- 255 Lebanon Rd, Suite 112 Frisco, TX 75036
Gender-affirming surgery helps transgender and nonbinary people bring their body into alignment with their gender identity. These procedures are deeply personal and can include genital reconstruction, chest surgery, or other operations that affirm gender presentation and comfort.
At the Hanna Gender Center in Texas, Dr. Dany Hanna, a board-certified urologist and gender-affirming surgeon, performs these surgeries in a full hospital environment with specially trained staff. The goal isn’t simply surgery—it’s safety, dignity, and the ability to live authentically.
Dr. Hanna provides a complete range of gender-affirming procedures, including vaginoplasty, vulvoplasty, metoidioplasty, top surgery, breast augmentation, nullification, and orchiectomy, along with selected revision and reconstructive options.
Every operation is performed at a hospital equipped with a private, gender-focused inpatient wing. From pre-op through recovery, patients are supported by nurses and physicians experienced in transgender health.
People travel from across the U.S.—especially New Mexico and the Southwest—for the combination of surgical excellence and compassionate, affirming care.
Starting is simple: schedule a consultation with Dr. Hanna—either virtually or in person. In this visit, you’ll talk through goals, medical history, and readiness, and our team will explain insurance coverage and WPATH documentation.
If you need help finding a mental-health provider for letters of support, we’ll connect you. Patients coming from New Mexico Medicaid or other state plans receive the same level of guidance, including travel and accommodation planning near our Texas hospital.
We designed the Hanna Gender Center around one idea: no patient should have to explain their identity to feel safe in a hospital.
Our dedicated transgender/non-binary wing offers gender-oriented rooms, trained staff, and strict privacy and security protocols. The environment feels calm and respectful from check-in to discharge.
Dr. Hanna’s combination of reconstructive skill and genuine empathy has made the program a national model for transgender and nonbinary surgical care.
Most insurance plans and surgical programs follow the WPATH Standards of Care, Version 8, which recommend one or two referral letters from qualified behavioral-health professionals confirming readiness for gender-affirming surgery.
If you don’t already have these letters, our coordinators can connect you with independent, affirming therapists familiar with WPATH documentation to help you complete your evaluation.
Important note: Dr. Hanna and the Hanna Gender Center do not have any financial relationships with primary-care providers, psychiatrists, psychologists, or other mental-health therapists. This separation ensures that every recommendation you receive is objective, unbiased, and entirely focused on your best interest.
We review all documentation for completeness and compliance before submitting it for insurance authorization, keeping the process clear, transparent, and fully patient-centered.
Yes. The Hanna Gender Center accepts most major insurance plans with associated affiliates and several Medicaid programs. We are in-network with:
We also work with additional state Medicaid plans when coverage is available and prior authorization is approved.
Our billing team will:
We believe that financial transparency is part of patient safety. Every plan is reviewed individually, and our coordinators stay in direct contact with your insurer to ensure accurate coverage for gender-affirming surgery at our Texas hospital.
Patients often tell us that having someone handle the insurance process made the entire experience smoother and less stressful.
Wait times vary based on the procedure, insurance approval, and hospital scheduling. On average, most patients are scheduled within three to six months after all required documentation and authorizations are complete.
Because all procedures are performed in a full hospital setting, operating room availability is carefully managed to prioritize safety and individualized care. Our team coordinates closely with each patient to secure dates that align with travel, recovery needs, and insurance timelines.
We welcome patients from Texas, New Mexico, and across the United States. For those covered by New Mexico Medicaid, we handle the same scheduling process and insurance coordination as any other plan—ensuring every patient receives equal access to timely, affirming care.
Our goal is to make scheduling simple and predictable, so you can focus on preparing for surgery, not paperwork.
Before surgery, insurance companies usually require:
Our staff manages the preauthorization, submits documents, and keeps you updated at every step. We specialize in working with both private insurance and Medicaid plans, including New Mexico Presbyterian Medicaid.
All surgeries at the Hanna Gender Center are performed within a full-service hospital in DFW that provides a safe, private, and affirming environment for recovery.
On the day of surgery, you’ll check in through hospital registration, where your information will be verified. You’ll then move to the preoperative area, where our nurses confirm your health history and prepare you for surgery. Before entering the operating room, you’ll meet members of your care team — including anesthesia and Dr. Dany Hanna — who will review the plan and answer any last questions.
