Non-binary surgery
At the IM GENDER clinic, we are specialists and pioneers in non-binary surgery. We understand that surgery for non-binary people to match their physical appearance to their gender is a personal and unique decision, which not all non-binary trans people need or require.
We have been offering facial, body, breast and genital plastic surgery treatments for trans and non-binary people for more than 25 years. The entire team works to provide support and guidance at every step of every procedure.
NON-BINARY GENDER SURGERY IN MADRID AND BARCELONA
At IM GENDER, we are pioneers in non-binary surgery, both in the development of customised techniques and in the approach to each type of surgery. Based on our experience and various studies, the most requested non-binary surgery is top surgery or breast surgery, especially in non-binary people who were identified as female at birth. In these cases, the sought-after non-binary top surgery is bilateral subcutaneous mastectomy. This surgery is designed to completely remove breast tissue and excess skin in both breasts. In addition, the nipple and areola are repositioned to achieve a flat chest that is not identifiable as female.
Although not as common, some non-binary trans people who were identified as male at birth request breast augmentation to bring their physical appearance into line with their gender identity. This usually requires the use of breast implants and custom-designed surgery to achieve the volume, projection, shape and contour that the non-binary person desires.
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The results of gender reassignment
At IM GENDER we understand that seeing examples of real results is essential before taking important decisions. For this reason, we invite you to explore our gallery of “before” and “after” images of patients who have undertaken gender reassignment procedures at our clinic.
OUR RANGE OF NON-BINARY SURGERY
-Non-binary surgery is a set of surgical procedures intended to align a person’s physical features with their non-binary gender identity. Unlike binary gender affirming operations, non-binary surgery is distinguished by its individualised approach that is tailored to the diversity of everyone’s gender experiences.
And because every experience is unique, at IM GENDER we offer a wide variety of non-binary surgery, the goal of which is to accommodate the individual needs of each non-binary person who wishes to undergo gender surgery.
- Non-binary top surgery: Non-binary top surgery is the most in-demand surgery among non-binary people, especially bilateral subcutaneous mastectomy, which basically involves removing breast tissue and repositioning the nipple-areola complex to achieve a flatter and more neutral-looking chest. There are also non-binary people who request breast augmentation to align their body with their felt gender.
- Vaginectomy: Vaginectomy is the surgical technique for removing the vagina. It may be part of other surgery such as phalloplasty or hysterectomy. Some non-binary trans people request it as part of their transition.
- Zero-depth vaginoplasty: This involves creating a vaginal opening that is not connected to the pelvic cavity, in other words without a vaginal tunnel, in non-binary trans people who were born with a penis. It’s designed to align anatomy with gender identity.
- Vulvoplasty: This non binary bottom surgery focuses on creating labia and a clitoris without forming the vaginal canal. It’s a shorter option with less risk to adjacent structures, such as the rectum.
- Hysterectomy: This involves removing the uterus and is usually accompanied by removal of the ovaries as well.
- Orchidectomy: This surgery consists in removing the testicles through a scrotal incision, stopping testosterone production and allowing oestrogen doses to be reduced.
- Scrotectomy, which removes the scrotal sac, is usually performed at the same time. If a subsequent non-binary vaginoplasty is planned, it’s vital to discuss this with the surgeon, as scrotal skin is often used in vaginoplasty.
- Nullification surgery: This is a surgical procedure aimed at removing or altering specific external and internal genital features without necessarily aligning them with the binary male or female genitalia, to create a smooth appearance from the abdomen to the groin. Some non-binary trans people opt for this operation to align their anatomy with their gender identity.
- Non-binary penectomy: Is the removal of the penis for non-binary individuals who do not identify strictly as male or female. Unlike transgender penectomy that aim to create male or female genitalia, a non-binary penectomy focuses on removing the penis without necessarily constructing a vagina.
- Facial surgery: Using surgical procedures, we adapt the person’s facial features to achieve an appearance that is more in line with their gender identity. The aim is to achieve a well-balanced, natural and proportional face that represents your identity.
- Body surgery: Non-binary body surgery encompasses a variety of procedures designed to tailor physical features to the individual’s needs. This includes fat redistribution, body shaping and adjustment of features such as the abdomen, waist and hips. This may include procedures such as liposuction and abdominoplasty, among others.
