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Dr. Michael Safir

Experienced Urologist Focused Exclusively on Genital Gender Affirming Surgery

Dr. Michael Safir, MD is a board-certified urologist in Los Angeles who specializes exclusively in gender-affirming bottom surgery procedures. With sub-specialty certification in Female Pelvic Medicine and Reconstructive Surgery (FPM-RS), Dr. Safir is one of a handful of urologists in the world with individual fellowship training and experience in both male and female genital reconstruction. He gained extensive experience over five years performing genital surgeries at one of the highest volume gender surgery centers in the world and is now affiliated with Align Surgical Associates out of Los Angeles. Dr. Safir’s vast experience in urology has made him a popular choice among transgender people from across the U.S. seeking bottom surgery.

Dr. Safir earned his undergraduate and medical degrees at Northwestern University. After completing his urology residency, also at Northwestern, Dr. Safir completed two year-long fellowships in Male (UCSF) and Female (UCLA) Genitourinary Reconstructive Surgery. Dr. Safir has served as Section Chief of Reconstructive Urology at New York Medical College and as a Clinical Instructor in Urology at both UCLA and UCSF. While practicing urology in Los Angeles, he served as President of the Los Angeles Urological Society. Dr. Safir is board-certified by the American Board of Urology and is a member of the World Professional Association for Transgender Health (WPATH.)

Dr. Safir offers the following Gender Affirming Surgery procedures:

  • Phalloplasty: Forearm (RFF) and thigh (ALT) flap. Options include Urethral Lengthening, Vaginectomy, Scrotoplasty, Glansplasty, Testicular and Penile Implants.
  • Metoidioplasty: Options include Urethral Lengthening, Vaginectomy, Scrotoplasty, Testicular Implants, Monsplasty.
  • Reconstructive Urology: Fistula and stricture repair.
  • Vaginoplasty: Penile Inversion method.

Exact pricing can only be determined following a consultation with Dr. Safir.

Surgery Requirements

Dr. Safir follows WPATH guidelines for surgery:

  • You will need to provide two referrals from qualified mental health professionals.
  • A letter from your hormone specialist stating you have been on 12 months of continuous hormones, unless clinically contraindicated.
  • 18+ years of age.

Financing & Insurance
Dr. Safir accepts credit/debit cards, cashier’s check, money order, wire transfer and medical financing via CareCredit. He also accepts insurance from numerous insurance companies, including most managed Medi-Cal plans. Medicare is not currently accepted.

Booking a Consultation
Dr. Safir is available for phone or in-person consultations in Los Angeles for a fee of $200. An in-person consultation is not required for booking a surgery date. To book a consult, contact Dr. Safir’s office by clicking the Send Inquiry button and you’ll hear back with more details about how to prepare for your consultation.

Current wait list: 6 weeks for a consultation. Wait times for surgery dates varies by procedure, 6 months for Phalloplasty.