Gender-affirming uterine removal.
A safe, minimally invasive approach to hysterectomy — combining advanced surgical expertise with compassionate, patient-centered care across Canada.
- 15+Years of experience
- 1,200+Procedures performed
- 10Provinces & territories served
An affirming step in masculinizing care
Hysterectomy removes the uterus, ending menstruation and easing dysphoria as part of transmasculine bottom surgery.
A gender-affirming hysterectomy is the surgical removal of the uterus, and often the cervix and fallopian tubes. It can be performed on its own or alongside other bottom surgeries such as metoidioplasty or phalloplasty, depending on your surgical goals.
The procedure is most often performed using minimally invasive laparoscopic or vaginal techniques. Our surgeons follow WPATH-aligned standards and work collaboratively with you to ensure outcomes that reflect your identity and priorities.
What hysterectomy can mean for you
More than a medical change — a meaningful step toward comfort, confidence, and body alignment.
Gender affirmation
Removal of the uterus can be a deeply affirming step, easing dysphoria and aligning your body with your identity.
End of menstruation
Permanently stops menstrual cycles, eliminating a recurring source of discomfort and distress.
Hormonal stability
Optional removal of the ovaries can simplify hormone management for those on testosterone therapy.
Minimally invasive
Laparoscopic and vaginal approaches mean smaller incisions, less pain, and a faster recovery.
Reduced cancer risk
Removal of reproductive organs eliminates the future risk of uterine and, when included, ovarian cancers.
Tailored approach
Surgical method customized to your anatomy, goals, and any concurrent bottom surgery.
Hysterectomy approaches
Your surgeon will recommend the technique best suited to your anatomy, goals, and any concurrent procedures.
Laparoscopic Hysterectomy
- Indications
- Most patients seeking minimally invasive removal of the uterus.
- Advantages
- Small incisions, minimal scarring, reduced pain, and a quicker return to activity.
- Ideal candidates
- Patients without significant prior abdominal surgery or anatomical complications.
Vaginal Hysterectomy
- Indications
- Patients with suitable anatomy for removal of the uterus through the vaginal canal.
- Advantages
- No abdominal incisions, leaving no visible external scars and a comfortable recovery.
- Ideal candidates
- Patients with adequate vaginal access and no large fibroids or adhesions.
Total Hysterectomy with Salpingectomy
- Indications
- Patients wishing to remove the uterus, cervix, and fallopian tubes.
- Advantages
- Comprehensive removal that reduces future cancer risk while preserving the ovaries if desired.
- Ideal candidates
- Patients seeking complete uterine removal without oophorectomy.
Hysterectomy with Oophorectomy
- Indications
- Patients choosing to remove the ovaries along with the uterus.
- Advantages
- Stops native estrogen production, which can simplify gender-affirming hormone therapy.
- Ideal candidates
- Patients on testosterone who wish to discontinue ovarian hormone production.
Comparing the techniques
A quick reference to help you understand the trade-offs between scarring, candidacy, and outcomes.
| Technique | Scars | Best candidate | Sensation impact |
|---|---|---|---|
| Laparoscopic | Minimal | Most patients | Not affected |
| Vaginal | None external | Suitable anatomy | Not affected |
| With Salpingectomy | Minimal | Wants tube removal | Not affected |
| With Oophorectomy | Minimal | Wants ovary removal | Not affected |
What to expect at a glance
Your healing roadmap
A clear, week-by-week picture of what recovery looks like — so you always know what comes next.
- 1Week 1
Rest & initial healing
Expect mild cramping, fatigue, and light bleeding or discharge. Rest is essential. Avoid lifting and follow all post-operative instructions closely.
- 2Weeks 2–3
Gentle movement
Light walking is encouraged to support circulation. Continue to avoid heavy lifting and strenuous activity while internal healing progresses.
- 3Weeks 4–6
Return to activity
Most patients resume desk work and light daily activities. Internal tissues continue to heal, so avoid intense exercise until cleared.
- 4Weeks 6–8
Resuming normal life
With surgeon approval, most patients return to exercise, lifting, and full activity. Any residual discomfort typically resolves by this stage.
- 5Months 3+
Full recovery
Internal healing is complete. Menstruation has permanently ceased, and you can enjoy the lasting benefits of the procedure.
