Gender Surgery Program B.C. ? Gender Surgery Clinic ? Gordon and Leslie Diamond Health Care Centre

The Gender Surgery Program B.C., including the Gender Surgery Clinic, opened at Vancouver General Hospital (VGH) in September 2019, making VGH Western Canada's only hospital performing lower gender-affirming surgeries for transgender and gender-diverse people.

The Gender Surgery Program is comprised of a multidisciplinary team of health care providers and surgical specialists devoted to providing high-quality gender-affirming treatment and surgical care. Patients will receive care through the Gender Surgery Clinic through their entire surgical journey, including pre- and post-operative care, until discharged to their primary care provider. 

The Gender Surgery Program offers both feminizing and masculinizing procedures consistent with the guidelines established by the World Professional Association of Transgender Health (WPATH). 

Feminizing Procedures 

  • breast construction
  • orchiectomy
  • vaginoplasty 
  • vulvoplasty 
  • revision surgery 

Masculinizing Procedures 

  • chest masculinization (mastectomy, also called top surgery)
  • metoidioplasty 
  • clitoral release 
  • phalloplasty
  • penile and testicular implant surgery 
  • revision surgery 

All procedures will be performed at surgical sites in Vancouver.

** For breast construction and mastectomy referrals go through the central waitlist at Trans Care BC

Vancouver General Hospital ? Gordon and Leslie Diamond Health Care Centre

2775 Laurel Street
Station 4A, 7th Floor, DHCC
Vancouver, British Columbia
V5Z 1M9
Phone: 604-875-5060
Fax: 604-875-5075

Hours of operation

Clinic hours will be Monday to Friday: 8 am-4 pm

Parking & transportation

Pay parking is available at our two visitor lots located on the VGH campus:

  • The VGH parkade at the corner of West 12th Avenue and Laurel Street, across from the main entrance of the Jim Pattison Pavilion. There is a wheelchair-accessible overpass from the VGH parkade at Level 4 and a crosswalk at Level 2.
  • The Gordon and Leslie Diamond Health Care Centre underground parking lot located off of Laurel Street between West 10th and West 12th Avenues.

Resources

?Information Session


Thank you to all that attended the Information Session on 18th September at VGH. The recorded session is now available here.

Thankyou for all the great questions at the information session.  Please see attached Frequently Asked Questions document.

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?Dr. Krista Genoway, M.D., FRCSC 

Dr. Genoway is a board-certified plastic and reconstructive surgeon. She completed her medical school and residency training in plastic and reconstructive surgery at the University of British Columbia. She then completed a fellowship in reconstructive microsurgery with a sub-specialty focus on providing gender-affirming surgical care in San Francisco, California. Dr. Genoway began offering upper chest surgery, including chest contouring and breast construction (augmentation), in 2016, and masculinizing and feminizing lower surgery in 2019. She is a clinical instructor in the Department of Surgery at the University of B.C. 

Dr. Alex Kavanagh BSc. PEngg. MPH. MD. FRCSC

Dr. Kavanagh is a reconstructive urologist certified by the Royal College of Physicians and Surgeons of Canada. He completed medical school at the University of Calgary and a Master of Public Health at Harvard University. His urologic residency was completed at UBC, and he has since completed a fellowship in female pelvic medicine and reconstructive surgery in Houston, as well as a fellowship in male urethral and pelvic reconstruction with Dr. Sanjay Kulkarni. Dr. Kavanagh has also completed visiting fellowships at several centres of excellence in gender-affirming surgery, including Crane and Brownstein Surgical (Drs. Curtis Crane and Richard Santucci), the New York Langone School of Medicine (Dr. Lee Zhao) and Mount Sinai Hospital (Dr. Ting). 

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1. Get a referral to the Gender Surgery Program of B.C. at VGH

Your primary care provider sends a referral, including your two completed readiness assessments, to the Gender Surgery Program?s clinic at VGH. 

Print and fill out the lower surgery referral form.

Forms will need to be printed and submitted by fax: 604-875-5075

2. Meet with the surgeons for a consultation

When the Gender Surgery Clinic receives your referral and assessments, you will be placed on the waitlist for a consultation. A clinic staff member will contact you to book a consultation with the surgeons. 

3. Prepare for surgery

When you?re ready for surgery, you?ll be placed on the surgery waitlist. You will be contacted when your surgery date is confirmed, and the Gender Surgery Clinic team will help prepare you for your surgery. 

4. Have surgery and recover

Complete your surgery at the most appropriate care facility in Vancouver. As part of your recovery and post-operation care, you will attend follow-up appointments at the Gender Surgery Clinic at VGH. 

5. Discharge to primary care provider

When your post-operative care is complete, you will be discharged from the Gender Surgery Clinic to your primary care provider for any required ongoing care.