GAMMA (Gender Affirming Medical and Microsurgical Associates) is a dedicated, physician-led practice offering comprehensive gender affirmation surgery in the New York metropolitan area. Founded and staffed by board-certified plastic surgeons with advanced fellowship training, GAMMA was created to offer transgender and gender-diverse individuals access to safe, expert, and affirming surgical care grounded in both clinical excellence and cultural competence.
Bottom surgery is an important component of transitioning for many transgender and nonbinary individuals. At GAMMA, we approach this care with deep respect for its physical, emotional, and social impact. Whether you’re pursuing vaginoplasty, phalloplasty, or metoidioplasty, we provide individualized surgical options grounded in surgical excellence, trauma-informed care, and trans-centered values. Our team is here to support you through every stage of your care—with clarity, compassion, and commitment to affirming your identity.
Facial feminization surgery is a critical part of care for many transfeminine and nonbinary individuals. It can help reduce gender dysphoria and support safer, more affirming experiences in everyday life. At GAMMA, FFS is more than an aesthetic procedure—it is a reconstructive process designed to align facial structure with gender identity. Every patient’s needs are different, and we collaborate with you to tailor your surgical plan with respect, precision, and attention to both safety and nuance.
Facial masculinization surgery helps transmasculine and nonbinary individuals achieve greater facial harmony and gender congruence. This may involve jaw and chin augmentation, brow bone reshaping, or malar enhancement. At GAMMA, we recognize the importance of these changes not just in how you’re perceived, but in how you see yourself. Our surgical approach is precise and individualized, designed to align your facial features with your gender identity.
Top surgery is one of the most commonly pursued gender-affirming procedures—and for many patients, one of the most transformative. Whether you’re seeking a gender-affirming mastectomy or breast augmentation, our team offers evidence-based techniques tailored to your goals and anatomy. We take the time to understand what this surgery means to you and provide care that centers your safety, autonomy, and affirmation throughout the process.
We regularly care for patients who travel from across the country. If you’re coming from out of town, GAMMA offers logistical guidance and support to help make your surgical experience as seamless as possible. From pre-op planning to nearby lodging recommendations, we’re here to help you feel confident, prepared, and cared for—every step of the way.
Dr. Keith is a board-certified, fellowship-trained plastic surgeon with expertise in gender-affirming and microvascular reconstructive surgery. He is a founding surgeon at GAMMA (Gender Affirming Medical and Microsurgical Associates), where his practice is dedicated to delivering safe, affirming, and expert surgical care to transgender and nonbinary individuals.
Dr. Drew Marano is a board-certified, fellowship-trained plastic and reconstructive surgeon with specialized expertise in gender-affirming surgery. As a founding surgeon at GAMMA (Gender Affirming Medical and Microsurgical Associates), Dr. Marano offers compassionate, expert care to transgender and gender-diverse individuals seeking gender affirmation through surgery.
