Transfeminine Procedures

Guidelines and Fees

Additional Fees:

Taxi service (round trip between airport and hotel, hotel and hospital, hotel to Dr. Schechter’s office): $144.00

Orrington Hotel: $150-250 (rates may vary depending upon availability and time of year)

Private Nursing:

Private nursing is available after surgery, whether in the hotel or local housing. Dr. Schechter’s office will assist with coordinating, and additional charges will apply.


In order to help you understand Dr. Schechter’s requirements, the following information is provided as a guideline only. Specifics recommendations regarding your care will be made by Dr. Schechter.

Patients’ Weight and Gender Confirmation Surgery:

Certain risks and complications of surgery are increased in the overweight patient. In the morbidly obese, the operation will not be performed. In those individuals who are overweight, but not morbidly obese, the operation is still very difficult and the final results may be compromised. The final determination of whether or not surgery can be performed because of your weight will be determined at the time of your physical examination.

Hormones and Other Drugs:

We recommend that you discontinue taking hormones (except spironolactone) two weeks prior to and two weeks after surgery. Other medications which may cause prolonged bleeding should also be discontinued prior to surgery. Specific questions regarding medications will be addressed by Dr. Schechter prior to surgery.

Examples of medications to avoid before and after surgery:

  • Aspirin and aspirin-containing products
  • Ibuprofen and non-steroidal anti-inflammatory medications (NSAIDs)
  • Herbal supplements and medications
  • Certain vitamins (check with Dr. Schechter)
  • Anticoagulants/blood-thinners such as coumadin/warfarin, plavix, and lovenox


Smoking can result in poor healing, bad scars, and death of grafts and flaps.