What your results will look like
Understanding scars, hormonal effects, and long-term outcomes helps you set clear, realistic expectations.
Expected scars
Laparoscopic incisions are small and fade significantly over time. Vaginal approaches leave no visible external scars.
Recovery evolution
Most patients feel substantially better within two to three weeks, with internal healing continuing over several months.
Hormonal effects
If the ovaries are removed, hormone therapy becomes the source of all sex hormones, often simplifying management.
Affirming outcome
Many patients describe significant relief from dysphoria and a renewed sense of comfort in their bodies.
Permanent result
The procedure permanently ends menstruation and the possibility of pregnancy, providing lasting peace of mind.
Health benefits
Removal of reproductive organs eliminates future risk of uterine and, when included, ovarian cancers.
Surgical Excellence, with Care That Listens.
Every patient deserves compassionate, individualized care throughout their gender-affirming journey. Our team combines advanced surgical expertise with a deeply patient-centered approach to deliver safe, natural, and affirming outcomes tailored to your goals.
“Trusted by patients across Canada seeking compassionate, expert gender-affirming care.”
Fellowship-Trained Surgeons
Our procedures are performed by highly specialized surgeons with advanced training in gender-affirming and reconstructive surgery.
Advanced Microsurgical Care
We utilize modern surgical techniques and precision-focused care to support optimal healing, functionality, and long-term results.
WPATH-Aligned Protocols
Our approach follows internationally recognized standards of care to ensure ethical, safe, and evidence-based treatment.
Patient-Led Decision Making
Every treatment plan is built collaboratively, respecting your identity, goals, comfort level, and personal transition journey.
Aesthetic-Focused Outcomes
We prioritize natural-looking, harmonious results designed to align with each patient's vision and anatomy.
Multidisciplinary Support
From consultation to recovery, our team provides coordinated medical, surgical, and emotional support at every stage.
Meet Dr. Alexis Laungani
A vision of self-affirmation for all
Dr. Alexis Laungani is a plastic surgeon who offers meticulously crafted reconstructive and aesthetic procedures, artfully blending medical practice with personal well-being. With over 20 years of training across Belgium, the United States, and Canada, he harnesses globally recognized techniques to minimize downtime and scarring while achieving naturally beautiful results.
- Over 20 years of training across three continents
- Transparency at the cornerstone of care
- Holistic pre- and post-operative care
- Naturally beautiful, patient-centered results
From First Conversation to Long-Term Follow-Up.
We guide every patient through a personalized and supportive experience designed to prioritize comfort, clarity, safety, and confidence at every stage of the surgical journey.
“Every transition journey deserves thoughtful guidance, clarity, and compassionate support.”
- 1Step 1
Initial Consultation
Meet with our surgical team to discuss your goals, medical history, expectations, and personalized treatment options in a safe and affirming environment.
- 2Step 2
Surgical Planning
Your procedure plan is carefully tailored to your anatomy, transition goals, recovery needs, and desired aesthetic outcomes.
- 3Step 3
Surgery & Inpatient Care
Our team provides expert surgical care with attentive postoperative monitoring, ensuring comfort, safety, and individualized support during recovery.
- 4Step 4
Recovery & Follow-Up
We remain closely involved throughout healing with follow-up appointments, recovery guidance, and long-term support focused on optimal results and well-being.
Patients travel from across Canada
We welcome patients nationwide for gender-affirming hysterectomy, with coordinated travel and follow-up support.
Trusted by patients across every province and territory in Canada.
Frequently asked questions
More FTM surgical options
Phalloplasty
Advanced masculinizing reconstructive surgery focused on creating natural form, function, and long-term gender affirmation outcomes.
Metoidioplasty
A gender-affirming procedure that enhances existing anatomy to create a natural masculine appearance with shorter recovery times.
Scrotoplasty
A reconstructive procedure designed to create a natural-looking scrotum as part of comprehensive transmasculine surgical care.
Plan your hysterectomy.
Begin with a private, confidential consultation. Our team will guide you through every step with clarity and care.
Confidential consultations available across Canada.
Dedicated patient coordinators available for Canadian and international patients.
Serving patients across Canada
- WPATH-aligned care
- Fellowship-trained surgeons
- Patients across Canada