After surgery, you’ll recover in the PACU (Post-Anesthesia Care Unit) until you’re fully awake and stable. From there, you’ll be transferred to our dedicated gender-affirming wing — a secure, private unit designed exclusively for transgender and nonbinary patients. The wing includes:
Once awake from surgery, you’ll also receive access to a private Discord community available only to Dr. Hanna’s patients. This online space allows you to connect with others who have already completed surgery — sharing experiences, advice, and encouragement throughout your recovery journey.
Your exact hospital course depends on the procedure you’re having, but most patients remain inpatient for several days under close monitoring before transitioning to outpatient care.
From pre-op to discharge, every element of your stay is built to promote comfort, safety, and community.
Vaginoplasty is a gender-affirming surgical procedure that creates functional, natural-looking female genital anatomy for transgender and nonbinary women. The purpose of vaginoplasty is to align your physical body with your gender identity, allowing you to feel comfortable and confident in your own skin.
At the Hanna Gender Center in Texas, Dr. Dany Hanna, a gender affirming surgeon and board-certified urologist, performs vaginoplasty within a full-service hospital equipped for complex reconstructive procedures. This hospital-based setting provides advanced anesthesia support, specialized nursing care, and the highest standards of privacy and safety.
Vaginoplasty can include creation of the vaginal canal, labia, and clitoris, using your own tissue to preserve both aesthetic detail and sensation. Dr Hanna also specializes in penile (phallus) sparing vaginoplasty. Every surgical plan is customized to your anatomy, medical history, and personal goals. During consultation, Dr. Hanna will discuss available techniques — including penile-inversion and hybrid vaginoplasty — to determine which approach best fits your needs.
Recovery typically involves several days in the hospital’s dedicated gender-affirming wing, followed by close outpatient follow-up. Patients receive detailed post-operative guidance, including wound care, dilation, and activity timelines, ensuring safe healing and long-term results.
For many of our patients, vaginoplasty represents not just a surgical transformation, but a deeply personal milestone in living authentically and without compromise.
Vaginoplasty is a complex reconstructive procedure designed to create both the external and internal features of female genital anatomy. At the Hanna Gender Center, every operation is performed by Dr. Dany Hanna, not a fellow, surgical resident, or other trainee.
The most common method used is penile-inversion vaginoplasty, where existing genital tissue is repurposed to form the vaginal canal, labia, and clitoris. This technique allows the use of your own skin and nerves, maintaining natural sensation and appearance. For select patients, hybrid (tunica vaginalis) vaginoplasty may be recommended — this approach uses a thin, vascularized layer of abdominal tissue to add depth and self-lubrication.
Each operation takes place within a full-service hospital in DFW that provides specialized nursing, advanced anesthesia, and a secure postoperative environment.
Dr. Hanna’s technique focuses on both aesthetic outcome and sensory preservation, combining reconstructive precision with gender-affirming artistry.
Your safety, comfort, and long-term satisfaction are the center of every surgical plan we build together.
Dr. Dany Hanna is among the highest volume vaginoplasty surgeons in the world, performing over 240 vaginoplasties annually. This extensive experience allows him to refine every detail of surgical technique, patient care, and recovery.
All procedures are performed in a hospital setting in the DFW region of Texas, supported by a dedicated team of nurses and staff who specialize in gender-affirming surgery. High surgical volume also means patients benefit from standardized protocols, predictable outcomes, and a smoother overall experience.
Experience matters — it builds consistency, safety, and the quiet confidence that comes from being in expert hands.
Both penile-inversion and peritoneal-flap vaginoplasty are well-established, effective techniques — the best choice depends on your anatomy, surgical goals, and previous medical history.
Both methods are performed under general anesthesia at a large, multi-service hospital in DFW by Dr. Dany Hanna, ensuring hospital-grade safety and recovery support. During your consultation, Dr. Hanna will review each option in detail, using diagrams and examples so you can make an informed, confident choice.
There is no “one-size-fits-all” approach — every surgery is individualized to fit your body, your goals, and your comfort.
Most patients stay five to seven days in the hospital after vaginoplasty, though your exact course will depend on your procedure and rate of recovery.
Your hospital stay takes place within our dedicated gender-affirming wing — a secure, private area designed exclusively for transgender and nonbinary patients.
