Genital Gender Affirming Surgery An Illustrated Guide and Video Atlas

This book is structured to enhance the techniques of reconstructive surgeons of multiple different specialties who seek to develop a program in Genital Gender Affirming Surgery (gGAS). It also furthers the understanding and development of quality of life issues such as reproductive and sexual health.

At the present time, there is no consensus regarding correct surgical technique for these procedures. Different approaches are made by different surgeons with differing specialties of surgery. This book fills a gap in identifying experienced surgeons and clinicians who share their knowledge of comparative anatomy and surgical technique with surgeons of other disciplines. The unique nature of this text will allow the surgeon to understand each step of these complex genital operations in both schematic detail and in real time. Additionally, this text will focus on up-to-date important factors in allied care to surgery. This will include preoperative, post-operative care, and other very important quality of life issues such as fertility preservation, sexuality, and psychological management.

Healthcare of Transgender Prisoners.- The Intersection of Human Rights and Medical Ethics in the Care of the Transgender Patient.- Primary Care for Transgender and Gender-Diverse Patients: Preventative Care and Perioperative Health Optimization.- Hormone Therapy for Transgender and Gender-Diverse Patients.- Primary Care of the Transgender and Gender Nonconforming Elder/Geriatric Patient.- Gatekeeper or Pathfinder? Reimagining the Role of the Mental Healthcare Provider in Gender Affirming Surgery Referral.- Feminizing Genital Gender Affirming Surgery Referral.- Feminizing Genital Gender Affirming Surgery.- Masculinizing Genital Gender Affirming Surgery.- Gynecologic Care, Hysterectomy/Oophorectomy, for Transgender and Gender Variant Men with Gender Dysphoria.- Urogynecologic Care and Management for Transgender Women and Men.- Fertility Preservation Considerations for Transgender Women and Girls.- Dermatologic Care and Permanent Hair Removal in Preparation for Genital Gender Affirming Surgery.- Healthcare with Pride- A Nursing Perspective.- Spiritual Care for Transgender Patients.

Maurice Garcia, MD, MAS is Clinical Professor of Urology at Cedars-Sinai Medical Center in Los Angeles. Dr. Garcia completed his Urology residency training at University of California, San Francisco (UCSF). He completed 3 clinical fellowships in: (1) Andrology/Sexual Medicine and Neurourology, (2) Feminizing genital gender affirming surgery (gGAS) in London and Brighton, UK, and (3) Masculinizing gGAS at University College London, UK. Dr. Garcia also completed a 2-year Master’s Degree in Clinical Research in the Department of Biostatistics and Epidemiology at UCSF. He served as Clinical Faculty in the Department of Urology at UCSF from 2010 to 2017.

He specializes in both masculinizing and feminizing genital reconstructive and gender affirming surgery, outcomes research, sexual medicine, surgical device design, and transgender surgery education. He founded the genital GAS program at UCSF in 2013, and in 2017, he was recruited by Cedars Sinai Medical Center and established the interdisciplinary Cedars-Sinai Transgender Surgery and Health Program at Cedars-Sinai Medical Center in Los Angeles. He currently serves as the Program Director and Director of the Genital Gender Affirming Surgery Surgical Fellowship. 

He is an active member of and educator for the World Professional Association for Transgender Health (WPATH) and is a co-author of WPATH’s Standards of Care Guidelines v.8.0 (2022). He is the Editor for the American Urologic Association (AUA) Transgender Surgery and Health Core Curriculum. He has served as an AUA Transgender Surgery Course Director. He is the Principal Investigator for an NIH R01 grant (5R01CA201709-06), a multi-center clinical trial. Lastly, Dr. Garcia is a member of the Society of Genitourinary Reconstructive Surgery (GURS).