- Voice surgery: When specialised speech therapy does not achieve the results we are looking for, voice surgery can adjust the pitch and timbre of the voice, making it feel more authentic and in line with your gender identity.
- Hair transplant: Another possible procedure to align your physical appearance with your gender identity is transplantation, as hair loss or the shape that the hairline makes on the face can impact personal perception. This technique involves transferring hair follicles from donor areas to areas that require them to align physical appearance with felt gender.
- Aesthetic medicine: We offer non-surgical procedures that perfect and enhance features, such as dermal fillers, treatments to improve skin quality, and facial and body hair removal, among other facial and body treatments.
THE POSTOPERATIVE PHASE OF NON-BINARY SURGERY
The postoperative phase is a crucial stage of your treatment and at IM GENDER we provide you with support at all times. Respecting your surgeons’ recommendations and maintaining good standards of hygiene are vital for ensuring a satisfactory recovery.
RECOVERING FROM NON-BINARY SURGERY
El período de recuperación puede variar según el procedimiento. Nuestro equipo médico estará a tu disposición para resolver dudas, dar recomendaciones y asegurar que el proceso sea lo más llevadero posible.
FAQS ABOUT NON-BINARY SURGERY
What is non-binary surgery?
Non-binary surgery is a set of surgical procedures that seeks to align a person’s body, face and/or genitalia with their non-binary gender identity. Each procedure is personalised to achieve the result that makes the non-binary person feel comfortable with their appearance.
Who is it designed for?
Non-binary trans people may request non-binary surgery for a variety of reasons. Some want a more authentic physical expression that is aligned with their gender identity, while others seek to alleviate gender dysphoria by eliminating bodily characteristics that do not conform to their identity. This surgery is designed for non-binary people who feel that a surgical operation could help them feel more at ease and better identified with their own bodies.
Is it necessary to take hormones for non-binary surgery?
Non-binary people may choose to undergo gender affirmation surgery without hormone therapy. The decision to undergo hormone therapy is a personal one and depends on individual preferences and goals.
How long does the recovery take?
This depends on the procedure, but our team will be by your side every step of the way, providing you with all the necessary information.
Anna La Spisa28 Noviembre 2023Esperienza positiva chirurghi ottimi, infermiere molto preparate e dolcissime, Aida e Rosa super umane, ma la dottoressa Brandalisio ha fatto la differenza su tutti, preparata, umana, dolce, disponibile, un'amore di persona. Una critica costruttiva devo farla tutto lussuoso ma non pensato per stendere pochi indumenti lavati
Tone Vik31 Julio 2023I had GRS in May 2023. Here is a short summary of my experience. When you contact the clinic, you’ll get a personal patient coordinator that will answer and support you through the whole process, both before and after the surgery. The communication is professional, personal and efficient. WhatsApp is the main communication platform, and it works very well. The clinic is beautiful and top notch on all levels. You almost forget that you are in a clinic and might think of it more as a hotel (with surgery services). Please see the attached pictures, and you will understand what I mean. The staff is warm and friendly and really do what they can to make you feel comfortable, from the nurses to the cleaning personnel. It is really nice to be so well looked after, and I have such good memories from my week at the clinic. The surgeons, I was so fortunate to have Dr. Labanca, but they are all world class, which ensures that the results probably will exceed your expectations. Of course this is a very personal opinion, but for me it was like that. It’s hard to describe how happy I am now. You can bring a friend or a family member for no extra cost the week you are at the clinic. My best friend came down on the 5th day, and that was also one important factor when I chose this clinic. The support you get from having a friend or family member present is almost priceless. A short 5 minute walk from the clinic you’ll find apartments you can stay at for an additional week or two while you recover and heal. It was very reassuring and comforting to have the clinic so close the two weeks I stayed after checking out from the clinic. An important part of the healing process is to just move your body, and the beautiful city of Sant Cugat is a nice 20 minute walk from the apartment, where you can enjoy shopping, restaurants and just the nice relaxing atmosphere. The aftercare and regular follow up when you have left the clinic ensures that everything is working as it should, and if not, they will correct at no extra cost. The aftercare period lasts one year after the surgery. To sum up, you are really in the best hands and in the best place at IM Clinic. I highly recommend this clinic for GRS.
