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Dr. Praful Ramineni

Highly Experienced Gender Surgeon in Washington DC

Dr. Praful Ramineni, MD is a board-certified plastic and reconstructive surgeon with over 15 years of experience. Based in Washington, D.C., Dr. Ramineni performs upwards of 600 surgeries a year and has a specialization in Gender Affirmation Surgery. Recognized for his exceptional surgical skills and natural-looking results, Dr. Ramineni’s patients also praise his friendly, compassionate and professional nature.

Dr. Ramineni started his career as one of the busiest surgeons at MedStar Washington Hospital Center with a focus on complex reconstructive surgery, including cancer and trauma reconstruction, microsurgery and aesthetic surgery. As the Chief of the Division of Plastic Surgery at MedStar, he taught over 100 residents and won numerous teaching awards.

After more than 10 years in academic and research medicine, Dr. Ramineni opened a private practice to provide a more personalized experience for his patients. Approximately 75-95% of Dr. Ramineni’s patients are transgender or non-binary. At District Plastic Surgery, patients are supported and affirmed through every interaction, from consultation through to the final follow-up appointment, and can expect gender-affirming intake forms and staff that has received transgender competency training.

Dr. Ramineni is a member of the American Board of Plastic Surgery, the American Society of Plastic Surgeons and the World Professional Association for Transgender Health (WPATH).

5 Stars“Dr. Ramineni is an excellent doctor and surgeon, with a wonderful bedside manner and a vast wealth of experience with trans surgeries. He’s been nothing but amazing with my own Top Surgery and recovery process, and I couldn’t be more pleased with the results.” – Drew D.

Education and Training

  • Accepted out of high school to a very competitive six year combined undergraduate/medical school program.
  • Graduated in the top 5% at medical school and top 1% in the country in medical licensing exams.
  • Inducted into the AOA medical school honor society.
  • Completed one of the top integrated general surgery/plastic surgery training programs in the country at the University of Pittsburgh Medical Center.
  • Has been voted a Washingtonian Top Doctor and Castle Connolly top doctor multiple times.

Dr. Ramineni is affiliated with George Washington University Hospital, Sibley Memorial Hospital and Glen Echo Surgery Center. Surgeries are done at George Washington University Hospital and Glen Echo Surgery Center.


Dr. Ramineni performs the following gender-affirming procedures:

Feminizing Surgery

Orchiectomy: Orchiectomy is a procedure that removes the testicles, permanently eliminating testosterone production. While Orchiectomy is often done in conjunction with Vaginoplasty, it can also be done as a standalone procedure for those who are not eligible for or interested in Vaginoplasty, or as a preparatory step towards Vaginoplasty.

Vaginoplasty: Dr. Ramineni has a special interest in performing Vaginoplasty, a procedure that creates a functional and aesthetic vagina, as well as labia and a clitoris, out of the penile and scrotal tissue.

For Vaginoplasty surgery revisions that require depth increases, Dr. Ramineni uses an allograft lining to avoid needing a graft harvest.

Vulvoplasty: This is a minimal depth technique can be performed instead of Vaginoplasty to create labia and a clitoris, but without a vaginal canal, eliminating the dilation regimen that is required with Vaginoplasty.

Facial Feminization: Dr. Ramineni is experienced with the wide spectrum of procedures that feminize facial features, including Hairline Correction, Forehead Recontouring, Brow Lift, Rhinoplasty, Cheek Implants, Lip Lift, Chin Recontouring, Jaw Recontouring and Tracheal Shave.

Also available: Breast Augmentation, Body Feminization and Buttock Augmentation.

Masculinizing Surgery

Top Surgery: Dr. Ramineni performs all of the popular methods of Top Surgery, including Double Incision, Peri-Areolar, Keyhole, Inverted-T and Buttonhole. He commonly works with non-binary patients and is pleased to customize the procedure to meet your goals. During your consultation, Dr. Ramineni will offer his professional recommendation as to which method would best suit your preferences, chest size and skin elasticity.

Also available: Body Masculinization, including Mons Resection and Facial Masculinization.


Consultations with Dr. Ramineni
Dr. Ramineni offers FREE in-person, phone and virtual consultations. During your consultation, Dr. Ramineni will take the time to explain everything about your procedure and will answer all of your questions. His welcoming, friendly attitude will immediately put you at ease. Se habla Español.

Wait List
The wait time for a consultation is approximately 1-2 weeks. Wait time for a surgery date varies by procedure: 2-3 months following consultation for Vaginoplasty, 2-4 months for Top Surgery and Breast Augmentation.

Traveling to See Dr. Ramineni
Many of Dr. Ramineni’s patients travel to see him from out-of-state. If you’re coming from out-of-state, be sure to ask about discounted hotel rates and remote follow-up care.

Costs, Insurance and Financing
Cost varies by procedure. Exact pricing for paying out-of-pocket can only be determined following a consultation. The price you’ll be quoted will include the cost of the procedure as well as anesthesia, operating room, and any needed post surgical garments.

Dr. Ramineni is currently accepting insurance from the following companies:

  • Aetna
  • Blue Cross/Blue Shield
  • Blue Cross Federal
  • Cigna
  • United Health Care

Dr. Ramineni also accepts CareCredit, a type of medical financing that works much like a credit card.

Dr. Ramineni does not accept Medicaid or Medicare at this time.

5 Stars“Dr. Ramineni and his staff are awesome! He is a strong LGBTQ ally who knows his stuff, including the ins and outs of the different insurances and their coverage parameters. Friendly, professional, caring, takes the time to answer all the questions thoroughly.” – Mary H.

Surgery Requirements

  • No BMI requirements.
  • If using insurance, you will need to provide support letters from a mental health expert to your insurance company. Typically, the requirement is one letter for Top Surgery and Breast Augmentation and two letters for Vaginoplasty and Orchiectomy. If paying out of pocket, Dr. Ramineni doesn’t require letters for Top Surgery or Breast Augmentation, but does require one letter for Vaginoplasty and Orchiectomy.
  • Dr. Ramineni will operate on minors with parental consent.