Gender-affirming Surgery

The plastic and reconstructive surgery team at Virginia Mason offers gender-affirming surgeries, both transmasculine and transfeminine procedures, with a talented team of board-certified surgeons.

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.

Breast Augmentation (Male to Female/Transfeminine procedure) is a gender-affirming, feminizing surgery that creates or enlarges one’s breasts. There are different options for augmentation, including saline and silicone implants, that Dr. Schmitt will discuss with you, along with your current shape and body type, to provide you with an expected postoperative result.

Additionally, surgeries and procedures such as liposuction can be combine to help contour and create better definition.

Preparing for Your Visit

Please carefully read and understand your health care insurance policy’s coverage. Because insurance policies vary, we do not always know what your policy may require prior to a consultation, such as a referral for specialty care. To learn what your insurance company provides, please contact your insurance company directly or visit our list of insurance plans accepted at Virginia Mason.

Prior to scheduling time with a surgeon, please find a checklist that you may print at home and utilize to collect all of the information needed at your first consultation. We require any patient interested in trans-related medical services, to establish care and be actively working with a behavioral/mental health professional. 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.

To help you get started, we require a letter from your behavioral/mental health professional specifying the following information:

  1. Your general identifying characteristics.
  2. Results from your psychosocial assessment, including any diagnoses.
  3. The duration of your professional relationship with your behavioral health provider, including the type of evaluation and therapy or counseling to date.
  4. An explanation stating the criteria for surgery have been met, along with a brief description of the clinical rationale for supporting your request for surgery.
  5. A statement indicating informed consent, to share this information with other health care providers, has been obtained from you.
  6. A statement ensuring your behavioral health professional is available for coordination of care and welcomes a phone call to establish this relationship with us.

If you do not have a relationship with a behavioral health professional yet, we recommend contacting your primary care provider to help you find a trans-welcoming behavioral health provider.

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

Request a Cosmetic Services Consultation


Some patients feel overwhelmed with all of the information available online. As it can be challenging, we have developed a list of resources below that can help direct you to professionals in your area.

This is a list of professionals that have self-identified as working with the LGBTQ community. We do not screen these providers and cannot guarantee your experience. We recommend that you research all services and providers before services are rendered.