Victoria Timoniere24 Abril 2023Due mesi fa ho avuto la grande fortuna di affidarmi al team di IMgender , un esperienza indimenticabile che mi ha cambiata la vita facendomi rinascere finalmente nel corpo giusto . La clinica è super moderna è attrezzata , pulita e tutto lo staff è super gentile e accogliente .
Renn Love14 Abril 2023My experience with IM Clinic from the start to where I am today has been nothing but exceptional. From my initial contact with Aida, to my consultations with my surgeons Dr's Gómez, Herrero and Beltrán, my anaesthetist and care from the nurses. The cleaning staff were extremely discrete and the food for both myself and my wife, who was also looked after during my stay, was good. Myself and my wife were made to feel welcome from the moment we arrived. On the day of my surgeries my surgeons continuously re-assured me as they could see how nervous I was and it felt like nothing was too much trouble. My wife was also informed of my progress during surgery and reassured all was ok. I highly recommend IM Clinic and would not hesitate in returning, should I feel the need.
Sun Belardinelli11 Marzo 2023Ho aspettato qualche mese dopo l'operazione prima di scrivere questa recensione perché volevo essere sicuro dei risultati. La parola che mi viene in mente è PERFETTO, la clinica è perfetta, l'operazione è andata ancora meglio di quanto sognassi, il trattamento che ho ricevuto da TUTTI, medici, infermiere, tutto il personale, è stato impeccabile, caloroso e amichevole; mi hanno fatto sentire meglio che a casa (non solo a me, ma anche alla persona che mi accompagnava), ancora meglio di un hotel di lusso; mi hanno veramente trattato come un re, non solo come un paziente. L'operazione in sé è stata perfetta, il pre- e post- operatorio gestiti benissimo anche a distanza; mi hanno dato istruzioni chiare e medicinali appositi per curare le ferite e il dolore. Grazie a questo sono rimasto tranquillo per tutto il tempo, sapendo di essere nelle migliori mani. Un consiglio che mi sento di dare a chi vorrebbe operarsi da IM è: fate tutte le domande che vi vengono in mente e anche quelle che non vi vengono in mente! Soprattutto per chi viene dall'estero come ho fatto io è importante avere ben chiaro ogni dettaglio, e le persone con cui parlerete saranno felici di chiarire qualsiasi dubbio. Raramente ho trovato persone così pazienti, competenti e alla mano. Se e quando avrò bisogno di fare un'altra operazione la farò sicuramente da IM. Ormai ho trovato il posto dei sogni e non lo lascio più!
Alexa Valianatos10 Agosto 2022Hey, I am Alexa Valianatos and on 14th June i had my vaginoplasty surgery at IM Clinic. Here i found a greate, super friendly and profesional team which whose totally prompt answering to all my needs. Viewing my research before surgery and my experience in the clinic and after that, i can say that IM Clinic I'd the best clinic in Europe at least regarding my surgery tipe and my needs, i can say 100% that i found the 5* clinic . After two months from my surgery i already decide to make the next steps for next surgery in the same clinic . Many worm thank to doctor Ivan Mañero and entire clinic team . You are the best .
Aaron O'Donnell19 Julio 2022Thank you IM Clinic!!! I had FtM Top Surgery (double mastectomy/gender reassignment) at IM clinic in July 2021. As I was travelling from the UK I was weary about the procedure, however their standard of care goes above and beyond to accommodate their patients and ensure maximum comfort. I had surgery with Dr Herrero, who was an absolute pleasure to meet and a brilliant surgeon. The team were a delight and made me feel genuinely safe and as comfortable as possible. The procedure I had is not very common and is somewhat hard to acquire in the UK, but the team at IM Clinic took me in with ease and listened to my worries and requests. The care i received at IM Clinic was impeccable - between the food, the staff, the surgery and everything else - i cannot fault it. I am forever grateful to Dr Mañero, Dr Herrero and the entire care team at the clinic. Thank you so much!! I am now one year post-op and happier than ever.
IM GENDER Team
IM GENDER started its work in 1999 and has become an international benchmark in Gender Affirming Surgery. We serve trans people in search of facial, body, breast and genital plastic surgery treatments.
Committed to the WPATH Standards of Care, IM GENDER has specialised in the care of trans people for 25 years. More than two decades of experience, professionalism, research and training provide a strong testimony to the medical and human skills of our team.
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