Gender Affirmation | Reassignment Surgery | MedStar Health
Dr. Andrew Hodge and Dr. Gabriel DelCorral have a conversation in the hallway of the MedStar Health Center for Gender Affirmation in Baltimore, Maryland.

Dedicated to providing compassionate care

Here at the MedStar Center for Gender Affirmation, our approach to patient care is comprehensive and multidisciplinary. This means that we rely on the expertise of many different kinds of doctors, nurses, and support service providers to assure that we can optimize the process of care for each individual patient, based on their needs and goals.

We understand that making the decision to pursue gender affirmation services is a big and important one, driven by extensive thought and research. Our hope is that you can begin getting to know who the members of our team are, and the role they will play in caring for you, as our patient, here.

Our mission

Our mission is to provide comprehensive, lifelong care, empathy, understanding, and support for individuals in pursuit of a life that is pure, true, happy, and personally fulfilling. We offer holistic care in an environment that thrives on inclusivity, and achievement of a sense of belonging for all.

A message from the program director

Gabriel DelCorralThank you for your interest in the MedStar Center for Gender Affirmation. We are committed to providing comprehensive, compassionate care as you embark on your lifechanging journey. Our multidisciplinary team of care providers will support you every step of the way – from the time you begin exploring your care options, through treatment and recovery, and long-term, as you build a new life that centers around who you want to be, and can be. The process requires time, patience, empathy, understanding, and a continued focus on achievement of your personal goals. We promise stand by you through it all, with pride. It is our privilege to care for you, and to be part of your personal journey.

This web site was designed to provide information, and proactively answer many of the questions you may have about our gender affirmation program, including our scope of core clinical services, and our clinical providers. We have also included some educational resources, information about patient support services that are available, and a few stories from patients who have been cared for here at MedStar Franklin Square Medical Center. I believe their personal perspectives are inspiring. They demonstrate what is the realm of possibilities, when you choose a team of doctors who are dedicated for caring for patients holistically. We are.

We sincerely look forward to meeting you, and serving you.


Gabriel Del Corral, MD, FACS
Director, MedStar Center for Gender Affirmation
Department of Plastic and Reconstructive Surgery, MedStar Franklin Square
Associate Professor of Plastic Surgery, MedStar Georgetown University Hospital

Meet our patient navigator

  • Erin Maxwell, LCSW-C

    Erin MaxwellErin is a patient navigator who assists people through throughout their process of care – from answering questions related to insurance and providing assistance in confirming benefits and coverage, to scheduling consults, providing pre-operative support, navigating the surgical process, and offering post-surgical support.

    “I am passionate about serving our trans and nonbinary patients because as a trans person myself, I know that navigating the healthcare system is a significant challenge. Being able to provide support to patients and help them achieve their goals of aligning with their most authentic selves, and to work for a surgeon who is equally passionate about this work – is everything to me.”

Our mental health partners

Assuring patients are mentally-ready for gender affirmation services, and a journey of transformation, is a top priority for our practice. We collaborate with a number of reputable mental health organizations, who share our commitment to patient wellness and stability, and provide the mental health services our patients require and request. Those partners include:

Our services

The care process looks a bit different for every patient who turns to the MedStar Center for Gender Affirmation. This is because every patient is different, with a unique set of circumstances and needs. Our job is to understand them, and deliver a personalized plan of care that helps each individual pursue a process of transition that is incredibly personal, positive, and fulfilling.

Some of our patients opt to pursue hormone therapy to help align the way their body looks with their gender identity. Others choose to pursue surgery to reduce or enhance sexual characteristics. We offer a wide range of gender reassignment procedures, each aiming to help you become more comfortable in your own skin.

  •  Feminizing vaginoplasty

    Reconstructive surgical procedure that alters the structure of the genitals to create a vagina using penile or colon tissue. We apply a one-stage procedure, and revisions can be necessary to enhance the final surgical result.

  •  Revision vaginoplasty (after loss of depth)

    A secondary procedure, following primary vaginoplasty, allowing for revisions to the urethra, neovaginal canal, labia minora, and majora, addressing asymmetries within the vagina and scar revisions to help functionality.
  • Colon vaginoplasty

    This is a different approach to an original vaginoplasty. The colon or small bowel can be used to line the vaginal wall, creating depth and dilation, and providing a natural source of lubrication. We use a robotic-assisted surgical approach to minimize incisions in the abdomen, which allows for a faster recovery while providing better access for the revision.

  • Masculinizing phalloplasty/scrotoplasty

    Reconstructive surgery that creates a penis using a free flap or pedicled flap of skin. These sections of the skin can be taken from the arm (radial forearm free-flap, RFF) or thigh (anterior lateral thigh pedicled flap phalloplasty, ALT).  These procedures are performed in a combined team that include a reconstructive urologist and plastic surgeons.

