Jonathan Keith, MD FACS
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.
Drew Marano, MD
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.
Karl Coutinho, MD
A New Jersey native, Dr. Karl Coutinho completed his undergraduate degree in Biology and Economics at New York University and received his medical degree from New Jersey Medical School in 2010. Dr. Coutinho completed his Internship in General Surgery and Residency in Urology at the Mount Sinai Hospital in New York City. He completed a Genitourinary Reconstructive Fellowship at Northwestern Memorial Hospital in Chicago and University Hospitals in Cleveland. Dr. Coutinho received additional training in genitourinary prosthetics and reconstruction through courses at Perito Urology in Miami, and as a visiting fellow at the Kulkarni Endosurgery Institute in Pune, India. Dr. Coutinho has served continuously in the military since 2003, as an enlisted infantryman, infantry officer, field surgeon, flight surgeon, and brigade surgeon. Lieutenant Colonel Coutinho served as the Brigade Surgeon of the 44th IBCT during their 2024 deployment to Syria and Iraq. There he assisted in the medical and emergency surgical care of soldiers, civilians, and refugees. Dr. Coutinho’s areas of expertise include the placement of inflatable penile implants, urethral stricture disease, artificial urinary sphincter placement, kidney and bladder stones, benign prostatic hyperplasia, prostate issues, and genitourinary reconstruction. Dr. Coutinho is a board certified urologist, founding member of the Society of Gender Surgeons, and a Fellow of the American College of Surgeons.
Carly Paul, PA-C
Carly Paul, PA-C is a board-certified Physician Assistant accredited by the National Commission on Certification of Physician Assistants (NCCPA). She earned her Bachelor of Science in Psychology from the University of Wisconsin–Madison and subsequently obtained her Master of Science in Physician Assistant Studies from Weill Cornell Medical College in New York City.
During her clinical training, Carly had the opportunity to work alongside leading plastic and reconstructive surgery teams at Memorial Sloan Kettering Cancer Center and New York-Presbyterian/Weill Cornell Medical Center. She also had the pleasure to learn from one of the top certified burn centers at Weill Cornell. These high-acuity rotations reinforced her passion for surgical care and strengthened her commitment to patient advocacy in all phases of each surgical journey. As an active member of the Association of Plastic Surgery Physician Assistants (APSPA), Carly remains dedicated to continuous learning and advancing her expertise in the field of plastic and reconstructive surgery.
Carly is passionate about providing compassionate, individualized care to transgender and non-binary patients at GAMMA. She strives to ensure that every patient feels supported, respected, and empowered throughout their entire experience with GAMMA, starting even before a surgical consultation takes place.
Kate Doshi, PA-C
Kate is a board-certified physician assistant, credentialed by the NCCPA. She earned her undergraduate degree in Biological Sciences from the University of Delaware and her Master of Science in Physician Assistant Studies from the Philadelphia College of Osteopathic Medicine.
She brings years of experience in both emergency medicine as well as cardiac surgery. Kate is dedicated to delivering exceptional care to the patients of GAMMA. She considers it a privilege to guide patients through every stage of their treatment, striving to build trust and ensure they feel comfortable and supported.
Kate has a particular passion for caring for the transgender community through gender-affirming surgeries. Recognizing that each patient’s path is unique, she is committed to providing personalized care and fostering strong relationships from the very first office visit.
Kate is honored to be part of the outstanding team at GAMMA.