Surgery Information

In order to better understand the requirements and risks involved with gender confirmation surgery, Loren S. Schechter Plastic Surgery’s team of medical experts suggests reading the following surgery information. This material should be used as a guideline only. Specific recommendations regarding your care will be made by Dr. Loren Schechter.

Patients’ Weight

Certain risks and complications from plastic surgery are increased in overweight patients. For safety reasons, transfeminine gender confirmation surgery procedures will not be performed on morbidly obese individuals. In individuals who are overweight, but not morbidly obese, operating is still very difficult and the results may be compromised. The final judgement about whether or not surgery can be performed 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 that 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

Smoking can result in poor healing, bad scars, and loss of grafts and flaps. Patients are required to have a negative urine cotinine test one month prior to surgery. We recommend that you abstain from smoking after surgery while your body recovers.