What Is Gender Affirmation Surgery?

Gender affirmation surgery, sometimes referred to as gender confirmation surgery, includes a range of procedures that align a person’s physical characteristics with their gender identity. For many patients, these procedures play an essential role in supporting overall well-being and comfort in their body. At PSG, gender affirmation surgery is led by Dr. Krista Genoway, a board-certified plastic surgeon with specialized expertise in this field. She is among the few surgeons offering comprehensive gender-affirming procedures in Western Canada. Dr. Genoway provides individualized surgical care for transgender and gender-diverse patients in a respectful, inclusive, and medically grounded environment.

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

Dr. Genoway provides gender affirmation surgery within the established infrastructure of PSG, Surrey’s only full-service plastic surgery group. This allows patients to access accredited surgical facilities, experienced nursing support, and coordinated perioperative care close to home.

Patients value the practice’s emphasis on dignity, privacy, and clear communication. From consultation through recovery, care is delivered in a discreet and supportive setting where individuals are encouraged to ask questions, explore options, and move forward at a pace that feels right for them.

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 ...

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...

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...

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...

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...

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...

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...

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 ...

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...

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 ...

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...

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 ...

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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 transition journey is unique. Dr. Genoway takes time to understand each person’s goals, medical background, and timeline before recommending a surgical plan. Consultations are private and patient-led, with thoughtful discussion of expectations, risks, and anticipated outcomes.

Her approach combines technical precision with attentive listening. When appropriate, care is coordinated with a patient’s existing medical providers to ensure continuity and comprehensive support throughout the surgical process.

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Recovery and Support

Recovery varies depending on the procedures performed. Many patients return to light activity within a few weeks, with continued healing over several months. PSG provides detailed postoperative instructions and structured follow-up care to support safe recovery.

Dr. Genoway and the nursing team maintain consistent communication throughout the healing process, ensuring patients feel supported both physically and emotionally.

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Creating Safe, Affirming Surgical Experiences

Gender affirmation surgery is a significant and personal decision. Dr. Genoway approaches this work with respect, discretion, and a commitment to providing care that is both technically advanced and deeply patient-centered.

As one of the few surgeons in Western Canada offering comprehensive gender-affirming procedures, she has become a trusted resource for patients seeking specialized care. Individuals travel from across British Columbia to Surrey to access her expertise within the established setting of PSG.

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 PSG for its combination of specialized surgical expertise, accredited facilities, and a respectful, affirming environment. Dr. Genoway’s focused experience in gender-affirming procedures allows patients to pursue care with clarity and confidence.

To learn more about gender affirmation 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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