Gender-affirming Surgery

The plastic and reconstructive surgery team at Virginia Mason offers transfeminine gender-affirming surgery with a talented team of board-certified surgeons. Our goal is to provide high-quality, affirming, and accessible care to trans and non-binary patients in a comfortable, inclusive environment.

Preparing for Your Visit

We accept most health insurance plans, however some do require an insurance approved authorization prior to scheduling a consultation with our providers. Please call your insurance company to ask if you need a referral to be seen as well as ensure you understand your policy’s coverage. To learn if we accept your insurance, please visit our list of insurance plans accepted at Virginia Mason. It is also helpful to understand the criteria your insurance policy uses to determine if you will be authorized for surgery.

Please review the information included in the First Visit Packet for the surgery you desire. To ensure we have a good understanding of your medial history, as well as ensure we can successfully navigating the insurance authorization process, we require all of the information in the First Visit Pack prior to scheduling your initial consultation.

First Visit Packet

In order to help achieve the best outcome for you from surgery, we feel having a relationship with a behavioral health provider will ensure you have the support and information you need throughout the process. The WPATH Standards of Care and most insurance companies do require patient establish care and be actively working with a behavioral/mental health professional. Please find samples of letters that will be needed from the Behavioral Health Provider and the Primary Care physician. We have worked with many insurance companies to identify the required elements in these letters and recommend patients share these with their care providers.

Securely upload gender affirming First Visit Packet documentation

When you have all of the information collect, please upload the forms using our secure form. We cannot accept partial packets or incomplete documents, please do not send unless it is complete. Once we receive your complete First Visit Packet, we will contact you to schedule a consultation with Alexandra Schmidek, MD.

If you have questions or want to inquire about other reconstructive surgery procedures, please call (206) 223-6831.

Services We Offer

Chest Reconstruction Surgery

Chest Reconstruction Surgery (Female to Male Surgery/Transmasculine procedure) is a gender-affirming, masculinizing surgery that removes breast tissue and reshapes the tissue to create the contour of a male chest. There are different surgical methods and taking into consideration current shape, body type, nipple size and position, Dr. Schmidek will discuss what options are available to provide you with an expected postoperative result.

Please see our Transgender Health Services Offered to learn more about body contouring and additional services at Virginia Mason.

Request a Cosmetic Services Consultation