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Dr. Katherine Gast

Comprehensive Gender Affirming Surgical Care in Wisconsin

Dr. Katherine Gast, MD, MS is a fellowship-trained plastic surgeon who specializes in gender affirmation surgery. Dr. Gast is an Assistant Professor at the University of Wisconsin and is the Department of Surgery Medical Director for the UW Health Comprehensive Gender Services Program. She performs the full range of gender affirming surgery including Vaginoplasty, Phalloplasty, Top Surgery and Facial Feminization. Dr. Gast has been working with trans patients for more than 5 years.

Education & Training

  • MS, University of Michigan School of Public Health, Ann Arbor, MI, 2009
  • MD, University of Michigan Medical School, Ann Arbor, MI, 2010
  • Integrated Residency, Plastic Surgery, University of Michigan, Ann Arbor, MI, 2016
  • Sub-specialty Fellowship in Gender Affirming Surgery and Microsurgical Breast Reconstruction, University Hospital, Ghent, Belgium, 2017

Recent Publications

Dr. Gast’s research is focused on patient reported outcomes in gender affirming surgery:

Gender Affirming Surgery in Wisconsin

FTM Surgery

  • Top Surgery – Double Incision with Nipple Grafts, Peri-Areolar, Keyhole
  • Phalloplasty: RFF, ALT, with Urethroplasty, Glansplasty, Penile Implant
  • Scrotoplasty and Testicular Implants
  • Body Masculinization
  • Facial Masculinization
MTF Surgery

  • Facial Feminization Surgery: Hairline Correction, Forehead Recontouring, Brow Lift, Rhinoplasty, Cheek Implants, Lip Lift, Chin Recontouring, Jaw Recontouring, Tracheal Shave
  • Vaginoplasty – Penile Inversion with Clitoroplasty, Labiaplasty; Peritoneal Pull-Through Vaginoplasty.
  • Vulvoplasty – aka Zero Depth Vaginoplasty
  • Breast Augmentation
  • Body Feminization

The UW Health Comprehensive Gender Services Program helps transgender, gender expansive and non-binary adults access and obtain the highest quality gender affirming medical care. The team of medical providers includes physicians from Plastic Surgery as well as OB/GYN, Family Medicine, Endocrinology, Internal Medicine, Otolaryngology, Voice Therapy and Urology.

All staff in Dr. Gast’s office have received training in providing gender affirming care.

Surgery Requirements
Dr. Gast is a member of WPATH and follows WPATH guidelines for surgery:

  • You will need to provide two referrals from qualified mental health professionals for genital procedures; one referral for other procedures unless otherwise specified by insurance.
  • A letter from your hormone specialist stating you have been on 12 months of continuous hormones for genital procedures, unless clinically contraindicated.
  • Dr. Gast will operate on minors with parental consent.

Financing & Insurance
Dr. Gast accepts cash, credit cards and insurance, including but not limited to: Title 19, BadgerCare Plus, Wisconsin Medicaid, Medicare, Private insurance.

Booking a Consultation
Dr. Gast is available for in-person consultations. Contact Dr. Gast’s office to book your consultation.