What Is Gender Affirmation Surgery?

Gender affirmation surgery, sometimes referred to as gender confirmation surgery, encompasses a range of surgical procedures that help align a person’s physical appearance with their gender identity. These procedures are deeply personal and transformative, allowing patients to experience greater comfort, confidence, and alignment between body and identity. At The Plastic Surgery Group at City Centre, gender affirmation surgery in Surrey, BC, is led by Dr. Krista Genoway, a board-certified plastic surgeon recognized as one of the only surgeons offering this specialization on the west side of Canada. With advanced training, technical skill, and a deeply compassionate approach, Dr. Genoway provides individualized surgical care for transgender and gender-diverse patients seeking a supportive, inclusive environment.

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Why Patients in Surrey Trust Dr. Genoway and The Plastic Surgery Group at City Centre

Dr. Genoway and her colleagues at The Plastic Surgery Group at City Centre believe every patient deserves access to safe, affirming surgical care close to home. As Surrey’s only full-service plastic surgery group, the practice offers patients access to hospital-level facilities, peer-supported expertise, and a multidisciplinary care model that prioritizes physical and emotional well-being.

Patients appreciate the group’s focus on dignity, respect, and collaboration. From consultation through recovery, Dr. Genoway and her team create a welcoming and discreet space where patients feel heard, supported, and empowered to make informed decisions about their transition.

Testimonials Words From Our Patients

N.G.

Had a breast reduction done by Dr Adrian Lee. Amazing surgeon - very kind, explains things well and paid close attention to detail. The staff in the office are very kind too. I am ...

Had a breast reduction done by Dr Adrian Lee. Amazing surgeon - very kind, explains things well and paid close attention to detail. The staff in the office are very kind too. I am very impressed with how the healing has gone - back pain disappeared and with how thorough he is as a surgeon I believe that’s what helped the recovery process. Would recommend him and the office to anyone. :)

R.M.

I have had two surgeries at the Plastic Surgery Group at City Centre. I have only had interaction with Laurie in reception and Dr. Prince. Dr. Prince is second to none. She takes t...

I have had two surgeries at the Plastic Surgery Group at City Centre. I have only had interaction with Laurie in reception and Dr. Prince. Dr. Prince is second to none. She takes the time to explain everything in detail and answer any and all questions. Her expertise and her skills are truly exceptional. She is very easy to talk to and truly a master of her profession. I would not hesitate to recommend her services to anyone who wants the best. Laurie was also amazing. She is very friendly, knowledgeable and helpful. Dr. Prince and Laurie are both a real credit to the Plastic Surgery Group at City Centre.

S.W.

Dr. Oxley has done two procedures removing cancer for me. The first visit I had with him was in the surgery suite. He was professional, punctual and had just the right amount of hu...

Dr. Oxley has done two procedures removing cancer for me. The first visit I had with him was in the surgery suite. He was professional, punctual and had just the right amount of humour for what was a stressful time for me. The follow up visit was on time and I was booked for a second surgery. The second surgery was again, punctual and professional with a touch of humour. I am in the process of booking a follow up to my latest surgery now. I would not hesitate to use Dr. Oxley again.

K.G.

Dr. Imran Ratanshi performed my breast reduction surgery a month ago and I feel amazing. The recovery time was unbelievable and his staff has continually checked up on me to make s...

Dr. Imran Ratanshi performed my breast reduction surgery a month ago and I feel amazing. The recovery time was unbelievable and his staff has continually checked up on me to make sure I am still doing well. I would recommend him to anyone who is considering this surgery. He is honest and very helpful, provided all of the information I needed to make decision regarding my surgery. I feel like it's one of the best decisions I have ever made for my confidence. He did an incredible job, I trust him 100% and would not hesitate to put myself into his care again. Highly, highly recommend Dr. Ratanshi and his team!

R.M.

My highest recommendation for an outstanding doctor and person: Dr. Rizwan Mian. Dr. Mian has surgically removed cancer from my skin a number of times in recent years - all basal-c...

My highest recommendation for an outstanding doctor and person: Dr. Rizwan Mian. Dr. Mian has surgically removed cancer from my skin a number of times in recent years - all basal-cell carcinoma. He has always been the ultimate professional but with a kind and gentle manner that calms any anxiety a patient might be feeling. And when my most recently removed skin tested positive for melanoma I was anxious indeed! This time it was a spot on my cheek that would require a large amount of tissue removal, a biopsy of the closest lymph node, and skin grafting, all done under general anesthesia. But I need not have worried. Dr. Mian was reassuring and amazingly skillful, the surgery was successful, the melanoma contained, and the complicated skin graft has healed so well that the incision on my face is already starting to disappear. Thank you, Dr. Mian! 