During this time, our nursing staff will help manage pain, monitor healing, and guide you through early mobility and hygiene routines. You’ll also learn the basics of dilation and postoperative care directly from our team before you leave.
Every patient receives access to 24/7 inpatient support, with Dr. Hanna and the surgical team rounding daily to ensure progress and comfort.
Your first postoperative visit usually occurs about one week after discharge. Many patients who travel from New Mexico or out of state choose to stay nearby until that visit is complete.
Our goal is to make your hospital experience calm, affirming, and medically thorough — the safest possible start to your recovery journey.
Recovery after vaginoplasty is a gradual process that unfolds over several weeks. Most patients spend about six to eight weeks regaining energy and flexibility, with a full return to unrestricted activity around twelve weeks.
Immediately after surgery, you’ll rest in the hospital’s gender-affirming wing, where nurses monitor your healing, manage discomfort, and help you begin gentle movement. Once discharged, recovery continues at home with close communication between you and your care team.
You’ll receive clear, step-by-step instructions for wound care, bathing, pain control, and dilation, and you’ll have access to our private postoperative Discord community for real-time advice and support from past patients.
Healing looks different for everyone — some swelling and tightness are normal and improve steadily over time. Follow-up visits with Dr. Dany Hanna are scheduled to ensure everything is progressing exactly as it should.
Your recovery is not a race — it’s a carefully guided process toward comfort, confidence, and long-term results.
Dilation is one of the most important parts of recovery after full depth vaginoplasty. It helps maintain vaginal depth, flexibility, and overall healing. You’ll begin gentle, supervised dilation during your first postoperative visit, then continue independently once you feel comfortable.
At first, dilation is performed several times per day using smooth medical-grade dilators. Over the following months, the schedule gradually tapers to a more manageable schedule. Consistency during this early period prevents narrowing and ensures that the vaginal canal stays soft and well formed.
Dr Hanna and staff will teach you how to dilate safely, discuss hygiene and lubrication, and help troubleshoot any discomfort. You’ll receive written instructions, and personalized guidance before you dilate for the first time on your own.
Think of dilation as part of the healing routine — not a burden, but a tool that protects your results and keeps your new anatomy healthy for life.
Every surgical procedure carries some risk and understanding them helps you prepare and heal safely. The most common risks after vaginoplasty include swelling, bleeding, infection, or delayed wound healing. More specific but less common issues can include vaginal stenosis (tightening), fistula formation, or changes in sensation.
Because all surgeries are performed in a hospital environment, any complication can be addressed quickly and effectively. Dr. Hanna and his team closely monitor each patient from the operating room through recovery to reduce risk at every step.
You can minimize complications by quitting nicotine products, following preoperative instructions, and keeping all postoperative appointments. Should any issue arise, our team provides immediate evaluation and intervention — you’ll never be left to navigate concerns alone.
Preparation, communication, and attentive follow-up are the foundation of our low complication rates and strong surgical outcomes.
Most patients can resume light activity or desk work after about six weeks, though heavy lifting, strenuous exercise, and sexual activity should wait at least twelve weeks or until cleared by Dr. Hanna.
For those traveling from New Mexico or out of state, we recommend staying near the hospital area for a short period after discharge to allow for your first postoperative visit and ensure early healing is on track.
Walking short distances is encouraged early to improve circulation, but rest remains just as important. Listen to your body, and progress gradually — your care team will provide a customized return-to-activity plan.
We balance recovery and real life, helping you return to work, travel, and movement safely and with confidence.
Yes. In addition to traditional penile-inversion vaginoplasty and hybrid or peritoneal-flap techniques, Dr. Dany Hanna has performed several forms of phallus- and testicular-sparing vaginoplasty for patients with unique goals or medical considerations.
These include:
Each approach is carefully planned based on anatomy, hormone use, and patient preference, and all surgeries are performed within a major hospital for maximum safety and privacy.
Dr. Hanna’s experience in complex reconstructive and gender-affirming techniques allows him to individualize every operation, balancing form, function, and identity with the highest level of surgical precision.
Yes. Dr. Hanna frequently performs revision and secondary vaginoplasty procedures for patients who have had prior surgery elsewhere or who wish to refine their results.
