goals, your comfort, and what's safest and most supportive for you overall.

  • We prioritize privacy, dignity, and emotionally safe care.

    We understand that many patients come in with complex past healthcare experiences and strive to create an environment where you always feel respected, welcomed, and seen at every step.

  • We're built for gender-affirming care.

    Gender-affirming surgery isn't a side offering at Align—it's our life's work.

  • We evolve with the community.

    Care and language change over time. We are dedicated to staying current, listening, and adapting.

What Sets Align Apart

Align Surgical Associates is one of the few private practices in the United States dedicated exclusively to gender-affirming surgery. Our surgeons bring highly specialized, interdisciplinary expertise across facial, chest, body, and genital procedures—including advanced techniques not widely available elsewhere.

This focus allows for a deeper understanding of anatomy, function, and long-term outcomes, resulting in more precise surgical planning, more nuanced decision-making, and better-informed patients.

Research and Innovation

Our research directly informs how we operate. By studying surgical outcomes and patient-reported experiences, we refine our techniques, improve recovery protocols, and better understand long-term results. This continuous feedback loop allows us to deliver care that is not only current but evolving.

Align Surgical Associates FAQ

What makes Align different?

Align focuses exclusively on gender-affirming surgery. Our practice brings together interdisciplinary expertise, ongoing research, and a deep commitment to treating patients with dignity, respect, and individualized attention.

Who is part of the care team at Align?

Our team includes board-certified surgeons, physician associates, and other professionals who support our patients before surgery, during treatment, and throughout follow-up.

How does research support patient care at Align?

Our research helps us evaluate patient outcomes, refine surgical approaches, and strengthen how we support patients over time.

Take the Next Step

When you’re ready, we’re here to help. Request an in-person or virtual consultation using the online form or call Align Surgical Associates to get started. We are proud to provide gender-affirming surgery for San Francisco and Los Angeles patients, as well as those traveling from outside California.

San Francisco Office: (415) 530-5335

Los Angeles Office: (310) 751-5886

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