New Grant Program Makes MTF Surgery Affordable for Almost Everyone

GRANT FUNDING to provide MTF vaginoplasty from $5,000 to $8,500, allotment for 5 cases.

Please write admin@srsMiami for details.     What’s included:  surgery, use of facility, private duty RN nursing care, anesthesia, any followup care provided by Dr. Reed, including touch ups under local.  What’s not included:  consultation, stents, travel, out of pocket expenses,  some medications (the small stuff) Harold M. Reed, M.D.

305-865-2000

11 Comments

  1. i am looking for funding help to get bottom and breast enhancement for my SRS, i can cover post op and horomes, just need a loan for the actual surgery

  2. i am looking for help to fund my bottom and breast enhancemnt. for SRS.
    if you can not help me find funing via grants, gifts or loan could you please let me know who might
    thanks jerry

  3. i would to request for funding for my transition for sex reassignment surgery I class myself a pre-op transsexual and I want to a complete sex change I have already changed my name legally from Kevin Matthew Margerison to kelly martina margerison i must tell you i am diabetic and am insulin controlled.I am temperarely in care a care home due to a motorbike accident I had 2 years ago but i am fine just waiting to get my own flat .I am looking for a gender therapist /physiciatrist in manchester at the moment because I think I will be moving yet again to birmingham soon where I will have to find again another therapist/physicologist to assist me in my gender dysphoria I have already had 3 years of therapy when i was 16-19 and got referred to london whereby I got a letter to go down and begin the hormonal treatment but my mother who disapproved of the procedure tore the letter up and I could not go asi did’nt know where it was but my doctor in baschurch shrewsbury should still have all my details from the referral and should be able to help you get me a therapist / physicologist to see me asap I hope you can as since the age of 19 I have moved from place to place and from home to home I have had 3 flats lived with my parents and two friends ,also now my mother has died last year in 2010 so I am and have express to the world and my family that I am a woman and my family accept it and all my friends accept it too,please email back and refer me to whom you can for my transgender Kelly Martina Margerison

  4. Hi I am a MTF transexual and would like to have the sexual reassignment surgery. The problem is that I am not working and have found it impossible to get a job for years since I have transitioned. I am even in college furthering my education. I will come into some money around 5,000 dollars and would like to know if that would be enough for someone like me who is needy to get the surgery performed. If so, what all can I have done and how soon and what is the orgasm rate for MTF’s that go to this provider. I am 37 years of age and would like to complete this part of my life as soon as possible. Can someone help me?

  5. I am a frm looking for information about your grants for to surgery
    I have been on t for a year and seven months I like,in anderson south carolina and we do not have anything here for that I would appreciate your help thank you

  6. The Reed Centre for Ambulatory Urological Surgery
    1111 Kane Concourse, Suite # 311
    Bay Harbor Islands, Florida 33154

    305-865-2000 Fax 305-865-2002

    Thanks for visiting our web-site on female to male transgender
    surgery http://srsmiami.com and for your beautiful letter.

    We hope you like what you see http://srsmiami.com/photography-f2m.html

    Be sure to join our adult Yahoo group with over 5133 members including
    many FTM patients who will help you http://groups.yahoo.com/group/MTF-SRS-FTM/

    This week alone 20 new members!

    You’ll have to do about 10 key strokes to get there but once you are a member
    logging in is easy.

    Every so often we have a promotional week, in honor of a visiting urology professor, such as this past January when we hosted a colleague with the world’s largest collection of metoidioplasty patients. We did 3 metoidioplasties. Please understand visiting professors who are not licensed in Florida may not operate, but their advice is invaluable.

    Yes, we do male chest reconstruction surgery.

    While we will endeavor to utilize the smallest incisions possible,
    and strive for reasons of concealment to make those incisions along anatomical
    skin folds or planes if at all possible, a consultation would be required to best advise you.

    Fees to include anesthesia and use of the facility range from $5,000 to $8,500. Scheduling
    for surgery requires a 50% deposit which is non-refundable.

    The balance is due no later than the day before surgery and must be presented in cashier’s check or currency at that time. Credit cards and personal checks are not accepted.

    Consultation is $250 and there will be some out of pocket fees for a compressive chest
    garment, laboratory tests (which could be done in your home town) and a letter of medical
    clearance (if indicated). Consultation is usually initiated over the phone, so be sure to send us an envelope with your name, address, and phone number along with any pertinent records and we’ll get started.

