Women's College Hospital - Health Care for Women, Revolutionized

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Transition-Related Surgeries*

* also known as/including but limited to: gender affirmation/confirmation surgery; sex reassignment/realignment surgery


Transgender healthcare access issues are prominent in Canada and worldwide, with significant health gaps in access to skilled primary, emergency and specialty care services, which may include, for some individuals, access to medically necessary surgical services.

In response to a significant wait list for surgical referrals and lack of access to surgical services in publically funded hospitals, WCH has partnered with Sherbourne Health Centre including Rainbow Health Ontario (RHO), and the Centre for Addiction and Mental Health (CAMH), along with a group of committed individuals from the community, to form the Trans Health Expansion Partnership (THEx).

THEx supports the expansion of health services for trans individuals and communities across the province.  Under the umbrella of THEx, the Transition Related Surgery Sub-committee led by WCH, is charged with the goal of creating an accessible, and quality program.

Women’s College Hospital is dedicated to supporting the health and wellness of our transgender and gender diverse clients. The surgical team of the Transition-Related Surgery (TRS) Program includes specialists in plastic surgery, urology, gynecology and anesthesiology as well as nurse practitioners, nurses and other health care providers. This program represents the first public hospital-based surgical program in Canada focused on providing safe and timely access to transition-related/gender affirming surgical care.

At WCH, we are dedicated to offering the safest proven surgical options for TRS. Working in partnership with our patients, we bring expertise, experience and a commitment to the highest quality of care and patient experience.

Current Available Surgeries

Through training and recruitment of clinical staff with specialized expertise, we are building a comprehensive trans surgical program. At this time, the following surgeries are available at Women’s College Hospital.

  • Mastectomy
  • Chest contouring*
  • Breast Augmentation**
  • Oophorectomy
  • Orchiectomy
  • Scrotoplasty
  • Penile implant post phalloplasty
  • Testicular implant
  • Select surgical revisions
  • Hysterectomy (partner institution)

*currently not covered by OHIP

**currently covered by OHIP following 12 months continuous hormone therapy with no breast growth defined as Tanner Stage 1

Yonah Krakowsky, MD FRCS(C), TRS Medical Director
Emery Potter, NP-PHC, BSCN, MN
, TRS Program Nurse Practitioner
Contact:  Emery.Potter@wchospital.ca

Plastic Surgery

Mitchell Brown MD, MEd, FRCS(C)
Brett Beber, MD, FRSC(C)
John Semple MD, MSc, FRCS(C), FACS

Urologic surgery

Yonah Krakowsky, MD FRCS(C)
Ethan Grober MD, MEd, FRCS(C)


Lisa Allen, MD, FRCS(C)


Referral for Surgery

If you wish to be assessed for TRS, please make an appointment with your family doctor or nurse practitioner. Surgery planning visits will take place with your health care team. Referrals to the TRS program surgeons can be made for pre-consultation with or without the required Ministry of Health and Long Term Care approval for Transition related surgery.

The Ministry of Health and Long-Term Care’s website outlines the Ontario Health Insurance Plan (OHIP) funding criteria for transition- related surgeries. There is a specific medical form that providers are being asked to use with the current referral system. The form is completed once you have decided to have surgery, and have chosen your surgeon.

 The Transition Related Surgery (TRS) Frequently Asked Questions is a guide to the assessment and referral process for Ministry of Health and Long-Term Care Approval for OHIP funding. The resource is intended for persons considering transition-related surgery in Ontario, and the people supporting them.

Referral Process

To be referred to the TRS program your Health Care provider can complete the TRS referral form and fax the form to: 416 323-6310.
If they have questions about the referral or process please call: 416 323-6400 x 5723.

> Your referral will be assessed first by the TRS medical secretary to ensure the form is complete. If not, it will be returned by fax requesting the identified required specified information.

> Next the referral will be assessed by the TRS Nurse Practitioner for review of clinical information and identification of any areas requiring further clarification. The Nurse Practitioner will follow-up directly with the referring health care provider. The Nurse Practitioner will meet with the surgeon(s) to review the referral and identify the next available appointment.

> Your referring Health Care provider will be notified via fax once the appointment has been booked. Your referring Health Care provider will notify you of the appointment time, date and location. Should the date and time provided require re-scheduling you will be given the contact information.


There's more to come.

Visit the RHO Newsroom to be kept up-to-date as our program and website expands to include helpful resources and ensure access to care. 


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