Gender-affirming surgery covers a range of procedures that help align a person's body with their gender identity. In Toronto, this can include top surgery (double incision, periareolar, or keyhole techniques), bottom surgery (vaginoplasty, phalloplasty, metoidioplasty), facial feminization or masculinization, body contouring, and voice or tracheal shave procedures. We list 38 providers in the Toronto area who offer some combination of these services, ranging from dedicated gender surgery practices to general plastic surgeons who have added this work to their practice.
This is not a category where you shop on price alone. Surgical outcomes, complication rates, and how a surgeon handles revisions matter more than a lower quote. When you're comparing providers, look at how many procedures of the specific type you need they perform each year, whether they have hospital privileges (important for bottom surgery, where overnight stays and complication management matter), how they coordinate with your referring physician or WPATH-aligned assessment, and what their revision and complication policies look like. Wait times vary a lot across the city, so ask directly rather than assuming.
Our scoring weighs verified patient feedback, credentials, surgical volume in the relevant procedure category, and consistency of outcomes over time, rather than just star averages. For the full ranked list with detailed comparisons, see our best plastic surgeons in Toronto guide. If you want to understand exactly how we calculate these rankings, our methodology page breaks down every factor and weighting.