J.H.

Can’t recommend Dr Genoway enough! I was looking for a reconstructive surgeon for 5 years, had several consultations with other doctors. As soon as I met Dr Genoway, I knew I...

Can’t recommend Dr Genoway enough! I was looking for a reconstructive surgeon for 5 years, had several consultations with other doctors. As soon as I met Dr Genoway, I knew I found my doctor. She is knowledgeable, experienced, kind and caring. Dr Genoway listened to all of my concerns, gave me honest medical opinion, including to comeback in a few years as I am too young for a particular procedures. I felt comfortable and not rushed or pressured. Most importantly I felt safe and in good hands. Ended up having my postpartum reconstruction and 2 other procedures (long time dream) in one go. Recovery was fast considering the extent of the procedures. I didn’t need the prescribed pain medication at all. She just has this “light hand”. Most importantly, the results are better than expected! Natural looking, better version of me, but still me. I feel more confident and much happier in my own skin.

M.Y.

I had my breast surgery in Plastic Surgery Group. Well organized safe and the best care during my surgery. Thank you guys and wish you all the best. 

G.M.

I was a novice to surgery and the staff here were amazing - very friendly and helpful. Dr. Lee was very calm and knowledgeable and answered my questions. Breast reduction surgery w...

I was a novice to surgery and the staff here were amazing - very friendly and helpful. Dr. Lee was very calm and knowledgeable and answered my questions. Breast reduction surgery was scary to me but I have zero regrets. Barely any pain or discomfort after surgery and any back pain I had before is now gone. I walk straighter and clothes fit better. My self esteem has improved. Would recommend this office and the actual surgery to anyone considering it. It’s a game changer.

T.W.

Highly recommend Dr. Prince. Had a breast reduction Oct.20....best decision Ive ever made. Dr. Prince was so professional and helpful. Great bedside manner. If you're on the fence ...

Highly recommend Dr. Prince. Had a breast reduction Oct.20....best decision Ive ever made. Dr. Prince was so professional and helpful. Great bedside manner. If you're on the fence of having this operation, go for it!! The pain level was a 1, if that. I kept waiting for the shoe to drop and the pain to hit me, never happened. Two week post op...ready to play tennis, but will wait another week. Thank you Dr.Prince and Lori!

J.P.

Dr.Oxley has been patient and very kind throughout my procedure making my experience less stressful and much more manageable. Also his office staff are a pleasure to work with. Alw...

Dr.Oxley has been patient and very kind throughout my procedure making my experience less stressful and much more manageable. Also his office staff are a pleasure to work with. Always greeting you as you come in and happy to answer any questions and concerns over the phone or via email. I never once felt alone during this process. Overall I recommend this capable and compassionate team. You'll be in good hands.

J.H.

I am a breast cancer survivor. After my reconstruction surgery failed I was referred to Dr Imran Ratanshi. His kind demeanor and great sense of humor put me at ease immediately. I ...

I am a breast cancer survivor. After my reconstruction surgery failed I was referred to Dr Imran Ratanshi. His kind demeanor and great sense of humor put me at ease immediately. I was in a very dark place emotionally due to the appearance of my body. Dr. Ratanshi preformed a deep inferior epigastric perforator surgery and it was a complete success. I believe Dr Ratanshi saved my life! A very skilled surgeon and a wonderful man.

J.C.

Absolutely amazing Suman is amazing at her job a big thank you. Dr R Mian so professional and made me feel so comfortable. A true artist in his field. I had a breast reduction Best...

Absolutely amazing Suman is amazing at her job a big thank you. Dr R Mian so professional and made me feel so comfortable. A true artist in his field. I had a breast reduction Best think I ever did for my health. Thank you Suman worth your weight in gold. Dr Mian Life changing can't not begin to Thank you. Absolutely best experience

C.A.

I had an exceptional experience with Dr. Genoway and their team. From the initial consultation to the surgery day, I felt an unwavering sense of compassion and support. The effort ...

I had an exceptional experience with Dr. Genoway and their team. From the initial consultation to the surgery day, I felt an unwavering sense of compassion and support. The effort on their end to look after my needs put me at ease. The seamless communication and follow-up care post-surgery further solidified my trust in their expertise. I was truly impressed by the pride they take in their work, and I'm grateful for the wonderful care I received. 

