Female to Male & Non-Binary

Top & Bottom Surgery Procedures Offered

The following is a list of Female to Male Gender Affirmation Surgery procedures that we currently offer with a brief description to help you make an educated decision on which might be the best fit for you. With each procedure description there is also an option to view photos and the associated WPATH requirements based on procedure.

Top Surgery Procedures Offered

Double incision mastectomy with free nipple graft

In this procedure the skin on the chest is opened along two horizontal incision at the bottom of the pectoral muscle, the muscle itself is not disturbed. The nipples are re-moved, the excess skin and tissue are removed and the top is pulled down to meet the incision at the bottom of the chest. Liposuction is sometimes done to contour and masculinize the chest. Nipples are then resized and reshaped and placed in the appropriate place on the chest. This is the most common procedure for top surgery.

Procedure Photos

Keyhole mastectomy

Keyhole can only be performed on someone with a small chest (A-cup and smaller for reference). A small incision is made at the bottom of each areola of the nipple and the tissue is removed via liposuction. The nipples are not removed or resized in this procedure.

Procedure Photos

Nipple – free top surgery

We have had several individuals ask for their nipple grafts not to be replaced during their top surgery, we are happy to accommodate that if that is part of your desired outcome! This procedure would follow the standard double incision or keyhole procedure, with the difference being the nipples not being placed back on the chest and instead closed.

Revision surgery

If you have previously had top surgery and are unhappy with your results, have severe or painful scarring or would like for something to be changed, we are happy to consult with you and Dr. Gallagher can offer possible solutions on a case-by-case basis.

WPATH Requirements for FTM and Non-binary Top Surgery


More Details and Requirements for FTM and Non-binary Top Surgery Here!

Bottom Surgery Procedures Offered

Hysterectomy and Salpingo-Oopherectomy

A hysterectomy is the surgical removal of the uterus and cervix. A salpingo-oopherectomy is the surgical removal of the ovaries and fallopian tubes. These procedures can be performed separately or combined based on each patient’s personal choice, medical history and surgical plan as discussed with their surgeon.

It is important to know that Dr. Gallagher does not perform this procedure herself as a Plastic and Reconstructive Surgeon. These procedures are performed by OBGYN (Obstetrics and Gynecology) physicians.

Combining Top Surgery with a Hysterectomy/Salpingo-Oopherctomy

We do have relationships with two OBGYN’s here locally in Indianapolis that we can work to refer you to for their services, OR we can sometimes offer to coordinate your Top Surgery with a Hysterectomy so you only have to undergo anesthesia for one larger surgery!

If you are interested in this combined surgery option, please choose the Combined FTM Top & Hysterectomy option when you submit your request through the Contact Us page!

If you are interested in pursuing a Hysterectomy/Salpingo-Oopherectomy separate from Top Surgery, please reach out to our partnering offices please click HERE and locate the Gynecology Providers section.

WPATH Requirements for Hysterectomy & Salpingo-Oopherectomy


 **We currently not offering options for Phalloplasty or Metoidioplasty.