Genital nullification (also known as nullo or neutering) is a gender-affirming surgery (GAS) that removes all or most of the external genitalia to create a smooth, flat appearance from the pubic bone to the groin. The result is a sleek, "Barbie/Ken doll" look. Dr. MacPhee performs genital … [Read more...]
Breast Reduction Surgery: Keyhole vs. Peri-Areolar Options
The "keyhole" terminology is often misused in the context of top surgery. A keyhole surgery for classic cisfemale breast reduction involves a vertical incision under the nipple area, as shown in this photo: Peri-areolar surgery, also known as the "donut" technique, is an incision only around … [Read more...]
Supporting Patients Who Identify as Eunuchs
Among our diverse patient base, eunuchs often desire gender-affirming surgery. Those in this segment of the population are perhaps the least visible and are often misunderstood. Dr. Keelee MacPhee performs penectomies and other surgery for eunuchs. According to the World Professional Association … [Read more...]
How PREhab Helps Gender Reconstructive Surgery Patients
In her first article about PREhab, pelvic health physical therapist Dr. Sarah Ecker explained the benefits of working with a PT to prepare for surgery. This second article addresses PREhab benefits specifically for top surgery and bottom surgery patients. It makes sense that physically preparing … [Read more...]
What is PREhab for Surgery?
Thanks to Dr. Sarah Ecker, pelvic health physical therapist, for contributing this article on the importance of preparing – physically and mentally – for gender-affirming surgery. This article is the first of two parts. Usually, when we think of having a surgery, we think about what it will mean to … [Read more...]