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Types of Gender Affirmation Procedures

Gender affirmation surgery may include procedures for the chest, face, or body, depending on each patient’s goals and needs.

Top Surgery (Chest Feminization or Masculinization)

Top surgery modifies the chest to create a masculine or feminine appearance. For transmasculine patients, this may involve mastectomy with contouring to achieve a natural, flat chest. For transfeminine patients, this may include breast augmentation using implants or fat transfer.

Facial Feminization or Masculinization

Facial gender affirmation surgery focuses on creating balance and harmony between facial features that reflect a patient’s gender identity. This may include procedures such as jaw contouring, rhinoplasty, brow shaping, or chin augmentation.

Body Contouring

Body contouring procedures help refine or enhance body shape to achieve more traditionally feminine or masculine proportions. Techniques may include liposuction, fat grafting, or body lift surgery.

Additional Gender Affirming Procedures

Some patients may also pursue reconstructive or genital procedures as part of their transition. Dr. Genoway works closely with referring specialists to coordinate safe, staged treatment plans that reflect each patient’s timeline, goals, and overall health.

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Individualized Care and Surgical Planning

Every patient’s journey is unique. Dr. Genoway takes time to understand each person’s goals, medical history, and transition path before recommending a surgical plan. Consultations are private and patient-led, allowing for open discussion of expectations, risks, and anticipated results.

Her approach combines surgical precision with compassionate listening, helping patients feel seen and respected at every step. The practice also collaborates with other health professionals, including family physicians, mental health specialists, and endocrinologists, to ensure comprehensive support throughout the transition process.

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Recovery and Support

Recovery varies depending on the type and number of procedures performed. Most patients are able to return to light activity within a few weeks, with gradual healing over several months.

The Plastic Surgery Group at City Centre provides detailed recovery instructions and continuous postoperative support to promote safety, comfort, and confidence during healing.

Dr. Genoway and the nursing team maintain close follow-up care, ensuring that patients feel supported physically and emotionally. The practice’s emphasis on communication and accessibility allows for seamless coordination of follow-up appointments and long-term care.

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Creating Safe, Affirming Surgical Experiences

Gender affirmation surgery is more than a physical transformation; it is an essential component of personal well-being for many transgender and gender-diverse individuals. Dr. Genoway and her colleagues recognize this significance and are dedicated to providing care rooted in respect, privacy, and inclusion.

As one of the few surgeons in Western Canada offering comprehensive gender affirmation procedures, Dr. Genoway’s work reflects both her technical expertise and her deep commitment to patient advocacy. Patients travel from across British Columbia and beyond to Surrey for her specialized care, drawn by her reputation for exceptional outcomes and authentic compassion.

Frequently Asked Questions Gender Affirmation Surgery

What Is the Difference Between Gender Affirmation and Gender Confirmation Surgery?

Both terms describe procedures that align a person’s physical characteristics with their gender identity. “Gender affirmation” is now the preferred term, as it reflects the validation and support inherent in the process.

How Do I Know Which Procedures Are Right for Me?

During your consultation, Dr. Genoway will discuss your goals and medical history to help determine which procedures best support your transition. Each plan is tailored to your needs and timeline.

Is Gender Affirmation Surgery Covered by Insurance in British Columbia?

Some gender affirmation procedures may be covered under the Medical Services Plan (MSP) of British Columbia, depending on eligibility and approval. Our team can help guide patients through the referral and documentation process.

How Should I Prepare for Surgery?

Preparation includes obtaining medical documentation, ensuring stable health, and following specific preoperative guidelines. Dr. Genoway and her staff provide a clear checklist to help you prepare both physically and emotionally.

Why Choose The Plastic Surgery Group at City Centre for Gender Affirmation Surgery?

Patients choose our Surrey practice for its combination of advanced surgical skill, affirming environment, and coordinated support network. Dr. Genoway’s leadership and specialization make the practice a trusted destination for gender-affirming care in Canada. To learn more about gender confirmation surgery in Surrey or to schedule a private consultation with Dr. Krista Genoway, contact The Plastic Surgery Group at City Centre today. Experience compassionate, specialized care that honours your journey and supports your authentic self.

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Schedule a consultation with one of our surgeons and get honest guidance tailored to your aesthetic goals, right here in Surrey.

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