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Services and Providers

Gender Expansive/Non-Binary Procedures  |  Transfeminine Procedures   |   Transmasculine Procedures   |   Providers


Our providers provide individualized surgical treatment options that may include full or modified procedures traditionally referred to as “transfeminine” or “transmasculine” (see below). We also provide primary care and consultation for those seeking support for healthy living in all gender identities and sexual orientations.  

At the Saint Francis Memorial Hospital Gender Institute we offer:

Gender Expansive/Non-Binary Procedures

Individualized Surgical Options

  • Breast augmentation
  • Genital surgery
  • Hysterectomy with or without ovaries
  • Nullification
  • Orchiectomy
  • Orthognathic/facial surgery
  • Penile preserving vaginoplasty
  • Top surgery
  • Tracheal surgery
  • Vaginal preserving metoidioplasty
  • Vocal cord surgery

Transfeminine Procedures

  • Brow Lifts
  • Facelift, neck lift, brow lift, blepharoplasties
  • Forehead Contouring
  • Genioplasty (chin contouring)
  • Jaw Contouring
  • Masseter reduction
  • Rhinoplasties
  • Revision rhinoplasties
  • Scalp advance
  • Tracheal shave (Chondrolaryngoplasty)
  • Tracheal augmentation

Voice Feminization Surgery

  • Feminization (laryngoplasty)
  • Vocal folds shortening and retrodisplacement of anterior commissure (VFSRAC)

Chest Surgery

  • Breast augmentation

Genital Surgery

  • Vaginoplasty
  • Clitoral reconstruction
  • Laparoscopic peritoneal pull-through flaps with vaginoplasty
  • Labial reconstruction; labioplasty
  • Monsplasty
  • Orchiectomy
  • Penectomy
  • Penile inversion
  • Penile preservation vaginoplasty
  • Prolapse repair
  • Robotic laparoscopic surgery
  • Urethral reconstruction
  • Vaginal stenosis repair
  • Vulvoplasty

Body Contouring Procedures

  • Body feminization surgery

Revision Surgery

  • Fistula repair
  • Vaginal revision surgery

Transmasculine Procedures

Chest Surgery

  • Buttonhole
  • Double incision (with or without free nipple grafts)
  • Fishmouth
  • Keyhole
  • Mastectomy (“top surgery”)
  • Periareolar

Genital Surgery

  • Glansplasty
  • Laparoscopic hysterectomy
  • Laparoscopic ovary removal
  • Metoidioplasty
  • Monsplasty
  • Phalloplasty (performed with microsurgeon)
  • Phallus reconstruction
  • Robotic laparoscopic surgery
  • Scrotal reconstruction
  • Scrotoplasty
  • Simple and complete metoidioplasty
  • Testicular and penile implants
  • Urethroplasty 
  • Urethroplasty/ urethral lengthening
  • Vaginectomy

Body Contouring

  • Body masculinization 

Facial Surgery 

  • Rhinoplasty
  • Revision rhinoplasty
  • Chin augmentation
  • Forehead/brow augmentation
  • Jaw augmentation
  • Tracheal augmentation

Genital Surgery Revision

  • Fistula repair
  • Revision surgery

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Gender Affirming Surgeons

Heidi Wittenberg, MD - Surgery, Medical Director, Gender Institute
Dr. Wittenberg is board certified in obstetrics and gynecology, female pelvic medicine and, reconstructive surgery. She specializes in urogynecology and reconstructive pelvic surgery, working exclusively with trans-patients. She is the founding surgeon for Center of Excellence In Minimally Invasive Surgery at CPMC.  She is the Founding surgeon and Co-Director of Center of Excellence in Gender Confirmation Surgery at Greenbrae Surgery Center. She was awarded Master Surgeon honor by the Surgical Review Corporation. She is the Medical Director of The Gender Institute at Saint Francis Memorial Hospital. 

Adam Bonnington, MD

Alexander Facque, MD

Anandev Gurjala, MD

Min Jun, DO

Ellie “Zara” Ley, MD
Dr. Zara Ley is an accomplished and well recognized plastic surgeon specializing in gender affirming surgery. She is proud to serve her community by offering comprehensive gender surgical services through the Gender Confirmation Center in San Francisco.