Revisions may address vaginal depth, narrowing (stenosis), labial contour, asymmetry, or aesthetic concerns.
Every revision case begins with a thorough review of prior history, photos, and your goals. Dr. Hanna’s approach emphasizes reconstructive detail and honest communication — explaining what can realistically be improved while protecting tissue integrity and function.
Revision surgery is about restoration — helping your results look, feel, and function the way you hoped they would.
Yes. Vaginoplasty is recognized by many insurers and state Medicaid programs as a medically necessary gender-affirming procedure.
The Hanna Gender Center is in-network with:
We also work with additional state Medicaid plans when prior authorization is available. Our insurance team will verify eligibility, handle documentation, and communicate directly with your carrier to minimize stress and avoid surprises.
If you’re self-paying or out-of-network, we can assist with itemized quotes and documentation for potential reimbursement.
Our mission is to make medically necessary, gender-affirming surgery accessible — so finances never stand between you and the care you deserve.
Metoidioplasty is a form of gender-affirming genital surgery that reconstructs a small phallus using existing tissue that has naturally enlarged from testosterone therapy. The goal of this procedure is alignment and comfort — helping transmasculine and some nonbinary individuals achieve a body that feels more congruent with their identity.
The procedure involves releasing the hormonally enlarged clitoris from surrounding tissue, allowing it to extend outward while preserving its nerves and blood supply. Depending on anatomy and goals, additional steps such as urethral lengthening or scrotoplasty can be included.
At the Hanna Gender Center in Texas, Dr. Dany Hanna performs metoidioplasty in a full hospital setting for safety and privacy. It offers a functional result with preserved sensation and relatively short recovery time, though the final length and appearance are limited by the amount of existing tissue.
Metoidioplasty can be an excellent option for patients who prioritize sensation, authenticity, and a straightforward recovery over phallic size or cosmetic appearance.
Both metoidioplasty and phalloplasty are masculinizing genital surgeries, but they differ in technique, appearance, and goals.
Dr. Dany Hanna offers a clear, individualized discussion of both procedures during consultation, focusing on anatomy, expectations, and long-term function. Each patient’s path is unique — some choose metoidioplasty for its simplicity and sensation; others choose phalloplasty for its appearance and options for implants. For clarity, Dr Hanna does not perform phalloplasty. Any discussion of phalloplasty during your consultation is limited to educate you on a basic understanding of the procedure and potential outcome.
The best choice is the one that fits your life, your priorities, and your definition of feeling whole — not anyone else’s.
Results after metoidioplasty vary depending on anatomy, hormone exposure, and the specific technique used. The procedure creates a small phallus from existing clitoral tissue that has enlarged with testosterone. Sensation is typically preserved, but the overall length and external appearance are modest compared to phalloplasty.
The primary goals of metoidioplasty are sensation, alignment, and comfort, not necessarily size. Some patients choose to include urethral lengthening to allow urination while standing, or scrotoplasty for additional contour, while others prefer a simpler approach.
At the Hanna Gender Center, Dr. Dany Hanna is transparent about what can and cannot be achieved with this surgery. Dr Hanna only performs bifid scrotoplasty. The procedure offers a functional, sensitive result with minimal scarring and a shorter recovery period, but it does not produce a full-length phallus.
Honest expectations matter — metoidioplasty can provide comfort and alignment for the right patient, but understanding its limitations is key to satisfaction and confidence in your results.
Standing to urinate is possible for some patients after metoidioplasty, but not for everyone. The ability depends on your individual anatomy, the amount of clitoral growth from testosterone, and whether urethral lengthening is performed.
During urethral lengthening, the urethra is extended through the newly created phallus to allow urination while standing. This step increases surgical complexity and recovery time, and it carries a risk of complications such as fistula (leakage) or stricture (narrowing).
At the Hanna Gender Center in Texas, Dr. Dany Hanna discusses this option carefully with each patient. For some, the priority is sensation and simplicity; for others, it’s the ability to stand while voiding. Both choices are valid, and the decision is always made collaboratively.
Whether or not you choose urethral lengthening, the goal is the same — a result that feels authentic, functional, and aligned with your needs.
Top surgery, also called chest masculinization surgery, removes breast tissue and reshapes the chest to create a masculine or more neutral contour. The goal is to help transgender and nonbinary patients feel more comfortable in their bodies.
