Bottom surgery, planned unhurriedly and performed with singular focus.
Genital surgery planned unhurriedly around you and performed by board-certified surgeons whose entire practice is gender-affirming care — nothing else.
About Bottom Surgery
Bottom surgery is, for many, the most considered step of a transition — and it deserves to be treated that way. At Chrysalis, vaginoplasty, phalloplasty, metoidioplasty and the related genital procedures that surround them are planned in stages, at your pace, with the time needed to understand your anatomy, your goals and the life you intend to live afterwards. Nothing here is templated. The plan is built around one person at a time.
This is work our surgeons do exclusively. Gender-affirming care is not a sideline at Chrysalis — it is the entire practice. Every surgeon is board-certified by the ABPS and holds FACS fellowship credentials, and Dr. David N. Sayah brings more than twenty-six years of surgical experience to the planning and performance of these procedures. That singular focus matters most in genital surgery, where technique, judgement and follow-through shape outcomes you will live with for the rest of your life.
Recovery is held within the same discreet home. Because our facial, chest, body and genital surgery all sit alongside a private recovery spa under one roof, you heal in a setting designed for this work — quietly, comfortably, and closely supported by the team that knows your plan. From first consultation through the final stage, the pace is yours to set.
Why choose us
Every surgeon focuses exclusively on gender
affirming care never a sideline
Board
certified (ABPS) and FACS fellowship credentials
Facial, chest, body and genital surgery plus a private recovery spa under one roof
Facial, chest, body and genital surgery plus a private recovery spa under one roof
Meticulous, staged, unhurried planning built around one person
Meticulous, staged, unhurried planning built around one person
Frequently asked questions
Bottom surgery is a considered term for the genital procedures that align your body with who you are — most often vaginoplasty, phalloplasty or metoidioplasty, alongside supporting steps such as orchiectomy or hysterectomy where appropriate. Because outcomes are deeply personal, we plan it in unhurried stages around you, with every step performed by surgeons whose entire practice is gender-affirming care.
Bottom surgery is highly individual, so a precise figure only becomes meaningful once we've understood which procedure, which stage, and which approach is right for you. After your consultation, you'll receive a written plan with a clear, itemised quote — surgeon's fees, facility, anaesthesia and your stay in our private recovery spa — so you can see exactly what is, and isn't, included before you decide anything.
Bottom surgery is typically a lengthy procedure, often spanning six to eight hours or more depending on the technique chosen and the details of your individual plan. Because every stage is planned unhurriedly around you, we'll walk you through the specifics of your operative day in consultation, so nothing about the timing feels uncertain.