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Gender Affirmation & FGM/c Restoration Surgery
Bowers Marci L, is a pioneering medical center specializing in gender affirmation surgery and clitoral restoration for survivors of female genital mutilation/cutting (FGM/c). With over 32 years of experience, our practice combines surgical expertise with compassionate care to support patients through transformative journeys. Dr. Bowers, the first woman globally to perform transgender surgery while holding a personal transgender history, has performed over 3,900 gender-affirming procedures.

Our team prioritizes both functional and aesthetic outcomes, offering services at the forefront of medical innovation while fostering inclusivity and dignity. We collaborate with international institutions to advance surgical education and accessibility, ensuring patients receive care rooted in decades of specialized experience and ethical practice.
Services
Vaginoplasty Clitoral restoration Top surgery Facial feminization Phalloplasty
Highlights and features
  • We offer over 32 years of specialized experience in gender affirmation surgery.
  • Our team pioneers surgical education programs at leading international institutions.
  • Dr. Bowers is the first woman globally to perform transgender surgery with personal transgender experience.
  • We prioritize both functional and aesthetic outcomes in all procedures.
  • Our practice collaborates with organizations to expand access to FGM/c restoration surgery.
What people say
Life-changing results Exceptional surgical skill Compassionate care Restored self-esteem Life-saving procedures
Services
Vaginoplasty
Our vaginoplasty procedures create functional, anatomically accurate female genitalia using advanced surgical techniques. Patients benefit from Dr. Bowers' expertise in penile inversion methods, ensuring optimal depth and sensation. Over 2,250 primary MTF vaginoplasties performed, with a focus on minimizing complications and maximizing quality of life improvements.
Clitoral restoration
Specialized clitoral reconstruction surgery restores anatomy and sensation for FGM/c survivors. Using nerve-sparing techniques, we rebuild the clitoral structure while addressing scar tissue. This procedure addresses both physical and psychological trauma, with patients reporting improved self-esteem and sexual function in post-operative testimonials.
Top surgery
Gender-affirming chest masculinization and breast augmentation procedures are performed with attention to natural contours and patient anatomy. Our approach balances aesthetic goals with functional outcomes, minimizing scarring while achieving desired chest appearance aligned with patients' gender identity.
Facial feminization
Comprehensive facial restructuring procedures modify bone and soft tissue features to achieve more feminine facial contours. Our techniques address forehead angles, jawlines, and vocal pitch adjustments, with outcomes focused on harmonious, natural-looking results that align with patients' gender expression.
Phalloplasty
We perform phalloplasty procedures using grafting techniques to construct neophalluses with functional sensation. Our approach prioritizes urinary functionality and potential for sexual sensation, incorporating patient preferences for size, appearance, and prosthetic compatibility in gender-affirming care.
People
Marci Bowers
Lead Surgeon
Dr. Bowers is a pioneering gynecologic and gender-affirming surgeon with over 32 years of experience. She has performed over 3,900 gender-affirming procedures, including 2,250+ vaginoplasties. A former president of WPATH, she trains surgeons globally and advocates for FGM/c survivors.
Sven Gunther
Plastic Surgeon
Dr. Gunther specializes in gender-affirming top surgery and facial feminization. He trained at Oregon Health & Science University and Case Western Reserve, focusing on aesthetic and functional outcomes. He founded a free hormone clinic during medical school.
Questions
What gender-affirming procedures do you offer?
We provide vaginoplasty, phalloplasty, metoidioplasty, facial feminization, and top surgery. Our practice also offers clitoral restoration for FGM/c survivors.
Do you accept insurance for gender-affirming care?
We work with patients to navigate insurance coverage. While we don't directly bill insurers, we provide documentation to support claims for gender-affirming procedures.
What is your cancellation policy?
We require advance notice for appointment changes. Deposits for surgical bookings are non-refundable but may be applied to rescheduled procedures under specific circumstances.
Do you offer financing options?
We don't provide direct financing but can connect patients with third-party medical financing providers for surgical expenses and related costs.
How experienced are your surgeons?
Dr. Bowers has 32+ years of experience and performed 3,900+ gender-affirming surgeries. Dr. Gunther specializes in top surgery with advanced training from leading institutions.
Reviews (4)
Aelenni J.
Feb 17, 2021 Report
A big shout out to the best Dr. Marci Bowers, Robin Lassiter, Erika Thys & the rest of her staff for making my dreams come true. The surgery that change my life and i was looking forward since i was born and i taught the dream was never going to happen I felt like it was to far away but every day i would pray that my dreams since i was 5 years old because every morning before waking up for school this little girl that would pop on a cloud and i wanted to be her and time went by & discovered that girl was me.

Besides her staff the hospital staff from Mills-Peninsula Medical Center were very helpful as well. Marci bowers i don't have words to explain how happy i am with the results and it's only been since February 9 so imagine how it will look in the next few months. I know the waiting is long but its worth every min, days it took 4 years of waiting but i was very confident back then now i'm 2000% more confident. matching my body. Follow me on Youtube: Aelenni Jolie Read Less
Laura Fowler
Jan 20, 2021 Report
I love her work, and I love how well she and her staff treated me the whole time. I can't speak highly enough, truly I can't.
Ashley Zalucha
Jan 23, 2020 Report
I can't possibly express in words how great Dr. Bowers and her team are. They made the whole surgery process from start to finish so easy and I always had someone I could reach if I ever had questions pre and post operation. Dr. Bowers is also an amazingly talented surgeon with a personable and great bedside manner. I highly recommend her and her entire team!
Nancy C.
Sep 07, 2017 Report
There is no one better than Dr. Bowers! Dr. Bowers' staff in Colorado and Burlingame were exceptional, not a question they couldn't answer as well as Dr. Bowers herself. They worked with our insurance company and surgery went very well. We were on a 1 1/2 waiting list - now the waiting list is more than 3 years, so if you want the best being Dr. Bowers it's wise to put down a $1,000 to hold a place for future surgery (I believe that's the cost). So grateful for such a streamline process, exceptional staff and superior Doctor Bowers!