Gender Affirming Overview

Transfeminine | Transmasculine | Non-Binary/Gender Nonconforming

Why Stiller Aesthetics?


At Stiller Aesthetics, we strive for our patients to feel happy about who they are on the inside and outside. Dr. Stiller is dedicated to helping every patient deal with things they may not feel the most confident about however acknowledges that those patients who experience gender dysphoria experience a different sort of profound disappointment. People with gender dysphoria feel that their true identity does not match with their biological sex and physical characteristics. This may mean a trans man might want to acquire more manly attributes, trans women wanting more feminine attributes, or patients who identify as non-binary and wish not to conform to traditional ideas of male and female gender expression.  

The path of transitioning is different for everyone whether that is socially, medically or surgically. If transitioning surgically is what's right for you, there are many kinds of gender-affirming surgery that can make your body more closely align with your gender identity. Patients may choose one or more surgeries and any decision is supported here at Stiller Aesthetics. It's up to you to decide if surgery will be part of your transition and Stiller Aesthetics cannot wait to be apart of that journey with you. At Stiller Aesthetics, we understand each patient is on an individual journey and take the time to understand and get to know what types of changes in appearance you desire. Dr. Stiller specializes in managing the different variations of procedures you may desire whether that be the standard top surgery, breast augmentation, facial and bottom surgery techniques. He works with you to create an individualized surgical plan that meets your goals to what best affirms your gender.  Dr. Stiller truly is one of the most attentive and genuine Cosmetic surgeons in the Northwest and is dedicated to ensure his transgender patients are compassionately and empathetically cared for

Meet Your Transgender Team

Geoffrey Stiller, MD, FACS, FAACS

Board Certified Cosmetic Surgeon
Learn More

Alison Briggs

Registered Medical Assistant & Authorization Specialist
Learn More

What are my Transgender Surgery Options?

Not every transgender individual wants to undergo a complete surgical transition to change every aspect of their outer appearance – and that is perfectly okay. Each patient's transition is unique to the individual and Dr. Stiller is here to help you navigate that transition. Dr. Stiller makes sure to assist in identifying what triggers your gender dysphoria rather than simply placing you into a "male" or "female" category. Every gender affirming procedure will be discussed at length during your consultation to ensure every patient is confident in their transition journey decision.  

What is the process for Gender Affirming Surgery?

Starting your surgical transition journey can be exciting but also stressful. There will be ups and downs throughout the process and the most important aspect is making sure you have a strong support system of people you love and trust. When you are ready to make that step and schedule your consultation with Dr. Stiller there are a few steps to get there. At Stiller Aesthetics, we follow the World Professional Associated for Transgender Health (WPATH) guidelines for completing your transition. The World Professional Association of Transgender Health is a non-profit, interdisciplinary professional and educational organization devoted to transgender health care. They have set the Standards of Care for the health of transsexual, transgender, and gender nonconforming people.  

At Stiller Aesthetics we acknowledge the needs of intersex and non-binary/gender nonconforming patients, please note that we are using specific terminology referenced by WPATH and HCA guidelines. Please reach out to the office to clarify specific requirements related to intersex and non-binary/gender nonconforming needs so we can best support you.

Below is the list of requirements for each procedure of documents that we need before your consultation is scheduled.  

Vaginoplasty Surgery Requirements

  • Medical referral from health care provider
  • One (1) year of hormone replacement therapy
  • One (1) letter of support from your health care provider
  • Two (2) letters from separate, qualified mental health professionals

Breast Augmentation Surgery Requirements

  • Medical referral from health care provider
  • One (1) year of hormone replacement therapy
  • One (1) letter of support from your health care provider
  • One (1) letter of support from a qualified mental health professional

Mastectomy Surgery Requirements

  • Medical referral from health care provider
  • One (1) letter of support from your health care provider
  • One (1) letter of support from a qualified mental health professional

Facial Feminization/ Facial Masculine Surgery Requirements

  • One (1) year of hormone replacement therapy
  • One (1) letter of support from your health care provider
  • One (1) letter of support from a qualified mental health professional

Body Feminization/Body Masculinization Surgery Requirements

Once all documentation is received, your consultation can be scheduled. After your consultation with Dr. Stiller, your authorization will be compiled and submitted to your insurance company for authorization of the surgery. The prior authorization process takes 8-10 weeks from start to finish. Our office does not provide status updates prior to 6 weeks from the date of submission.  If you would like an update on the status of your authorization you may call your insurance company and give them the reference number. Our office is not informed of the status of your authorization once it is submitted.

Letter of Support Requirements

Consultation & Authorization Requirements

Timeline to Surgery

Pre-Op Checklist

FAQ

Resources

Glossary Terms

There is a great deal of confusion and misunderstanding about terminology in the LGBTQ+ community. The Human Rights Campaign (a non-profit organization) has put together an excellent glossary of terms to assist people with appropriate definitions and terminology for the various aspects transgender medicine.

Learn MOre

Professional work, awesome!

Lorem ipsum dolor sit amet, consectet adipiscing elit. Phasellus feugiat lacus vitae neque ornare, vitae libero!

Draco Malfoy
Developer @buckybwe

Nice result, I like it!

Lorem ipsum dolor sit amet, consectet adipiscing elit. Phasellus feugiat lacus vitae neque ornare, vitae libero!

Ron Weasley
Developer @buckybwe

Professional work, awesome!

Lorem ipsum dolor sit amet, consectet adipiscing elit. Phasellus feugiat lacus vitae neque ornare, vitae libero!

Sirius Black
Developer @buckybwe

Just simply the best.

Lorem ipsum dolor sit amet, consectet adipiscing elit. Phasellus feugiat lacus vitae neque ornare, vitae libero!

Hermione Granger
Developer @buckybwe

Nice result, I like it!

Lorem ipsum dolor sit amet, consectet adipiscing elit. Phasellus feugiat lacus vitae neque ornare, vitae libero!

Bucky Burnes
Developer @buckybwe

Professional work, awesome!

Lorem ipsum dolor sit amet, consectet adipiscing elit. Phasellus feugiat lacus vitae neque ornare, vitae libero!

Bucky Burnes
Developer @buckybwe