Dr. Ley completed medical school at New York Medical College after immigrating to the US from Mexico. She completed full general surgery residency at the University of Arizona then finished plastic surgery subspecialty degrees that include craniofacial and pediatric plastic surgery at Primary Children’s Hospital in Salt Lake City, Utah, hand surgery and microsurgery at the University of Southern California in Los Angeles, and a plastic surgery fellowship at the University of Utah. After two years of academic surgery where she shared her knowledge and experience with medical students, residents, and fellows, she moved back to Arizona. There she met internationally renowned gender surgeon Dr. Toby Meltzer who felt that her vast experience and skill set would make her an ideal surgeon to take under his wing and teach her the art of gender surgery. These were her defining and formative years as a gender surgeon where she discovered that serving her community in this privileged and blessed position would become ever fulfilling and deeply satisfying. 

Dr. Ley is passionate and devoted to helping transmasculine, transfeminine, and nonbinary persons to reach their goal of aligning their bodies with their genuine sense of self and identity. She also hopes to serve as a positive role model to not only those in the LGBTQ+ community as a transgender professional but also by representing gender, ethnic, and immigrant inclusivity and diversity in the medical field.

Bounmany "Kyle" Keojampa, MD

Walter Lin, MD 
Dr. Lin is a board certified plastic surgeon who specializes in reconstructive microsurgery and hand surgery. Dr. Lin completed his undergrad at the Massachusetts Institute of Technology (MIT) in Neuroscience and completed medical school at the Health Sciences & Technology program from Harvard Medical School. He then attended UCSF for his residency in plastic and reconstructive surgery, followed by a fellowship in hand, microvascular, and transgender surgery at The Buncke Clinic in San Francisco.

Charles Moser, PhD, MD 
Dr. Moser is board certified in Internal Medicine, HIV Medicine, and is a Fellow of the European Committee of Sexual Medicine (FECSM). He received his PhD in Human Sexuality from the Institute for Advanced Study of Human Sexuality and his MD from Hahnemann University (now Drexel University). He completed his internal medicine internship at Mt. Zion/UCSF and his internal medicine residency at St. Mary’s Medical Center, both in San Francisco. Dr. Moser focuses his practice on Sexual Medicine (the medical aspects of sexual concerns and the sexual aspects of medical concerns).  Dr. Moser has been helping sexual and gender diverse individuals attain their goals and manage their problems since 1994. He is also a Licensed Clinical Social Worker in California and maintained a private psychotherapy practice specializing in the treatment of sexual and gender concerns prior to his medical career.

Angela Rodriquez, MD

Thomas Satterwhite, MD
Dr. Thomas Satterwhite obtained his Bachelor’s Degree (Human Biology with Honors) and Medical Degree at Stanford University in Palo Alto, CA.  He remained at Stanford Hospital to complete his residency in Plastic & Reconstructive Surgery.  His expertise in facial surgery was further refined with the completion of a craniofacial fellowship in Miami, FL under the tutelage of Dr. S. Anthony Wolfe.  Dr. Satterwhite has presented nationally and internationally in plastic, reconstructive, craniofacial, and gender affirming surgery with more than 80 podium presentations over the years; and he has authored more than 50 peer-reviewed research articles and book chapters.  He’s heavily engaged in numerous international and national organizations including the World Professional Association for Transgender Health and the American Society of Plastic Surgeons.  He is a peer reviewer for several well-respected journals including the Journal of Plastic and Reconstructive Surgery and the Journal of Aesthetic Surgery.  He has mentored numerous medical students, residents, surgeons, and other trainees who have visited his practice.  Dr. Satterwhite has performed the full spectrum of gender affirmation surgical care in a private practice setting in San Francisco, CA since 2014.  Dr. Satterwhite, and his surgical colleagues Dr. Dev Gurjala and Dr. Angela Rodriguez (who comprise Align Surgical Associates, Inc.), provide comprehensive care in all aspects of gender affirming surgery for transmen, transwomen, non-binary, and gender diverse individuals.

Katherine Yung, MD - Otolaryngology
Dr. Katherine Yung specializes in the care of the professional voice, transgender voice, as well as voice, swallowing, and airway disorders. Dr. Yung and her team carefully evaluate each patient, perform the necessary testing, diagnose, and treat every patient in a personalized, holistic approach. Her office, San Francisco Voice and Swallowing, offers state of the art testing for laryngeal disorders, behavioral treatment for voice and swallowing complaints, office based laryngeal surgery, minimally invasive microlaryngeal surgery, open laryngeal framework surgery, gender-affirming voice and speech therapy, and gender-affirming voice and laryngeal surgery.

Gender Affirming Provider

Lin Fraser EdD, Gender Affirming Provider


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