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FTM Surgery » Surgeons

Dr. Dev Gurjala

Gender Surgeon in San Francisco

Dr. Dev Gurjala, MD is a board-certified plastic surgeon in San Francisco who works exclusively with transgender and non-binary patients. Before joining Align Surgical Associates in 2019, Dr. Gurjala performed gender surgery, microsurgery, and general reconstructive and aesthetic surgery for five years in the Kaiser Permanente system.

Dr. Gurjala performs both Top and Bottom Surgeries. He offers Double Incision, Buttonhole and Keyhole Top Surgery, as well as gender-affirming body and facial procedures.

  • Body Masculinization, areas of treatment: Chest and back, abdomen, flanks ("love handles"), hips, buttocks, inner and outer thighs.
  • Facial Masculinization: Forehead lengthening & augmentation, cheek augmentation, rhinoplasty, chin recontouring, jaw contouring, Adam's Apple augmentation.

Bottom Surgery in San Francisco

Metoidioplasty: Simple Metoidioplasty serves as the basis for all Metoidioplasty surgeries. The penis is created from the clitoris after it has been enlarged through the use of testosterone therapy. It is straightened and moved to a position that more closely approximates the position of a penis. The Full Metoidioplasty procedure also includes Vaginectomy, Urethral Lengthening and Scrotoplasty. Dr. Gurjala offers each of the different types of Metoidioplasty. He performs Vaginectom using excision and uses buccal mucosa for urethral reconstruction. Dr. Gurjala offers both saline-filled and solid silicone testicular implants.

Single Scar Phalloplasty (SSP): SSP is a variation of ALT Phalloplasty which uses a skin, fat and fascia flap from the thigh to the penis. The flap is pre-expanded using tissue expanders to allow for full wound closure without a skin graft. The result is less scarring compared to other Phalloplasty procedures. Urethral Lengthening and an erectile implant are optional.

Education & Memberships
Dr. Gurjala is board-certified by the American Board of Plastic Surgery, has fellowship training in Microsurgery from Stanford University and served as a Research Fellow at Northwestern's Laboratory for Wound Repair and Regenerative Medicine. In addition to his medical degree and undergraduate degree in Neurobiology and Cognitive Science, Dr. Gurjala also has a Master of Science in Engineering Design and Innovation. He is a member of the World Professional Association of Transgender Health (WPATH).

Surgery Requirements
Patients need to provide one (Top Surgery) or two (Phalloplasty) letters of support from mental health therapists, and a letter from your primary care physician or endocrinologist; must have been living in your desired gender for at least a year; must have been taking hormones for a year, unless clinically contraindicated. A mammogram is required for Top Surgery patients who are 50 years and older. Dr. Gurjala will operate on minors with parental consent.

Insurance & Medicaid
Dr. Gurjala accepts insurance and some managed Medi-Cal plans.

Surgery Consultations
Dr. Gurjala is available for phone and in-person surgery consultations. To book a consult, contact Dr. Gurjala's office and you'll hear back with more details.

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