Highest Level of Transgender Surgical Care in the Carolinas
Dr. Hope Sherie, MD is a board-certified cosmetic surgeon with extensive training and experience in gender-affirming surgery, having performed thousands of top surgery procedures for trans male, trans female, and non-binary patients. She offers comprehensive surgical care at her practice in Charlotte, North Carolina, specializing in FTM and non-binary top surgery, MTF breast augmentation, orchiectomy, and body sculpting using VASER high-definition liposuction.
Dr. Sherie is a Fellow of the American College of Surgeons (FACS). Fellows are “board-certified surgeons whose education, training, professional qualifications, surgical competence, and ethical conduct are reviewed and consistent with the high standards of the ACS. Not all surgeons are accepted as Fellows.” (www.facs.org)
Dr. Sherie is also a member of the American Academy of Cosmetic Surgery, the World Professional Association for Transgender Health (WPATH), and the Charlotte Transgender Health Care Group.
Dr. Sherie’s academic background includes an undergraduate B.S. degree from Randolph-Macon College, a medical degree from Eastern Virginia Medical School in Norfolk, and residency at the David Grant Medical Center, Travis Air Force Base, California. Dr. Sherie served in the U.S. Air Force Medical Corp through the Health Professions Scholarship Program during medical school from 1995-1999 and as an active duty Air Force surgeon from 1999-2008. She completed a 1 year Fellowship Training sanctioned by the American Academy of Cosmetic Surgery, in Tukwila, WA, with a focus on transgender surgery in 2012-2013.
In addition to her work with the Charlotte Transgender Health Care Group, Dr. Sherie supports local LGBT community organizations such as Time Out Youth and Charlotte Pride.
Your consultation, surgical procedures and follow-up visits take place at Dr. Sherie’s private, trans-friendly surgery center located in South End Charlotte. Some of the ways that The Cosmetic Concierge creates a safe space for clientele include:
- When you first fill out an inquiry form or make an appointment by phone you are asked for your preferred name and pronouns, and these will always be honored.
- Two signed, notarized letters confirming surgery for gender transition are provided. These letters can be used to change gender markers on ID documents, if desired.
- Dr. Sherie uses informed consent for gender affirming procedures, just as she does for any other surgery. (In accordance with WPATH standards, a letter from a licensed provider is required for Orchiectomy.) The same criteria are used to determine whether any labs, medical or psychological clearances are needed for cis, trans and non-binary patients. Additionally, Dr. Sherie does not require that a patient be taking hormones, present as any specific gender publicly, or be in the process of changing their gender markers to qualify for surgery.
For out of town clients, Dr. Sherie offers assistance with finding lodging, and an overnight medical caregiver can also be arranged. Also offered are post-operative care packages that include all needed post-operative supplements, extra dressings and garments.
Top Surgery in North Carolina
Dr. Sherie has performed thousands of top surgery procedures since 2012. For many patients, she uses her Buttonhole Technique for FTM chest reconstruction, which allows the nipple-areolar complex (NAC) to be resized and repositioned while remaining attached to a thin dermal pedicle. This preserves blood supply and nerve connections, helping maintain sensation and pigmentation.
With this approach, the nipples are brought through carefully placed circular incisions and sutured into position, avoiding the extra incisions of the Inverted-T technique and the potential scarring, depigmentation, and loss of sensation associated with free nipple grafts. The result is a more masculine, natural-looking chest with appropriately sized and positioned nipples that retain projection and sensation.
In addition to the Buttonhole Technique, Dr. Sherie offers Double Incision with Nipple Grafts, Inverted-T, Peri-Areolar, and Keyhole top surgery methods. Pectoral implants and body masculinization procedures are also available, allowing surgical plans to be tailored to each patient’s anatomy and goals.
The cost of Top Surgery with Dr. Sherie is typically $11,000 – $13,000 but can range from $10,000 – $18,500. Prices include all operating room and facility fees, doctor’s fees, anesthesia, and pre- and post-op visits. Prices do not include prescription drugs, laboratory fees (if required), post-operative care materials or additional post-operative binders. Pricing is accurate as of January 2026.
Body Masculinization / Feminization with VASER
Dr. Sherie’s hi-definition VASER liposuction procedures are unique to her practice. Common areas of treatment include the chest, abdomen, waist (from underarms to hip bones), back, hips/outer thighs, inner thighs, upper arms. Hi-def muscle definition can be performed on the abs (“six pack”) and arms (deltoids).
Feminizing Surgeries
- Breast Augmentation
- Buttock Augmentation
- Orchiectomy – with or without scrotal excision
- Body Sculpting
- FFS: Forehead Reduction
Surgery Packages: Combine Top Surgery or Breast Augmentation with VASER Liposuction
- FTM Total Body Masculinization
Chest Reconstruction + VASER liposuction of the Abdomen, Waist, Hips, and Circumferential Thighs. - FTM Chest & Sculpting Package
Top Surgery + VASER liposuction of either Abdomen and Waist OR Inner/Outer Thighs
- MTF Breast and Body Make-Over
Silicone Breast Augmentation + VASER liposuction of 3 areas + Brazilian Butt Lift. - MTF Instant Hourglass Package
VASER liposuction of the abs, waist, and lower back with PureGraft Natural Fat Grafting to the butt and hips.
| Procedure | Price (USD) |
|---|---|
| Top Surgery | $10,000 - $18,500 |
| Breast Augmentation | $10,500 |
| Body Sculpting with VASER | $5000 for the first area $3000 for each additional area 5% off three areas or more |
| Orchiectomy | $5500 w/o scrotal excision $6000 w/ scrotal excision |
Exact pricing can only be determined following a consultation. Pricing is ALL INCLUSIVE: Facility fee, Anesthesia fee, Post-op garments, Pre-op and Post-op appointments, Minor revisions, VASER Liposuction of the chest/underarm/bra-roll area for chest and breast cases. 5% discount with military or VA ID card.
Consultations with Dr. Sherie
Dr. Sherie is available for in-person and phone consultations. The consultation fee of $100 will be applied towards your procedure.
Financing
Cash, all credit cards, and check are accepted. Medical financing via CareCredit and Alpheaon is also accepted (additional financing fees apply). About 20% of Dr. Sherie’s patients utilize medical financing to bridge the gap between savings and surgery costs.
Insurance
Dr. Sherie does not accept insurance, Medicaid or Medicare at this time, but will provide codes and documentation needed for you to file a claim with your insurance, if desired.
Payment Plan
Dr. Sherie offers an in-house payment option, which is more of a layaway plan. There’s no check credit or payment agreements. You’ll receive a complete refund, minus the cost of the consultation, if you decide to cancel and provide sufficient notification. Dr. Sherie honors quotes given following a consultation for 3 months. After three months, quotes are subject to any rate changes that may occur until the deposit has been completed. A deposit of $1,000 is required to save your quote and schedule a surgery date. Make payments of any amount and at any frequency that works you for you. The balance is due in-full 15 days prior to surgery. If you feel that you will not be able to make your predicted goal, you may reschedule once or cancel all the way up to fifteen days prior to your scheduled procedure, without penalty.
Surgery Requirements
No specific surgery requirements; patients are assessed for mental stability (as with all pre-surgical patients), and reasonable evidence of desire to live as preferred gender is expected. Additional labs will be requested only if medically necessary. A therapist’s referral is only required for the Orchiectomy procedure.