  • Metoidioplasty

    The use of local tissue to create an enlargement to the penile area (clitoral release/enlargement, may include urethral lengthening).

  • Masculinizing chest surgery (“top” surgery)

    Breast tissue is removed and the nipples and areolae are altered to help masculinize the chest.

  • Facial feminization

    Reconstructive surgery procedures that alter the shape and size of facial features to make them closer to typical female facial features. This may include a brow lift, forehead re-contouring, hairline correction, and rhinoplasty (nose reshaping).

  • Facial masculinization

    Reconstructive surgery that alters the shape and size of facial features to make them more masculine. This may include forehead lengthening and augmentation, cheek augmentation, chin re-contouring, jaw contouring, thyroid cartilage enhancement (Adam’s apple surgery), and rhinoplasty (nose reshaping).

  • Reduction thyrochondroplasty (thyroid cartilage shave)

    Reconstructive surgery that reduces the size of the thyroid cartilage, also known as the “Adam’s Apple.” It is shaved down to create a more feminine appearance.

  • Breast augmentation mammoplasty

    Surgery to reshape, enlarge, and modify the breasts to achieve a more desired shape and look in the chest region.

  • Hysterectomy with bilateral salpingo-oophorectomy

    Surgical removal of the uterus, cervix, ovaries, fallopian tubes, and surrounding structures.

    • Orchiectomy: Reconstructive surgery to remove the testicles.
    • Vaginectomy: Reconstructive surgery to remove all parts of the vagina.
    • Body Contouring: Procedure that helps individuals achieve their desired physical appearance and aligns their body with their gender identity.
  • Liposuction

    Procedure to remove excess fat from the abdomen, hips, or thighs, typically performed to create a more feminine or masculine silhouette in line with the patient’s goals.

  • Body Sculpting

    Tummy tucks and other procedures, performed to create a more defined and toned appearance, contributing to the achievement of a more feminine or masculine body shape.

Our locations

Distance from Change locationEnter your location

MedStar Health: Plastic Surgery at MedStar Washington Hospital Center

106 Irving St. NW
POB North
Ste. 3400
Washington, D.C., 20010

MedStar Health: Plastic Surgery at MedStar Franklin Square Medical Center

9105 Franklin Square Drive
Suite 214
Rosedale, MD 21237


Frequently asked questions

One thing is for certain: the decision to undergo gender reassignment care, whether hormone-based or surgical, is a big one. A second thing that is for certain: along the way, you will have MANY questions. Here, we proactively answer a few of the questions from most patients to get you started. However, it is essential to understand that the questions and answers below provide a general overview; consult with qualified healthcare professionals for personalized guidance and information regarding your gender affirmation care.

  • How do I know if gender affirmation surgery is right for me?

    The decision to pursue gender affirmation surgery is a personal and individual choice. It is important to have open and honest conversations with mental health professionals, gender specialists, and experienced surgeons to explore your feelings, expectations, and options. They can help you determine if surgery aligns with your goals and needs.

  • Are there age restrictions for gender affirmation surgery?

    Age requirements can vary depending on the specific surgery and the surgeon or clinic you choose. Effective November 2023, MedStar Health established new eligibility requirements for  gender affirmation patients. Consultative care is available for minors (those under the age of 18). Surgical procedures can be scheduled once the patient is 18 years of age or older.

  • How do I choose a surgeon for gender affirmation surgery?

    Choosing the right surgeon is crucial. Spend some time researching surgeons who are experienced in gender affirmation surgery and check their credentials, read reviews their patients, and analyze before-and-after photos shared by their patients. It is a good idea to consult with multiple surgeons before making a decision. Find the one you feel comfortable with and who understands your unique goals and needs.

  • Will my insurance cover my care?

    The cost of gender affirmation surgery varies widely depending on the procedures and surgeon you choose, and the location where your care will take place. Some insurance plans may cover part or all of the costs associated with your care, so it's essential to understand your policy and work with your healthcare provider to confirm coverage as well as explore financing options.

  • What is the recovery process like after gender affirmation surgery?

    The recovery process varies depending on the type of surgery you choose to pursue. In general, you can expect some downtime, pain, and restrictions on physical activity. Follow your surgeon's post-operative instructions carefully and be diligent about scheduling and keeping all follow-up appointments. Recovery times can range from several weeks to several months, depending on the procedure.

  • Are there risks associated with gender affirmation surgery?

    Like any surgical procedure, gender affirmation surgery carries risks. These risks can include infection, scarring, anesthesia complications, and unsatisfactory results. It's essential to discuss these risks with your surgeon so you can make educated and informed decisions.

