Stanley Biber does a decent chest, but is not the greatest for
phalloplasty. Biber considers phalloplasty "experimental" surgery, but will still perform the procedure. I've seen 2 of his phalloplasties and both were quite poor in aesthetics and function. The people who had them ended up seeing others to have work corrected. The main problems were with excessive scarring of the penis and necrosis. He has begun doing clitoral free-up. While he has done excellent MTF vaginoplasty, his work with FTMs is lacking.

7565 Ramshead
St. Ignatius, MT 59865
406-745-3412

Brownstein does the most beautiful chests. His most common technique is double incision, though recently he has been using a variety of techniques (including keyhole and laser tissue removal). The nipples are resized, grafted and repositioned. The scarring is very minimal and in most cases seem to fade to virtually nothing.

He probably has the most experience in FTM chest reconstruction. His staff is well informed and sensitive to the special concerns and sensitivities of transgendered men. Brownstein makes his primary incision below the breast line in a place that ends up falling right along the natural 'shadow' of the pecs. I think this may be why his surgeries result in so little scarring. Beneath the nipple graft he places another layer of excess areola tissue, so that if a corner of the graft is lost, the skin underneath will grow forward and it will be the same color, etc.

He is VERY versatile and willing to work with patients to end up with the best possible results.

She does the surgery in her office. She specializes in breast surgery including: reconstruction and gynocomastia.

He works with patients to find the best method for the patient’s body size, shape and desired end result.

Decent chests reconstruction. Leaning towards keyhole only, but still does double incision.

Gilbert does a moderate job on chests. He uses the t-incision
which leaves an unnecessary scar coming down from the nipple. Gilbert does the forearm flap technique for the phalloplasty which leaves an unsightly and impossible to hide scar on the forearm. The final results of this surgery leave much to be desired. Thepenis and scrotum are made from the forearm skin and are the same color as that skin. It looks like it is constructed and barely resembles a penis and scrotum. When he commented at one of the conferences that the results were reasonable a couple of people responded that this was so if (1) you were half blind and (2) if you were 400 yards away. Also it is extremely expensive starting at $50,000.00. He also prefers that people do ALL surgeries with him--chest and genital reconstruction.

Another possible downside, is that Gilbert requires a vaginectomy. It's been reported that he's said that a non-closed vaginal opening indicates that the person is just a "chick with a dick". He seems rigid in gender barriers.

Although the scarring is significant, he is probably the best in the Country (if not the world) on microsurgical phalloplasty technique(s) and trying to make the tissues sensate and "usable".

This surgeon has a terrible reputation for "mutilating" and disfiguring people. Someone to definitely avoid!

Boca Raton, Florida

Breast reduction/chest reconstruction costs $2000 Aust. When you add anesthetist's fee and two days hospital care the total would be about $3500 Aust. This is about $2700 US.

Focus on phalloplasty. Former partners with David Gilbert.  Microvascular, forearm free-flap starting at $70,000.

Donald Laub does a mediocre chest in that he leaves a fairly large scar and shaves off the nipples to resize (which results in a large discolored blotch). His chests are not very natural looking.

He was the best in the past for phalloplasty but he tends to be inconsistent in his results.

He is the "expert" and the "founder" of the clitoral free-up/metaoidioplasty technique. Most metaoidioplasties have great appearance and sensation.

Great chest with minimal scarring and good positioning of nipples. Has a good track record for phalloplasties and clitoral free-ups. Probably the best US or Canadian surgeon doing metaoidioplasties.

His primary area was not SRS but reconstructive surgery for accident and burn survivors. He takes intense pride in his work and is very fair. Has an excellent bedside manner too! He is currently ONLY working with transgendered clients and only doing SRS surgeries.

He offers patients a lot of versatility and choice in their health care/surgical options. He is very willing to work with patients to give them the results they most want – if surgically possible.

Chest surgical results are mediocre. He is the leading keyhole surgeon in the North American continent – and the cheapest. The results are relatively poor, unless the patient is VERY small chested prior to surgery. He uses a two stage technique, the first to remove the tissue, the second to resize the nipples/areolas and take up the excess skin. Almost no visible scarring.

Phalloplasty method used is the forearm flap. Menard has performed less than 12 phalloplasties. The scarring was excessive, on the forearm, leg and genital area, resulting in a rather malformed penis.

He has the highest rate of fistulas and strictures (and infection). Every patient has had to have follow-up surgery, usually for strictures or fistulas, or necrosis.

She is a talented plastic surgeon. She's done a number of FTM chest surgeries and. She does both keyhole and double incision and contours the chest nicely. Cost is @ $5700 – everything included.

She has become a popular chest surgeon amongst FTMs, especially those who are small-chested. The results are adequate. She believes that any sized chest is suitable for keyhole technique. Her technique leaves a great amount of residual tissue, and she does not remove the mammary tissue.

A very caring man. He has his own surgical center, it keeps the costs reasonable. His whole staff is very supportive

Pleasant demeanor, good and predictable surgical results. Generally prefers double incision, though will use keyhole on requesting individuals who he believes will be good candidates.

Good results, though usually after several revisions. He works well with patients to find the best technique that will yield the best results. Caring and sensitive.

Specializes in larger breasted FTMs (and genetic women). Inconsistent results and "blotchy" nipples.

No brouchure or literature. Would not give a price estimate over the phone. Dr. Wilson has office hours on Monday and Wednesdays. His prices for chest reconstruction are based on breast size.

He is becoming a popular FTM phalloplasty surgeon, although he does not have a very good reputation based on hearsay. His phalloplasty costs are less than many other phallo surgeons in the country.