At the Hanna Gender Center in Texas, Dr. Dany Hanna performs top surgery in a full hospital environment, ensuring the highest standards of safety, anesthesia care, and privacy. Dr Hanna specifically performs double-incision technique.
Most patients experience improved confidence, reduced chest dysphoria, and freedom in clothing and movement after surgery. The result is a flatter, natural-appearing chest that aligns with how you see yourself.
Top surgery is deeply personal — the goal isn’t to change who you are, but to help you feel at ease in the body you already have.
Most patients return to light activities within four weeks, and full activity by eight to twelve weeks, depending on the procedure and individual healing rate.
After surgery, you’ll wear a compression garment to help the skin adhere smoothly to the chest wall and reduce swelling. Drains, if used, are usually removed at your first post operative visit.
All stitches are dissolvable, and you’ll receive instructions on scar care, showering, and resuming movement. Some temporary numbness or tightness is normal and improves as healing progresses.
Patients often describe recovery as physically manageable but emotionally profound — the first time they look in the mirror can be life-changing.
Top surgery recovery is a steady, supported process — your body heals, but what really changes is how you see yourself.
Yes. Top surgery is recognized by most insurance providers and state Medicaid programs as a medically necessary gender-affirming procedure.
We are in-network with:
Our billing team handles all verification, documentation, and preauthorization so that your coverage is confirmed before scheduling. For self-pay or out-of-network patients, we provide detailed quotes and documentation for potential reimbursement.
Our goal is simple — to make medically necessary care accessible, affordable, and stress-free for every patient we serve.
In most cases, no. Orchiectomy is not required before vaginoplasty, though some patients choose to have it done earlier for personal or hormonal reasons.
If you plan to undergo vaginoplasty with testicle removal included, there’s no need for a separate orchiectomy. However, if you’re pursuing it as a standalone surgery, it can simplify hormone therapy and may be covered sooner by insurance.
At the Hanna Gender Center, Dr. Dany Hanna works with each patient to decide the best timing based on health, hormone goals, and insurance coverage.
The right timing is different for everyone — your care plan is built around your body, your needs, and your comfort.
Yes. Orchiectomy is recognized by most insurance providers and state Medicaid programs as a medically necessary gender-affirming procedure.
We are in-network with:
Our billing team handles all verification, documentation, and preauthorization so that your coverage is confirmed before scheduling. For self-pay or out-of-network patients, we provide detailed quotes and documentation for potential reimbursement.
Our goal is simple — to make medically necessary care accessible, affordable, and stress-free for every patient we serve.
Genital nullification (also called nullo or smooth genital closure) is a gender-affirming procedure that removes external genital structures and creates a smooth, non-binary genital appearance.
The goal isn’t to create male or female anatomy — but rather to remove dysphoric tissue entirely, allowing the body to feel neutral, healed, and at peace.
At the Hanna Gender Center in Texas, Dr. Dany Hanna performs several forms of nullification tailored to each patient’s body and goals. Surgery is performed in a hospital setting for complete safety and privacy.
For some, nullification is the most affirming step possible — not transition into one gender, but freedom from dysphoria itself.
Dr. Hanna provides a range of nullification techniques based on anatomy and desired outcome:
Each surgery is carefully individualized and performed at Carrollton Regional Medical Center with trained, affirming staff.
Nullification can mean different things to different people — the key is aligning surgical outcome with how you want your body to feel.
Ideal candidates are adults experiencing severe genital dysphoria who desire a flat, minimal, or neutral genital appearance rather than reconstruction.
Candidates should be in good physical and mental health, have realistic expectations, and complete the same preoperative steps required for other gender-affirming surgeries.
During your consultation, Dr. Dany Hanna will discuss your anatomy, medical history, and goals to determine if nullification or another procedure better fits your needs.
This surgery is about comfort and peace — not erasure, but relief.
Recovery after nullification is typically shorter and less physically demanding than reconstructive genital surgeries.
Most patients stay in the hospital for three to five days for monitoring and pain management. Stitches are dissolvable, and swelling subsides within a few weeks.
You’ll receive detailed wound-care instructions, activity restrictions, and 24/7 contact with our team during recovery.
Healing is straightforward — what changes most is how you feel waking up in a body that finally feels quiet.
