Depending on your specific needs and goals for gender affirmation, as well as the type of surgery you are seeking, we will tailor a care plan and surgical pathway that is unique to you. Some typical steps we will ask you to take:

• Complete the Gender Affirming Surgery Patient Agreement Click here to open
• Meet with an Integrated Behavioral Health (IBH) gender health provider*
• Attend our Gender Affirming Surgery (GAS) education class
• Meet with our case manager to discuss your goals and review the surgical pathway
• Have baseline lab tests checked to make sure you are healthy enough for surgery
• Work with your primary care provider (PCP) to address any chronic health conditions in preparation for surgery
• Quit tobacco smoking and/or use of other nicotine products
• Maintain a healthy weight to ensure a safe surgical outcome
• Attend all healthcare appointments as directed
• Consistently attend all your electrolysis genital hair removal visits to ensure your hair is cleared for surgery
  • Click here for details on electrolysis for vaginoplasty
  • Click here for details on electrolysis for vulvoplasty
• Remain in the hospital after surgery, if needed
• Follow up with all your pre- and post-surgery appointments to make sure you’re healing well

* Hawai`i Kaiser Permanente members may schedule an appointment with an IBH mental health provider, by calling (808) 432-7600 (Oahu) or (888) 945-7600 (Neighbor islands).