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Top surgery (chest masculinization/augmentation) surgeons in Ontario

Top surgery is usually the first and most commonly sought gender-affirming procedure, and it follows its own referral and readiness-assessment process separate from bottom surgery or facial feminization. This includes chest masculinization (double incision, keyhole, or peri-areolar techniques) and chest feminization with implants.

  • Double incision or keyhole mastectomy for masculinization
  • Breast augmentation for feminization
  • Readiness letters and referral requirements through OHIP-funded pathways
  • Revision or touch-up procedures after initial surgery

Wait times and referral requirements vary, so ask prospective surgeons directly about their current intake process, whether they accept OHIP referrals, and typical timelines from referral to surgery date.

What it costs

Top surgery is generally covered by OHIP once you have the required assessment letter(s) and an approved referral, though wait times can be long. Costs outside coverage may include travel to a surgeon's location, revision procedures deemed cosmetic, or care if you choose to go outside the OHIP process. Confirm current requirements since policy details can change.

Top 3 by our score

Ranked from our published scoring of public Google reviews for gender-affirming surgery.

  1. 92
  2. 91
  3. 3. McRae Plastic Surgery
    5.0★ · 117 reviews
    91

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FAQ

Does OHIP cover top surgery in Ontario?
Yes, with prior approval, generally requiring a referral and assessment letter from a qualified provider. Check current OHIP requirements as the process can be updated.
How long is the wait for top surgery in Ontario?
Wait times vary widely by surgeon and region, sometimes a year or more. Ask each surgeon's office for their current estimated timeline at consultation.
Can I get top surgery without a referral letter?
Some surgeons offer self-pay options without going through the OHIP referral process, but most publicly funded surgeons require the standard assessment documentation.