Feminizing Surgeries

Feminizing surgeries are gender-affirming surgical procedures that create physical characteristics reflective of one's gender identity or gender expression.

Breast augmentation

Breast augmentation (or breast construction) or  is a gender affirming, feminizing, top surgery that creates or enlarges one's breasts. This surgery is performed when the breast growth from hormone therapy is insufficient. The goal is to have breasts and nipples with sensation, a larger cup size and minimal scarring. This surgery is done by a plastic surgeon in BC. Visit the breast augmentation page for more information.


Orchiectomy is a gender affirming, feminizing, bottom surgery that removes the gonads (testes) and external genital (scrotal sac). The goal is to be able to take a lower dose of feminizing medications, reducing their risks and unwanted side effects, to eliminate the need for testosterone blockers. This surgery is done by a plastic surgeon or a urologist in BC. Visit the orchiectomy page for more information.


Vaginoplasty is a gender affirming, feminizing, bottom surgery that creates a vagina and vulva (including a mons, labia, clitoris and urethral opening) and removes and inverts the erectile tissue (penis), gonads (testes) and external genital (scrotal sac). The goal is to have genitals with sexual sensation, a urethra that enables urination while sitting and a vagina capable of penetrative sex. This surgery is done at GRS (Gender Reassignment Surgery) Montreal. Visit the vaginoplasty page for more information.

Other feminizing surgeries

There are a number of other feminizing surgeries you may want to consider. This includes facial feminizing procedures (such as reduction of the Adam's apple, nose feminization, facial bone reduction, face lifts, rejuvenation of the eyelid), hair reconstruction or restoration, liposuction or lipofilling or vocal feminization surgery. These procedures are currently not funded by BC MSP.

Only breast augmentation (application required), orchiectomy and vaginoplasty are covered by BC MSP. Visit the Accessing Surgery page for more information on surgery funding.

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