  • How long will the effects of gender affirmation surgery last?

    The effects of gender affirmation surgery are typically permanent. However, some procedures may require revisions or touch-ups over time. Your surgeon will provide information on long-term care and maintenance.

  • Will I need therapy or counseling before and after surgery?

    Many surgeons and healthcare providers strongly advocate for therapy or counseling both before and after gender affirmation surgery. Pre-surgery counseling offers a valuable opportunity to explore into your gender identity journey, facilitate informed decisions, and ensure your readiness for the changes ahead. Post-surgical counseling serves as a vital support system during the recovery phase, aiding in emotional adjustments and providing a safe space to navigate any challenges that may arise. With comprehensive counseling services, individuals can embark on their gender affirmation journey with confidence, knowing they have the necessary support every step of the way

Patient testimonials

Personal perspectives from our patients go a long way in helping others to understand how our practice works; the commitment of the clinical providers and staff who work here; and what is in the realm of possibilities for those who wish to transition their gender. Here we share inspiring stories from a few patients who have experienced the journey and whose lives are better & happier today than ever before.

  • AC

    Dr. Gabriel DelCorral meets with a gender affrmation patient at MedStar Franklin Square Medical Center.

    “From the time I was a small child learning how to walk and talk, I knew I was different. I was a boy, but I felt like a girl. For a long time, I lived in a very gray area, feeling like I didn’t belong on either side. Then, at the age of 27, I met Dr. Del Corral, and I knew he would support me every step of the process. My surgery was in September 2019. Today, I feel happy and complete. I not only feel, but also look like a biological woman. Simply put, it is who I am.”

    – A.C., patient of the MedStar Center for Gender Affirmation

  • Ashley

    Dr. Gabriel DelCorral meets with a gender affrmation patient at MedStar Franklin Square Medical Center.

    “I did a lot of research prior to making my choice. Dr. Del Corral’s videos and testimonials helped me feel more comfortable, then meeting him in person calmed the rest of my fears. He and his staff are specifically trained to work with the trans community. They know how to interact with patients and handle all of the unique situations of the trans journey. I have never felt more at peace with myself in my entire life. I look in the mirror and finally see the reflection of who I’ve always been on the inside. It’s something I have dreamed of for many years and never thought possible.”

    – Ashley, patient of the MedStar Center for Gender Affirmation

  • Coty

    Dr. Andrew Hodge meets with a gender affrmation patient at MedStar Franklin Square Medical Center.

    “My care at the MedStar Center for Gender Affirmation has been nothing but the best. The team is so respectful and cares a lot about your wellbeing. They make you feel comfortable and as though you choose right. My journey has been the best – everything I ever wanted. It took time, but it’s all worth it. I feel so happy that my transition has come full circle. I wouldn’t change a thing.”

    Coty, patient of the MedStar Center for Gender Affirmation

Staff members from MedStar Health's Center for Gender Affirmation pose for a photo in the office.

Financing and insurance

Once you have made the decision to pursue gender affirmation services, financial factors and considerations must also be weighed. We work hard to guide you through this process so that you understand your insurance coverage, your projected out-of-pocket expenses, and programs that you may be able to leverage to minimize or offset costs. Some preliminary financial information to know is below.

Insurance authorization FAQs

We understand that many patients have a lot of questions regarding insurance coverage and the process of securing necessary authorizations. We’ve developed a short list of commonly asked questions and answers, that may be helpful.

  • How soon does authorization start?

    Authorization generally starts 6 to 8 weeks from time of your consult.  It can take us anywhere from 2 to 3 days to 4 to 6 weeks to hear back from your insurance company.  We will message you in the portal when insurance authorization has started and when we have received a response.  Should you not hear from us, you can email our patient navigator, Erin Maxwell, at or call 443-777-1427.

  • I received an approval! What happens next?

    Great news! Please send us a message in the portal (if you are registered, or go ahead and create an account). You can also contact us via email at

  • I received a denial. What can I do?

    If you have received a denial and the services was deemed medically unnecessary, there are two options.

    1. A peer-to-peer in which Dr. Del Corral speaks directly with the medical director to provide evidence as to why this decision should be overturned or.
    2. A direct appeal, if option #1 does not work.  This part unfortunately largely falls on the patient, as our office is not equipped to handle appeals.  What we can do is provide you with your records and a medical letter of support to assist in overturning the decision.  If you do get the decision overturned, you can message us the approval letter and we can proceed with getting your surgery scheduled. If your authorization was denied because services are not covered/gender affirming surgery is not a benefit provided by your plan and your insurance is through your employer, it is highly advised you work with an attorney in your state on how to challenge your employer to update their coverage. You can also consider utilizing as a tool to see if there is a state plan you could enroll in if this is financially feasible for you.
  • My insurance plan changed, and I was told authorization was already received under my old plan.  Will I need to obtain a new authorization to have surgery covered?

