Transgender refers to people who identify with a gender identity that is different from their original, or birth, gender. This applies to either a male or a female.  Many transgender people feel uncomfortable with their biological sex and these feelings may begin early in life.  Some transgender people opt for sexual re-assignment surgery.  This is when the external genitalia, as well as internal organs such as the ovaries, uterus, testicles, are “exchanged” for the opposite sex.* Surgical procedures, for men to women sex-change, involve replacing the penis with a “neo” vagina, removal of testicles, and other “feminizing” procedures.  These “feminizing” procedures include shaving of the adam’s apple, to smooth the contours of the neck, facelift, reduction of the nose (rhinoplasty), placement of breast implants or fat grafting for breast enhancement, and even selected liposuction procedures.  Procedures for women involve creation of a penis through various multi-stage reconstructive procedures, mastectomy, and many other procedures to create a typical male appearance. Results will vary in each patient depending on the gender reassignment.* *Individual results will vary in each patient. Of course, most patients must undergo hormonal treatments as well as psychological assessment and follow-up before and after any surgical procedures.* Dr. Javaheri’s goal is to provide the best care and results possible.  Dr. Javaheri’s emphasis is on the feminizing or masculinization, not the extraction and/or formation of sex organs.* Dr. Javaheri has experience in these procedures and he is a double board certified by the American Board of Otolaryngology and The American Board of Plastic & Reconstructive surgery.  Being certified in these two ensures that the utmost in quality and experience in the management of the complex nature of these procedures. *Results for each patient will vary. Please remember that the information provided will not guarantee your eligibility for treatment. Consultation and medical examination must be completed before approval.