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Out-of-Country Surgery

For metoidioplasty and phalloplasty
Metoidioplasty and phalloplasty procedures are complex and are known to have high complication rates. 

Trans Care BC has been working with the Medical Services Plan (MSP) to provide additional options in the US at centres in Austin, Texas and Chicago, Illinois for BC patients undergoing these procedures. Patients still have the option of going to Montreal, Quebec for these procedures. 

In order to be eligible for surgery out-of-country, patients must have:

  • Completed all required surgical assessments
  • Had a hysterectomy/BSO (if one is required for lower genital reconstruction)
  • Completed or have a plan in place for hair removal (as required by surgeon)
  • And be able to travel to the US for surgery (have a valid passport and able to enter the US)

If a patient meets these criteria, they can ask their physician to complete the out-of-country surgical referral form and fax it to the Trans Care BC care team at 604-675-7464.

Once the form is received, the care team will be in touch with the care provider and patient and put the patient on a waitlist to begin the out-of-country process which includes having a consultation with a surgeon and meeting with a trans specialty care physician to complete an out-of-country application for MSP approval. 

In order to address the waitlist in an equitable way, patients will be attended to in priority order based on key readiness considerations and date of completed assessment. Other factors may be considered on a case-by-case basis.

For more information regarding the process, please contact Trans Care BC's care coordination team at 1-866-999-1514 or

SOURCE: Out-of-Country Surgery ( )
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