    Yes, each time your plan changes, we will need to obtain new authorization.  As soon as you are aware of your plan changing and you receive a new card, please send a message to our Admin Team in the patient portal or email
  • I was told that no authorization is required by my insurance. What does this mean?

    It means that the procedure is neither approved nor denied by the plan.  This happens a lot for outpatient procedures like chest masculinization or facial feminization.  If allowed, we can submit a pre-certification to determine is official approval can be granted, but this isn’t always an option. The procedure codes will be provided to you by our surgical scheduling team when we receive the official response from your insurance company, and it will be up to you to call member services to confirm your benefits, deductible, and potential copays.

  • My name changed since my authorization went through. Will a new authorization be needed?

    No, your previous authorization will still be valid.  Please note: we may not be able to update your name in our system to match your legal one until after surgery to ensure there are no issues with billing.

Medicare Advantage Plan

At this time, our Center is not able to accept Medicare Advantage plans for gender affirmation surgeries. This decision does not reflect our values regarding accessibility and inclusivity, but is a result of current constraints within the healthcare system and specific plan coverages. Please know that our commitment to improving access to care remains unwavering. Behind the scenes, we are actively working with legislators and healthcare policy advocates to address these limitations. Our goal is to expand coverage options so that every individual seeking gender affirmation surgery has the support and resources they need, regardless of their insurance provider.

MedStar Health’s Financial Assistance Program

As one of the region's leading not-for-profit healthcare systems, MedStar Health is committed to ensuring that uninsured patients and underinsured patients who lack financial resources have access to emergency and medically necessary hospital services. Information about our Financial Assistance Policy is available by clicking here.

Out-of-State Insurance Plans

It is important to verify your benefits, and confirm if gender affirmation services are covered by your insurance provider, before your process of care begins. This is especially important if you do not live in the state of Maryland, and will be traveling for care at MedStar Franklin Square Medical Center. Our patient navigator can guide you through this process so you are clear on what questions to ask as you work to verify your coverage.


The MedStar Center for Gender Affirmation is no longer able to provide services to uninsured patients. If you do not carry health insurance and wish to pursue a plan that will give you appropriate coverage, please let us know. Our patient navigators are here to assist and guide you through the process of finding suitable insurance coverage. We understand the challenges this may pose and are committed to supporting you every step of the way.

Patient resources

We understand that our patients have needs that go beyond the clinical care our practice was built to provide. We continuously work to identify and share resources that we believe will be helpful to our patients, before, during, and after their process of care.

myMedStar Patient Portal

Visit to create your patient portal account. Here, you can review test results, view summaries of treatments and care/discharge plans, send secure messages to your physicians, request prescriptions, schedule appointments, and receive physician referrals. This tool is available to all patients at MedStar Health, and is designed to streamline your access to care, as well as communications process with doctors and other care providers.

Out-of-Town Patient Guide

Many patients of the MedStar Center for Gender Affirmation travel great distances to take advantage of our care services. This is something we are very proud of, as it underscores the reputation we have built as a comprehensive, quality-based, compassionate provider of gender reassignment services. Our Out-of-Town Patient Guide was created to assist patients who do not live locally, and are in need of information about nearby resources and amenities. Please let us know if you would like to receive a copy.

Counseling Services

Counseling services play a crucial role for our patients as they navigate their medical decisions. We collaborate with various reputable organizations that offer specialized counseling support, tailored to the unique needs of individuals undergoing gender affirmation care. Our team is dedicated to guiding you through this process, and will provide valuable insights and assistance in selecting the most suitable counseling option based on your individual circumstances. With the support of our patient navigators, you can feel confident in making informed decisions that prioritize your emotional well-being and empower you on your path to self-discovery and fulfillment.

Published Research

Gabriel Del Corral, MD, FACS, Medical Director for the MedStar Center for Gender Affirmation, is actively involved in research to continuously advance our field, and the care delivery models available for patients pursuing gender reassignment. These efforts have earned Dr. Del Corral recognition as one of the nation’s leading providers of gender affirmation services. Click here to view his provider profile, which contains a list of his published research.

Contact us

We look forward to serving you! To express interest in our practice and services, you can begin by completing our general patient intake form below. This form gives you an opportunity to tell us a little about yourself and offers us some preliminary information about your potential patient care needs.  A member of our team will contact you following receipt of your form (typically within 2-4 business days) to discuss next steps.