    We adhere to the Harry Benjamin standards of care. For below the waist FTM surgery you will need 2 letters of therapeutic clearance. One of which, should be written by a therapist with a doctoral degree (a psychologist, psychiatrist, sexologist, or sociologist) and one of the therapists must be following you for at least 6 months.

    For construction of a penis, there are 2 approaches: metoidioplasty and (full-scale)
    phalloplasty. Metoidioplasty is the simpler and least expensive of the two. Metoidioplasty taken from the Greek words, meta meaning toward oidion meaning male organs, and plasty to form. A metoidioplasty is based surgical release of a clitoris which has been primed on tetsosterone. You may reasonably anticipate the outcome based upon the length of the clitoral body and size of your glans clitoris pre-operatively. In other words, anticipate a juvenile sized phallus at best without ability to penetrate.

    Metoidioplasty with a stand to void urethra has the advantage of being more economical $12,500 (in our practice) vs. $75,000 to $100,000 in the United States for complete phalloplasty.

    In Europe a phalloplasty can be obtained for $15,000 to $30,000. A completed phalloplasty requires several stages and the likelihood that all stages will proceed without any complication or produce a perfect result without an occasional revisions is quite remote.

    Anticipate revisions and discuss with your intended surgeon what you may reasonably expect as related to their unique technique. Please confer if you wish with Dr. Miroslav Djordjevic (djordjevic@uromiros.com) or Dr. Rados Djinovic, M.D. (perovics@eunet.rs) both in Belgrade, Serbia or Dr. Stanley Monstrey in Gent, Belgium. All are excellent surgeons and speak perfect English.. Dr. Monstrey does an excellent forearm flap. I have personally seen each do this surgery several times.

    An ideal phalloplasty will produce a phallus that looks upon close inspection to be a penis
    with good glans (head) formation and a corona (rim). The phallus must be completely sensate and beyond that orgasmically sensate. Within the phallus shall be a urinary channel of decent caliber so the patient can void urinating from the glans as with normal males.

    Additionally there needs to be a mechanism for producing a penetrable erection. Alternatives include: an inflatable penile prosthesis carrying a 50% complication rate and in genetic males having an average survival of 6 to 8 years (less in transgendered patients); or a semi-rigid prosthesis (possibility of extrusion from continued
    pressure); or a bacculum (silicone rod) which is inserted into a special channel just for sex.

    Many dance steps to go through. Also there will be a noticeable deforming harvesting scar which represents the donor site, could be in the forearm, back, lower abdomen, or thigh.

    We do not perform primary phalloplasty but will do revisions.

    If you are considering metoidioplasty, you should be on testosterone for
    2 years to maximize growth before surgery.

    Our metoidioplasty fees are the best around (we believe) at $12,500 to include
    anesthesia, surgery, use of the facility, and my aftercare.

    During this procedure if you desire one stage urethral extension, a buccal
    graft, small mucosal strip from the inside of your cheek, will also
    be performed to assist in tubularization of the additional urethral length. Most
    patients are able to eat the next day and are fairly comfortable with an ice pack
    for 24 hours.

    Soft testicular implants can be inserted at the same time and our fee inclusive of the implants and anesthesia time is $4000. “Add-ons” are less expensive. Augmentation with testicular implants and scrotalplasty as an independent procedure is $5,500.

    Candidates who wish to secure their reservations with our facilities are required to have minimally letters of clearance and a phone consultation with a favorable response to questions of concern. Assuming this, you will be given the nod to send in a 50% deposit which is non-refundable.

    Please understand in that metoidioplasty involves a fair amount of tissue transfer,
    some degree of post-operative swelling is expected.

    Complications may include but are not limited to less than anticipated length, torquing of the clitoris (usually amenable to release), loss of sensation, tissue necrosis, localized infection, persistent tenderness or hypersensitivity, transient or permanent narrowing of the vaginal opening which may render the vagina incapable of penile penetration, urethral narrowing, urethral obstruction.

    Urethral fistula (leakage of urine anywhere along the pathway of urethral extension), and may close spontaneously or require a revision procedure (performed by Dr. Reed at no additional cost).

    Additional length may be accomplished after wound healing with use of a vacuum erection device (furnished by Dr. Reed).

