Fellowship-Trained Gender Surgeon In Portland
Dr. Nick Esmonde, MD, MPH is a plastic surgeon in Portland, Oregon who has extensive knowledge about Gender Affirmation Surgery and works almost exclusively with transgender and non-binary patients. During his plastic surgery residency, Dr. Esmonde worked in the Transgender Health Program at Oregon Health & Science University (OHSU). He subsequently completed a Gender Surgery Fellowship with Dr. Toby Meltzer and Dr. Ellie Zara Ley and worked as an associate surgeon at The Meltzer Clinic. Dr. Esmonde joined Legacy Health in 2023.
Dr. Esmonde earned his Bachelor of Science at the University of Oregon. He obtained Master of Public Health and Doctor of Medicine degrees at OHSU. Dr. Esmonde completed an internship in plastic and general surgery followed by a plastic surgery residency at OHSU. During his residency, Dr. Esmonde worked closely with Dr. Jens Berli, Director of the Gender Surgery Fellowship program at OHSU, gaining significant experience in Gender Affirming Surgery and co-authoring a number of important studies. Dr. Esmonde is a member of WPATH.
Dr. Esmonde works at Legacy Health and operates at Legacy Good Samaritan Medical Center in Portland.
Gender Surgery in Portland
- Facial Feminization Surgery: Hairline Correction, Forehead Recontouring, Brow Lift, Rhinoplasty, Cheek Implants, Lip Lift, Chin Recontouring, Jaw Recontouring, Tracheal Shave
- Orchiectomy
- Vulvoplasty
- Vaginoplasty – 2-Stage Penile Inversion. 1st Stage: vaginal canal, labia majora, clitoris creation. 2nd Stage: labia minora, clitoral hood, and urethral or introitus revisions, if needed.
- Breast Augmentation
- Metoidioplasty: Simple or Full
- Scrotoplasty and Testicular Implants
- Mons Resection
- Facial Masculinization
Also available: Scrotal blocks for patients who are undergoing electrolysis prior to Vaginoplasty. These injections will numb areas up to three hours, allowing a longer duration of an electrolysis session with greater clearance of hair. The result is less pain and fewer overall number of sessions.
Surgery Costs
For patients who are paying out-of-pocket, exact pricing can only be determined following a consultation.
Financing & Insurance
Dr. Esmonde accepts cash, credit cards, medical financing, private/employer insurance and Oregon Medicaid.
Surgery Requirements
Dr. Esmonde 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.
- For genital procedures, one of your referral letters needs to include the length of time that you have been on hormone therapy, unless clinically contraindicated.
- Smoking cessation.
Booking a Consultation
Dr. Esmonde is available for in-person and telehealth consultations in Portland for a fee of $100. Dr. Esmonde is kind and down-to-earth and will make you feel at ease right away.
