Transgender Surgery London

Transgender Surgery in London

Gender dysphoria describes the discomfort and distressing feelings transgender and non-binary patients can experience when they feel that their gender identity and the sex assigned at birth are not the same. 

If you are experiencing gender dysphoria, gender enhancement surgery (gender reassignment surgery) works to address this by making alterations to your body that can help you to live more comfortably in your preferred gender identity.

The CREO Clinic’s experienced body plastic surgeon, Dr. Omar Tillo, has the skills and experience necessary to perform life-changing top surgery, and will work diligently to understand your needs and achieve your ideal body goals. 

As an LGBTQ+ friendly clinic and proud member of the World Professional Association for Transgender Health (WPATH), Dr. Tillo seeks to design bespoke surgeries for his transgender patients on their equally unique transition journey. Contact the CREO Clinic today to book a consultation with Dr. Tillo.

What is Transgender Surgery (Gender Enhancement Surgery)?

Gender enhancement or gender reassignment surgery is designed for trans and non-binary patients who seek to change how masculine or feminine their body is in order to have a figure that aligns more closely to their gender identity, alleviating gender dysphoria.  

Patients often pursue gender enhancement surgery as part of their larger transition journey, to help them feel more comfortable in their body by altering aspects of their physique that may be related to their biological sex.

There are many different gender enhancement procedures available to help patients live more authentically. At the CREO Clinic, we offer ‘top’ procedures to patients, that is, procedures that modify the upper body, i.e. the chest or breasts. 

Who is Suitable Candidate for Gender Surgery?

The ideal candidate for gender surgery are:

  • Trans and non-binary patients, 
  • Experiencing gender dysphoria,
  • Wishing to align their body with their preferred gender identity,
  • In good health and have undergone psychological assessment,
  • Have a BMI lower than 30.    

Benefits of Transgender Surgery

There has been mounting scientific evidence1,2 to support gender-affirming surgery as a treatment of gender dysphoria. Notable findings include:

  • Reduced psychological distress
  • Improved confidence
  • Improved emotional wellbeing
  • Improved physical fitness and energy levels
  • Improved overall quality of life

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Preparation for the Procedure

There are several preparations that are recommended to patients undergoing top surgery:

  • BMI – Your BMI must remain under 30 for surgery.
  • Oestrogen contraceptives/HRT  – Four weeks prior to surgery, you will need to stop any oestrogen contraceptives and HRT to reduce the risk of thrombosis.
  • Smoking – You will need to abstain from smoking Nicotine four weeks before surgery to reduce the risk of complications. 
  • Alcohol – Reduce your alcohol consumption before surgery to allow a faster recovery.
  • Prepare your home for recovery – Make sure your home is prepped and comfortable for your return, and that you have adequate support in place.

Transgender Surgery Overview

At the CREO Clinic, we offer the following top surgeries for patients:

MTF Top Surgery

Male-to-Female top surgery consists of a breast augmentation, using either silicone implants, fat transfer or a combination of both (composite breast augmentation) to add volume to the breasts. This can create a more feminine figure, and helps transwomen feel more comfortable and confident in their bodies.

FTM Top Surgery

Female-to-Male top surgery from female to male involves breast removal (bilateral mastectomy) so as to flatten and contour the chest. Overall, this helps to masculinise the chest and reduce gender dysphoria for transmen. 

Results to Expect

  • MFT top surgery results (breast augmentation) – You should immediately notice the increased volume in your breasts. You will, however, have to wait for any post-surgical swelling to dissipate and for the body to accommodate the implants and/or fat grafts, which can take between 6-12 weeks. After this, the results shall be fully visible and will both look and feel natural. 
  • FTM top surgery results (bilateral mastectomy) – Your chest will immediately feel flatter and more contoured following surgery. Once any subsequent swelling has dissipated, which can take up to six months, you will be able to appreciate the full results of your newly toned and masculinised upper body.

Why Choose CREO Clinic for Gender Surgery?

At the CREO Clinic, we are an LGBTQ+ friendly organisation who recognise that every patient’s transition journey is different. For that reason, we will work with you to design a bespoke treatment plan for your top surgery, taking into consideration your equally unique needs. 

We work with Dr. Tillo, our medical director at the CREO Clinic and a master of body contouring procedures, having performed countless surgeries to help trans and non-binary patients treat their gender dysphoria and achieve their ideal figure.   

How Much Does Gender Surgery Cost in London?

At the CREO Clinic, gender enhancement top surgeries can vary in cost in accordance with the surgical techniques used and the patient’s bespoke needs. As such, a full cost breakdown is available only after your initial consultation with Dr Tillo.

If you would prefer to spread the cost of the surgery over multiple instalments, we provide financing options via our partner Chrysalis Finance. Chrysalis offers 0% APR over 12 months, and longer payment periods are available.

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What are the Risks of Gender Surgery?

Although all safety precautions are taken to reduce the risk of complications, gender surgery, like any surgical procedure, has some degree of risk.

Breast augmentation with implants can result in loss of nipple sensation, capsular contracture, and implant movement, leakage or loss, among other complications. Using fat transfer to augment the breasts can result in unevenness and volume loss of the breasts, as well as lax and discoloured skin. 

For FTM surgery, bilateral mastectomy carries a risk of visible or lumpy scars, wound breakdown, delayed healing, nipple necrosis and loss, asymmetries, bleeding, haematoma, seroma and infection.

Gender Surgery FAQs

What is Gender Dysphoria?

Gender dysphoria describes the discomfort and distress experienced by transgender patients who feel that their gender identity and the sex they were assigned at birth do not match. <br>

What is the Minimum Age for Gender Surgery?

At the CREO Clinic, our patients will need to be above the age of 18 to access gender enhancement surgeries.

Is Gender Enhancement Surgery Painful?

Gender enhancement surgeries are carried out under sedation or general anaesthetic, meaning that you will be asleep during the procedure and won’t feel any pain. <br><br>Some patients may experience a degree of discomfort after surgery, though this can easily be managed with pain relief by our doctors.

How Long Does the Gender Change Process Take?

Making alterations to your gender can vary massively between patients, with each individual embarking on their own unique journey. This can involve medical interventions such as hormone blockers, hormone replacement therapy, and top and/or bottom surgeries. <br>

Do you Need to be on Hormones Before Surgery?

It is not a requirement to be undergoing hormone replacement therapy prior to gender enhancement surgery. However, it is preferable to take hormones for at least a year, as this allows time for your own breast tissue to develop.

Is Gender Enhancement Surgery Worth It?

Gender enhancement procedures can significantly alleviate feelings of gender dysphoria, making patients live authentically in their preferred gender. As a result, patients report feeling more comfortable and confident in their physical appearance and improvements to their physical and mental health.

Schedule Your Gender Surgery Consultation with CREO Clinic

To discuss your gender transition with Dr. Tillo and find out the role top surgery can play in attaining your ideal figure, contact the CREO Clinic today.

As a LGBTQ+ friendly clinic and WPATH member, we are proud to offer bespoke gender enhancement surgery for our transgender patients.

Find out if you are eligible for Transgender Surgery

    Payment Options Available.

    Terms and Conditions apply.
    Acceptance subject to credit status.


    1. Gender-Affirming Surgeries Improve Mental Health in Young, Study Says – Consumer Health News | HealthDay. Accessed March 6, 2023.
    2. Boston 677 Huntington Avenue, Ma 02115 +1495‑1000. Mental health benefits associated with gender-affirming surgery. News. Published May 6, 2021. Accessed March 6, 2023.
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