Coverage for nullification varies by insurance plan. Some private insurers and state Medicaid programs recognize it under the umbrella of gender-affirming surgery, while others may require appeal or medical-necessity documentation.
Our team assists with every step — verification, preauthorization, and appeals when necessary.
We are in-network with Blue Cross Blue Shield, Aetna, Cigna, UnitedHealthcare, and New Mexico Presbyterian Medicaid, among others.
If nullification is what’s right for you, we’ll help make sure access isn’t the barrier.
Nearly all gender affirming surgeries are intended to be permanent/irreversible.
Because of this, thorough consultation and reflection are required.
Yes, in some cases Dr. Dany Hanna can safely combine procedures — for example, performing orchiectomy with vaginoplasty, or top surgery with body contouring.
The decision depends on your overall health, anatomy, and how much time you can spend recovering. Combining surgeries can sometimes shorten total healing time and reduce anesthesia exposure, but patient safety always comes first.
All combination procedures are performed in Carrollton Regional Medical Center, where comprehensive surgical support and inpatient recovery are available.
Every surgical plan is customized — designed for balance between efficiency and safety.
Dr. Dany Hanna regularly performs revision and corrective gender-affirming surgeries for patients from across the country. Revisions can address issues such as scarring, asymmetry, loss of depth, fistula, or aesthetic refinements.
Revision surgery requires careful review of your previous records and photographs. Because all procedures are hospital-based, even complex reconstructions can be performed safely.
If your first experience didn’t meet your expectations, revision surgery can help restore both results and confidence.
Yes. The Hanna Gender Center welcomes patients from across the U.S., including many from New Mexico, Oklahoma, Arkansas and Louisiana.
We assist with every step of travel — from timing and hotel coordination to postoperative planning. Our hospital’s proximity to Dallas–Fort Worth International Airport makes travel convenient, and we offer a list of discounted accommodations near Carrollton Regional Medical Center.
Our patients come from all over because they’re looking for one thing: safe, affirming surgical care with dignity at every step.
Every patient has direct access to our team even after discharge. You’ll receive written and digital instructions, a 24-hour contact line for urgent concerns, and an invitation to join our private Discord community, where you can connect with others who’ve gone through surgery.
Follow-up appointments can often be done virtually for out-of-state patients. If you need local wound care, we’ll help coordinate with nearby providers who understand gender-affirming recovery.
Surgery is just the beginning — ongoing support is what makes the difference.
That’s completely fine. Many patients begin their surgical journey before having referral letters.
Our coordinators can connect you with independent, affirming mental-health professionals familiar with WPATH Standards of Care v8 to complete the required evaluations.
Important: Dr. Hanna and the Hanna Gender Center have no financial relationships with any therapists or mental-health providers — ensuring that all recommendations remain objective and patient-focused.
We’ll help you navigate the paperwork, but the decision to proceed is always yours.
Emotional recovery is just as important as physical healing. Many patients experience a mix of relief, fatigue, and emotional release after surgery.
We encourage rest, community connection, and continued communication with your therapist or support system.
The private Discord community also provides a safe, moderated space to share experiences and advice with others who’ve been through similar journeys.
Healing involves both body and mind — you deserve support for both.
You can begin by scheduling a consultation — either virtually or in person. During your visit, you’ll discuss your goals, review your medical history, and learn which options best fit your needs.
Our coordinators will help with insurance verification, letters, and preoperative planning.
To request a consultation, call (972) 327-5524 or submit an inquiry through our website.
The first step is simply reaching out — from there, we’ll guide you through every stage with clarity, honesty, and care.
Yes — it is safe to have your gender affirming surgery in Texas.
The hospital provides:
While Texas laws and political rhetoric have raised understandable concern, hospital-based surgical care for adults remains protected and fully legal. Your right to receive medically necessary treatment — and our commitment to provide it safely and respectfully — has not changed.
Patients come from across the country, including many traveling from New Mexico and beyond, specifically because of the hospital’s experience, infrastructure, and supportive environment.
Our team actively monitors all regulations to ensure compliance while maintaining the highest ethical and clinical standards of care.
You are safe here. Your care will be handled with professionalism, discretion, and compassion — by a team whose only goal is your health, dignity, and peace of mind.
Yes. The Hanna Gender Center will only work with and interact with patients who are 18 years or older.