Gender-affirming surgery is a significant step for many transgender, nonbinary, and gender-diverse individuals. At FOLX, we believe that this journey should be met with compassion, respect, and affirming care every step of the way. Whether you are exploring your surgical options or preparing for recovery, FOLX is here to support you in a healthcare environment that honors your identity and experience.
Our clinicians have supported people through top surgery and breast augmentation, bottom surgeries of many kinds, tracheal and facial surgeries, and more. From discussions with a FOLX clinician about surgery options to ordering pre-surgery lab work and from helping you plan for postoperative care to connecting you to community resources, FOLX specializes in providing personalized, gender-affirming care. We’re committed to helping you feel seen, supported, and empowered as you navigate your gender-affirmation process.
What is gender-affirming surgery?
Gender-affirming surgery refers to a variety of procedures designed to align your physical appearance with your gender identity. These surgeries can include chest or top surgery (mastectomy or breast augmentation), bottom surgery (such as vaginoplasty or phalloplasty), and facial feminization or masculinization surgeries, among others.
At FOLX, we know that navigating gender-affirming surgery involves many layers—physically, emotionally, logistically and financially. Our clinicians are not only experts in LGBTQIA+ healthcare but are also deeply committed to making sure you feel informed and supported, regardless of where you are in your surgical journey. Our entire team, from your clinician to our Member Navigators and Community moderators, is here to support you.
How can FOLX help prepare you for gender-affirming surgery?
Your FOLX team can help ensure that you’re fully prepared physically, emotionally, and logistically. Here’s how we can help:
- Education: Our Library and Community are packed with resources that can help you make decisions and feel more informed about your options, whether you’re considering top surgery, curious about facial feminization surgery options, wondering how long you have to dilate after bottom surgery, or something else.
- Pre-Surgery Consultations: Our clinicians provide pre-surgery consultations to make sure you’re ready for surgery. This can include everything from discussing your health history and current medications to exploring things like quitting smoking or any changes in your hormone therapy leading up to your procedure. We don’t offer in-person physical exams, but can help you set that up if you need it. Once you pick your surgeon, you will need to go through a pre-operative surgery clearance visit with them as well to ensure you are medically ready.
- Optimizing Your Health: Your FOLX clinician can guide you on optimizing your health before surgery, whether it’s through adjusting your hormone therapy, managing chronic health conditions, or improving your overall physical fitness.
- Referrals to Affirming Surgeons: FOLX can connect you to experienced, LGBTQIA+ inclusive surgeons who specialize in gender-affirming procedures. We will ensure you’re referred to a provider who respects your identity and offers compassionate care. Referrals are included as a part of your FOLX membership and taken care of by our LGBTQIA-specialized Member Navigation team, many of whom are in the community themselves.
- Mental Health Support: We understand that gender-affirming surgery can be an emotional process. If you want extra support, FOLX can get you set up with one of our therapists or refer you to other LGBTQIA+ affirming mental health professionals to help you navigate any feelings of anxiety, fear, or anticipation leading up to surgery.
- Letter Writing Services: For some surgeries, a letter of support from a clinician is required. FOLX clinicians can provide documentation affirming your need for surgery based on established WPATH (World Professional Association for Transgender Health) guidelines, ensuring that you have everything you need to move forward.
Post-Operative Care: How FOLX Supports You After Surgery
Recovery after gender-affirming surgery can be just as important as the procedure itself. FOLX clinicians are here to ensure you feel supported through every phase of your recovery:
- Post-Surgery Follow-Up: Our virtual care model allows you to check in with your FOLX clinician as you recover from surgery, offering guidance on managing pain, monitoring incisions, and ensuring that healing is on track. We’re here for you at any time, providing reassurance and care as your body heals.
- Hormone Therapy Adjustments: After surgery, your hormone therapy needs may change. FOLX clinicians can help adjust your hormone therapy as needed, making sure your body has the support it needs for optimal healing and ongoing gender affirmation.
- Mental Health and Community Support: The postsurgery period can bring a mix of emotions—joy, relief, and sometimes anxiety. FOLX offers access to our Community Platform where you can connect with others who have undergone similar procedures, sharing experiences and receiving emotional support. Additionally, if you need mental health care during this time, we can refer you to LGBTQIA+ affirming therapists who understand the complexities of gender-affirmation journeys.
FOLX's Unique Approach to Gender-Affirming Surgery Care
At FOLX, we are committed to providing care that goes beyond just the physical aspects of gender-affirming surgery. Our holistic approach ensures that you are supported mentally, emotionally, and within your community. We know that surgery is only one step in your gender affirmation process, and our goal is to be there for you before, during, and after your procedure.
In addition to clinical care, FOLX’s Community Platform offers a space where you can connect with others who are navigating similar experiences. From sharing recovery tips to celebrating your affirming surgery milestones, our community is here for you.
Additional Resources
FOLX believes in equipping you with the information you need to make empowered decisions about your care. Here are some additional resources on gender-affirming surgery:
Frequently Asked Questions
Can FOLX provide referrals for gender-affirming surgery?
Yes, FOLX can refer you to experienced and affirming surgeons who specialize in gender-affirming procedures. We ensure that all referrals are LGBTQIA+ inclusive and sensitive to your needs.
What kind of follow up care can I expect after surgery?
Every clinic is different, but you can expect to check in with your surgeon. Here at FOLX, we can provide ongoing post-op care to monitor your healing and ensure that any issues are promptly addressed. Our virtual care model allows for check-ins from the comfort of your home.
How does FOLX help with mental health during the surgery process?
FOLX clinicians are here to support your mental and emotional health before and after surgery. We can make sure you have a good treatment plan and any medications to support ongoing mental health needs, such as anxiety, depression, or insomnia. You can also make an appointment with one of our LGBTQIA+ affirming therapists or connect with others our Community Platform for peer support.
In Summary
Navigating gender-affirming surgery can be a complex journey, but with FOLX, you don’t have to go through it alone. We are here to provide the affirming care, resources, and community you need to feel confident and supported every step of the way. Join FOLX today and let us help you make your gender-affirmation process as smooth and affirming as possible.
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FOLX Health is the first digital healthcare company designed by and for the LGBTQIA+ community. Our services include primary care, gender-affirming hormone therapy including estrogen and testosterone (HRT), mental health care, sexual and reproductive health care, and fertility consultations. FOLX memberships give you access to LGBTQIA+ expert clinicians, peer support, thousands of LGBTQIA+ resources, and more. Whether you’re lesbian, gay, bisexual, transgender, queer, gender non-conforming, nonbinary, or another identity, you can find LGBTQ-specialized health care that helps you meet your wellness goals. Get all the benefits of becoming a FOLX member and sign up today!
