Clinical Services
Assessment of Gender Dysphoria
Discussion of gender identity and review of diagnostic criteria including physical health, mental health, social transition and alternatives to medical transition. We will also discuss the potential physical and psychological effects of hormones, the risks and benefits of hormone therapy, and any contraindications.
Bilateral Mastectomy and Chest Reconstruction (Top surgery) for Trans men and Transmasculine people
Top surgery (or transgender mastectomy) is a type of Female to Male (also known as F2M/FTM) surgery that removes unwanted breast tissue and reconstructs the chest for F2M transgender people.
The procedure involves the removal of breast tissue.
A referral for chest surgery involves a discussion about gender identity, response to hormones, mental and physical health and social circumstances. A detailed discussion of chest dysphoria and potential benefits, risks and likely outcomes of surgery to support individuals to make an informed choice. Hormone therapy is not a pre-requisite but then two independent opinions are required.
If significant medical or mental health concerns are present, they must be reasonably well controlled.
Bottom Surgery for Trans Women (M2F/MTF)
Deciding to have irreversible surgery is an important and life-changing decision and the referral process aims to review your readiness and eligibility.
It involves a review of your gender identity and reasons for seeking genital reconstruction surgery (GRS). We will discuss the expectations of surgery, including understanding of likely outcomes and potential complications, as well as the impact on psychosexual relationships. Options and approaches explored include: vaginoplasty, labioplasty and orchidectomy. Blood results reviewed to demonstrate female range oestrogen and testosterone. Postoperative care plan and recovery.
Criteria for genital surgery (two referrals):
- Persistent, well-documented gender dysphoria
- Capacity to make a fully informed decision and to consent for treatment
- Aged 18 or over
- If significant medical or mental health concerns are present, they must be well controlled
- 12 continuous months of hormone therapy as appropriate to the patient’s gender goals (unless the patient has a medical contraindication
Bottom Surgery for Trans Men (F2M/FTM)
Deciding to have irreversible surgery is an important and life-changing decision and the referral process aims to review your readiness and eligibility and explore your thoughts and feelings.
It involves a review of Gender Identity and Reasons for seeking GRS. The expectation of surgery - understanding of likely outcomes and potential complications and considering the impact on psychosexual relationships.
Options and approaches discussed include: Phalloplasty and metoidioplasty. Blood results reviewed to demonstrate male range testosterone. Postoperative care plan and recovery
Criteria for Metoidioplasty or Phalloplasty in FtM:
- Persistent, well-documented gender dysphoria
- Capacity to make a fully informed decision and to consent for treatment
- Aged 18 or over
- If significant medical or mental health concerns are present, they must be well controlled
- 12 continuous months of hormone therapy as appropriate to the patient’s gender goals (unless the patient has a medical contraindication or is otherwise unable or unwilling to take hormones)
- 12 continuous months of living in a gender role that is congruent with their gender identity
Medico-Legal Services
Expert Witness Reports for civil and criminal cases.
Dr Sahota combines skills of an experienced consultant forensi
Cases undertaken
