Bottom Surgery
Every surgeon here focuses exclusively on gender-affirming procedures — so when you reach this milestone, you are never a generalist's afterthought.
Bottom surgery is among the most significant decisions a transgender or non-binary person will make — and it deserves a surgeon who has dedicated their practice entirely to this work. At Chrysalis Surgery, every procedure is performed by a specialist in gender-affirming surgery, not a generalist who occasionally performs these procedures between other cases. Led by Dr. David N. Sayah, MD, board-certified by the American Board of Plastic Surgery, FACS-credentialed, and carrying 26 years of surgical experience, our team understands trans anatomy with a depth and precision that only comes from exclusive, focused practice.
Our bottom surgery services include vaginoplasty and phalloplasty, performed within our discreet Beverly Hills boutique setting where your privacy is protected at every stage — from your first consultation through recovery. Because we offer full-spectrum gender-affirming care under one roof, your surgical plan is never fragmented across disconnected providers. Every decision is made by a team that sees your transition as a whole, not a series of isolated procedures handed off between generalists.
What this means for you is honest, experienced guidance before you ever commit to a date. We believe your expectations deserve to be managed with precision and care — not optimism that doesn't hold up in the recovery room. Whether you are traveling from out of state or internationally, our team is built to support you through every phase of this process, because bottom surgery is not a procedure we fit into a general schedule. It is the only kind of surgery we do.
Why choose us
- Specialist team — every surgeon focuses specifically on gender affirming procedures, not a generalist who also does GAS
- Beverly Hills boutique setting — private and discreet, never an assembly line clinic
- Dr. David N. Sayah, MD — 26+ years experience, board certified (ABPS), FACS, published researcher
- Full — spectrum care under one roof face, top, bottom, body, and spa with no fragmented referrals
Frequently asked questions
Bottom surgery refers to surgical procedures that reconstruct the genitalia to align with your gender identity — including vaginoplasty, phalloplasty, metoidioplasty, and orchiectomy, depending on your goals. At Chrysalis Surgery, every procedure is performed by a specialist, not a generalist, meaning your surgeon has dedicated their entire practice exclusively to gender-affirming surgery and understands trans anatomy with a depth that a general plastic surgeon simply cannot offer. Dr. David N. Sayah, board-certified by the American Board of Plastic Surgery, FACS-credentialed, and backed by 26+ years of surgical experience, leads a team built around one purpose — your full, affirming transformation.
Bottom surgery at Chrysalis Surgery is a significant investment, and the cost varies depending on the specific procedure — vaginoplasty, phalloplasty, metoidioplasty, or orchiectomy — your individual anatomy, and the surgical complexity involved. Because every surgeon here focuses exclusively on gender-affirming procedures, your consultation is built around an honest, transparent breakdown of your personal costs, not a one-size-fits-all estimate. We also work with you to navigate insurance coverage and financing options, because we believe understanding the full financial picture before you commit is part of the care you deserve.
Bottom surgery at Chrysalis ranges from approximately two to six hours depending on the specific procedure — vaginoplasty, phalloplasty, metoidioplasty, or orchiectomy — and the complexity of your individual anatomy. Because every surgeon on our team focuses exclusively on gender-affirming surgery, not a generalist dividing attention across unrelated procedures, your operating time is planned with the precision that comes from doing this work every day. Dr. David N. Sayah, board-certified by the American Board of Plastic Surgery with 26 years of surgical experience, will give you an honest, personalized timeline during your consultation so you can plan your recovery with full clarity.