    Additionally you may want to have your vagina removed (colpocleisis) and this
    is done by others, but needs to follow metoidioplasty. Could be done
    before or after phalloplasty, but perhaps desirable before. Hysterectomy and
    oophorectomy can be done before or after metoidioplasty, but probably better
    before phalloplasty. Please consider state of the art “total laparoscopic
    hysterectomy and oophorectomy” and this is done by others.

    If there is further interest, please call Anne, our amiable office manager
    and set up an appointment for your initial visit. There are many illustrations
    and products that need to be shown to you as well.

    Having a neophallus constructed from a graft is more complicated and involves many steps including fulfillment of Harry Benjamin criteria, total laparoscopic salpingo-oophorectomy and hysterectomy, construction of a neo-phallus with internal urethra, and
    creating a scrotum from labia majora
    tissue and installing testicular prosthesis.

    If you already have a neophallus, about 6 months later you can have an inflatable penile prosthesis installed.

    Our fee for a semi rigid is $7000 and for an inflatable (recommended) is $13,500.

    This includes surgery, facility fee, anesthesia, and of course the implant itself.

    If you are over 40 and are on medications other than hormones, please call the office before scheduling surgery, as a letter of medical clearance will most likely be needed.

    If you are a smoker, you must stop completely for 2 months before surgery and please never again. Smoking causes vaso-spasm, impairs wound healing, produces excessive scarring, tissue necrosis, irritates and inflames pulmonary membranes and
    enhances anesthetic risk.

    This goes also for any products containing nicotine or nicotine like agents including nicorette gum, nicotine patches, Nicotrol inhalers, and second hand smoke.
    Again not for 8 weeks before and not for 8 weeks afterwards. Hopefully never again.

    If you have a history of inflammatory bowel disease, such as Crohn’s or regional enteritis, please get clearance from your GI doctor, as rectal inflammation can be an inciting factor for the post-operative complication: rectal-vaginal fistula.

    Obtain a pair of anti-embolism thigh high stockings. T.E.D. (by Futuro) or Jobst are common brand names. Yes, do try these on before you come here to be sure
    they fit comfortably. If you wash or dry them in a hot cycle, they may never fit properly again. So best not to wash them at all until after surgery.

    As a courtesy to the hotel, please obtain and bring with you a bundle of “chucks” or disposable superabsorbent pads with plastic liner on underside (typically 24 by 36 inches) to conserve hotel laundry and bedding.

    Circular (ring or donut) pillow. Yes, please bring a circular or donut pillow with you so you do not sit directly on your suture line or testicular prostheses for at least 3 weeks. Very important especially if traveling by car or plane. Your suture lines are not designed to withstand the pressure of your torso and your testicular implants may shift..

    Please no aspirin or aspirin products, no anti-inflammatory drugs such as Motrin, Advil, Alleve, or Cox 2 inhibitors such as Celebrex or Vioxx for a week before surgery. No Vitamin E or excessive alcohol or spices for a week before surgery as this may promote bruising. Bruising can be reduced (many believe) with Bromelain 500 mg 1 twice
    a day, Arnica montana (Boiron brand) dose 30C (take 4 small tablets sublingually,
    4 times a day), vitamin C 500 mg (3 times a day) starting 1 week before surgery. Do take these medications unless there are specific reasons why you choose not to and let’s discuss this beforehand.

    Boiron brand is available at Whole Foods and on the web at http://www.vitaminshoppe.com for “pennies” and we do notice a difference. You will need 2 vials.

    FAQ: 1. Where to start?

    In every major city in this country there are therapists and physicians
    who will assist you. The best places to start the web-sites of Dr. Anne Lawrence
    http://www.annelawrence.com/links.html,
    Dr. Becky Allison http://www.drbecky.com/therapists.html ,
    and Mrs. DaleLynn Sims http://www.kindredspiritlakeside.homestead.com/resources.html

    FAQ: 2. How do I obtain hormones?

    Hormones are helpful to assist in the real life test. If being passable is an important
    consideration in your decision to undergo transition, then your first stop is to see a therapist.

    Ethical and responsible medical practice would suggest that hormones should only
    be prescribed by a knowledgeable doctor such as an endocrinologist, who will
    request a letter of therapy clearance.

    Hormone changes may be irreversible and some very adverse effects may occur
    with improper use. Do-it-yourselfers, beware!

