Gender dysphoria, or unhappiness with one’s gender, is a medical condition in which a person manifests the desire to live as a member of the opposite sex. People with gender dysphoria take steps to live full-time in the opposite sex role. There are many prerequisites that must be met before a person can be considered for gender reassignment surgery, including: a true diagnosis of gender dysphoria, surgery recommended by two mental health professionals specializing in gender identity issues, hormone therapy for a minimum of one year, living in a gender role congruent with their gender identity for at least one year, be emotionally stable, and be medically healthy.

*Once a person has been diagnosed with gender dysphoria and has successfully met the prerequisite criteria for surgery, he or she may choose to undergo gender reassignment surgery.

Hysterectomy/Bilateral salpingo-oophorectomy (BISO)

Dr. Amy Brenner and Dr. Joseph Franzese perform both hysterectomies and bilateral salpingo-oophorectomies for females transitioning to the transgender male role.  Hysterectomy is the removal of the uterus. Bilateral salpingo-oophorectomy (BSO) is the removal of both ovaries and fallopian tubes. Some transgender men desire to have a hysterectomy/BSO because of a discomfort with having internal female reproductive organs…despite the fact that menses usually cease with hormonal therapy. Some undergo this as their only gender-identity confirming ‘bottom surgery.’ In other cases, sterilization may be required by the state in order for the sex marker on official documents to be changed.

*Please call members services of your insurance company for individual coverage requirements.  Following are links that have been provided to us regarding gender reassignment surgery policies:

United Health – There is currently no “company wide” policy – based per policy


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