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Our Philosophy

At the Gender Confirmation Center (GCC) of San Francisco, our mission is to make the highest-quality, state-of-the-art gender-affirming surgical care accessible to all members of the trans, non-binary, and gender expansive community. We are committed to providing our patients the tools they need through every step of their journey so they can undergo surgery tailored to their unique goals and needs. From our website to our office experience, we provide a supportive environment for patients to ask questions and learn about best practices so they can make the best decision for their surgical transition.

At GCC, we use the informed consent model for our adult patients and recognize that there are genders beyond the binary. Additionally, our insurance advocacy team has successfully secured insurance coverage for over 90% of our patients. We will honor your pronouns, work with your insurance provider, and help you get the gender-affirming care you deserve.

Our goal is to reinforce the competent and respectful experience our patients expect during their gender-affirming journey. All staff members, including those who don’t regularly interact with patients, have received training and education on transgender identities and healthcare. In our office, inclusion and empowerment of the trans community are paramount.

The GCC is made up of a dedicated, compassionate team of administrative personnel, medical staff, and renowned surgeons. Dr. Mosser (he/him) has been at the forefront of working with non-binary patients to develop surgical techniques that meet this population’s unique needs. Dr. Ley (she/her/they) is the only trans woman of color to offer a full spectrum of gender-affirming surgeries. Dr. Facque (he/him) and Dr. Jacobs (he/him) are also renowned for their surgical results, friendly bedside manner, and commitment to patient inclusivity (esp. around gender diversity and BMI)

The Gender Confirmation Center’s (GCC) dedicated patient care and insurance teams offer guidance to anyone who contacts us. We have experience helping patients who travel for surgery from across the country and around the globe, with extensive and very small support networks. Our insurance team, in particular, has a 90% success rate securing insurance coverage for interested patients.

Our commitment to access is also reflected in our offering of free consultations with all of our board-certified surgeons and our philanthropic efforts to help low-resourced patients access free medically necessary, gender-affirming surgery. Not to mention, GCC is one of the only surgical centers that does not discriminate based on BMI for top surgery or facial surgery procedures.

We strive to put our patients in the driver’s seat by providing detailed surgical education and resources. Through using our website, talking with our care team, and, for those who can, visiting our medical offices, we are dedicated to giving patients the tools they need to advocate for their needs at every step of the surgical journey.