    You will need to have a few baseline blood tests performed and be followed every so
    often to be sure you are achieving safe and effective levels.

    For those in the South Florida area, this service is provided by our office.

    FAQ: 3. Will I be able to penetrate during sexual relations?

    Our technology does not permit insertion of a prosthesis in metoidioplasty patients at
    this time. For those patients who have a neo-phallus fashioned from a graft or flap,
    this can be accomplished with either a stent (bacculum) that can be inserted into a linear
    cavity within your phallus while having sex, or via an inflatable penile prosthesis.

    FAQ: 4. Would I be able to produce sperm and let’s say in the future would I be able to impregnate a female and have kids?

    Genetic research technology is not that far advanced. The muscles and accessory sex glands (prostate and seminal vesicles especially) needed for ejaculation are not created in today’s FTM surgical procedures. Let’s hope for and follow future developments.

    FAQ: 5. Are any of your patients amenable to speaking with me?

    As you may know the new HIPAA laws are very strict about patient confidentiality. However, photos are available both on our web-site and http://www.transster.com

    FAQ: 6. Would it be of normal size and look and feel real?

    To discerning people examining you in bright light, your neo-phallus will resemble a penis but subtle differences in skin pigmentation, texture, and the presence of some incisional areas although well healed and perhaps ever so fine, will be apparent.
    Our goal will be to create a sensate phallus at least as long as a real penis, with glans formation, through which you can void and make erect for the purposes
    of penetration.

    Once you made your selections and accept continuous cross-dressing for
    at least 1 year and have fulfilled the Harry Benjamin requirements (see our web-site),
    you are all set for below the waist
    surgery.

    FAQ: 7. Do you perform male chest reconstruction?

    Yes, we do male chest reconstruction surgery.

    While we will endeavor to utilize the smallest incisions possible,
    and strive for reasons of concealment to make those incisions along anatomical
    skin folds or planes if at all possible, a consultation would be required to best advise you.

    We cannot do breasts larger than a small C in the office unless you have pendulous
    breasts with a narrow pedicle

    Fees to include anesthesia and use of the facility range from $5,000 to $8,500. Scheduling for surgery requires a 50% deposit which is non-refundable.

    The balance is due no later than the day before surgery and must be presented in cashier’s check
    or currency at that time. Credit cards and personal checks are not accepted.

    Consultation is $250 and there will be some out of pocket fees for a compressive chest garment, laboratory tests (which could be done in your home town) and a letter
    of medical clearance (if indicated).

    A letter of therapy clearance written by a consultant with a doctoral degree (could be a psychiatrist, psychologist, or sociologist) is also required. You may already have such a letter. If written in the past year this is acceptable, or simply have it updated.

    You may wish to log in with a very stimulating discussion group with posted topics that could be of interest http://groups.yahoo.com/group/MTF-SRS-FTM/
    We hope you’ll join us.

    With kindest regards and best wishes for fulfillment of your goals,

    Harold M. Reed, M.D.
    305-865-2000

    musculocuaneous latissimus dorsi phalloplasty.pdf

    The Reed Centre for Ambulatory Surgery
    1111 Kane Concourse, Suite # 311
    Bay Harbor Islands, Florida 33154-2041

    Re: Female to Male Transgender Surgery (as requested by an attorney
    representing a client to explain the involved process)

    May 2, 2007

    Good afternoon,

    This will confirm I am a transsexual surgeon, an active member of the World Professional Association
    for Transgender Health (formerly the Harry Benjamin International Gender Dysphoria Association),
    a urologist board certified in 1975, and a senior member of the American Urological Association.

    Reviewing the steps a female may take to be legally accepted and present as a male, the following
    information is provided.

    The patient should enter into a therapeutic relationship with a licensed therapist who has attained at least a masters degree and ideally a doctoral degree and who has received sufficient education in gender dysphoria to understand the evaluation process, to manage adjustment problems, and
    to know when it is appropriate to make recommendations for advancement in transition.

    Typically after a few months, clearance is given for initiation of the Real
    Life Test (RLT) which means living in the role of a male 24/7 (at work and play)
    for a minimum of one year..

    Testosterone is frequently provided to produce secondary male sex characteristics such as
    enhanced muscle mass, beard, and a lower voice. Voice changes are considered to be irreversible. There should be monitoring of blood levels every 3 months to pick up subclinical adverse reactions such as liver dysfunction and elevated blood viscosity secondary to unduly high levels of red blood cell mass.

    Once the patient has lived in this mode for a year or more and feels comfortable undertaking an irreversible surgical procedure, an additional letter of concurrence provided by an independent therapist is required (one of the two must have a doctoral degree). A subcutaneous mastectomy may be performed in lieu of breast binding. This is accomplished via one of three incisions: a periareolar (so called key hole incision) in which the incision line lies at the boundary of the pigmented shield or areola and breast skin and at which time the nipple-areola complex is reduced; or via a transverse incision made at the inferior mammary line; or thirdly by this incision augmented with a vertical incision to help remove excessive skin, so called “anchor incision.” The incidence of mastectomy revisions either wished for by the patient or suggested and performed by the surgeon is about 50%.

    Liposuction may be needed to remove feminine fatty deposits in the hip and buttocks
    area. A chin implant may be placed to provide a more masculine outline.

    Below the waist genital surgery may include removal of the uterus and ovaries now via
    state of the art total laparoscopic hysterectomy and bilateral salipingo-oophorectomy.
    The vaginal lining can also be removed by a procedure called colpocleisis.
    Following that the vaginal vault contracts from an open space into a central fibrous mass.

    To create a phallus, the patient has two choices, one is clitoral release and the
    other is full phalloplasty. The latter can be performed with procedures such as
    a sensate radial forearm graft, or a lower abdominal flap, or a latissimus dorsi
    (muscle and skin) graft. All leave disfiguring harvesting scars. A follow-up procedure
    called a Muniwar glans plasty is used to create a rim or corona.

    Urethroplasty, insertion of a tube within the phallus permits extension of the
    urethra for standup voiding. Capability to penetrate can be provided with a
    bacculum stent which is inserted into a grooved space within the phallus only
    during intromission, or via penile prosthesis affording the patient a controllable
    erection or a permanent semi rigid (malleable) erection. With phalloplasty, the
    necessity for staged procedures is predictable and the revision rate is often quite high.

    Testicular prostheses can also be inserted into the labia which may be joined from
    side to side to create the semblance of a scrotum.

    Sincerely yours,

    Harold M. Reed, M.D. FICS
    Senior Member of the American Urological Association
    Society of Genito-Urinary Reconstructive Surgeons
    Founding Member of Sexual Society of North America
    Founding Member and Treasurer of American Academy of Phalloplasty Surgeons

  7. When you have 10,000 saved up, please call the office. Or seek a sponsor. 50% of our patients come in with a sponsor.

    In the past 5 years, every patient we have done has been orgasmic. Not to worry.

    Best,

    Harold M. Reed, M.D.
    305-865-2000

  8. I’m harmony I’m a 31 yr old mtg i have been living full time now for almost two years I’m begining hormones soon i really need a grant its the only thing to save my life its hell living in the wrong body and its killing me to think I just may never be able to be my true self im getting older and an need to get a move on whale I still have my youth to be able to enjoy it I’m begging for someone to please help me this surgery is all my life depends on please help a woman to live a happy life I cant keep living like this please help me get my life started agian please help me get srs I need to be the complete woman I was born to be this is a call for help please save my life I would give anything for this chance I’m begging for help

  9. Hello I have been transgender all my life. I have always been a girl and was raped by stepfather when I was 6 to show me how a woman was treated in bedroom after beatings didn’t work. I was also placed in inpatient treatment when I was 13 for GID because adoptive mother found me wearing her clothes. I was locked up for 3 years in 3 different hospitals. I am looking to finally be a female. I have served my country proudly in Iraq war and my disability is taking so long to go through I have fought since 2009. Please help me get bottom surgery the VA supplies hormone therapy but not the surgery as far as breasts would rather them be natural. However, withe still having male I am still producing testosteron and estrogeniisn’t working the way it needs to please help me I have lived full time as a female since 2009

  10. Hi, my name is Justin. Delgado. I live in Columbus,GA I am needing to go through my transformation from male to female so my real name to be is Juliet Chanel Delgado but it seems like it will never happen the employment here is so hard to find if your not a passible male to female here and my family is not supportive to much about it I come from a Puerto Rican family. I am in college currently to better myself I am going to become a phelabotimist and then later in life a pediatric nurse for children that have cancer. If you want more information about me contact me at chanelinnocentlove@gmail.com

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