Surgeons List (Apple Health)

Please note: this is not every surgeon in WA, only those covered by Apple Health.
For more general surgery information, the TransSurgeries subreddit wiki is useful, and you may also want to check out TransBucket for surgery results images.

Background: Primary Care, hormone therapy and mental health services

Primary care, hormone therapy, speech therapy (including voice training) and mental health services are covered through your managed care plan (Molina, United Health Care, Amerigroup, Coordinated Care or Community Health Plan of Washington). If you need to access one of these services, contact your plan to request a list of providers. The phone number can be found on the back of your member ID card. You may request a case manager through your managed care plan who can assist you with coordination of care.

Other gender-affirming treatment, ie. surgical procedures and gender affirming hair removal, are covered directly by Apple Health fee for service and not by your managed care plan. Apple Health fee for service is also known as ProviderOne (teal-colored card). Use your ProviderOne services card when accessing these services. Services must be provided by an Apple Health approved and enrolled provider. There are different requirements depending on what service you want to have performed.

Here is the criteria and full list of gender affirming care providers that are contracted with Apple Health: (Feb 2026)

Breast augmentation

One recent (within the past 18 months) behavioral health assessment from a licensed mental health care provider;
Recent (within the past 18 months) letter from the provider managing your hormone therapy, if indicated; and
Recent (within the past 12 months) history and physical and surgical plan from the surgeon who will perform the surgery.

Providers

The following providers offer top surgery (breast augmentation) to treat gender dysphoria for Apple Health clients. The names given here are not recommendations based on care provided or provider preference.

University of Washington Medical Center, Seattle- (206) 520-5000
Surgical Care - Transgender & Gender Non-Binary Health Program

Dr. Issac Stein
Dr. Shane Morrison
- PCP Referral required- fax: (206) 744-8948

Swedish Plastics & Aesthetics- Seattle – (206) 215-6221
Dr. Samuel Lien, Everett – (425) 316-5080
Dr. Geoffrey Stiller, Spokane – (509) 747-5773
Dr. Timothy Browne, MultiCare Health System, Tacoma – (253) 403-2120

Gender affirming masculinization/top surgery

One recent (within the past 18 months) behavioral health assessment from a licensed mental health care provider;
Recent (within the past 18 months) letter of medical necessity supporting the request for mastectomy from the primary care provider; and
Recent (within the past 12 months) history and physical and surgical plan from the surgeon who will perform the surgery.

Providers

The following providers offer top surgery (mastectomy) to treat gender dysphoria for Apple Health clients. The names given here are not recommendations based on care provided or provider preference.

University of Washington Medical Center, (Plastic Surgery) Seattle- (206) 520-5000 : Surgical Care - Transgender & Gender Non-Binary Health Program
- Dr. Russell Ettinger
- Dr. Shane Morrison
  - PCP Referral required- fax: (206) 744-8948
Swedish Plastics & Aesthetics- Seattle – (206) 215-6221
- Dr. Wandra Miles
- Dr. Suzette Miranda
Dr. Alexandra Schmidek, Seattle – (206) 223-6831
Dr. Samuel Lien, Everett- (425) 316-5080
Dr. Geoffrey Stiller, Spokane – (509) 747-5773
Dr. Hemangini Thakar, Portland, OR – (503) 413-5600
Dr. Timothy Browne, MultiCare Health System, Tacoma – (253) 403-2120

Hysterectomy and Orchiectomy

One recent (within the past 18 months) behavioral health assessment from a licensed mental health care provider;
Recent (within the past 18 months) letter from the provider managing your hormone therapy if indicated; and
Recent (within the past 12 months) history and physical and surgical plan from the surgeon who will perform the surgery.

The following providers offer surgery to treat gender dysphoria for Apple Health clients. The names given here are not recommendations based on care provided or provider preference.

Hysterectomy Providers

Dr. Jasmine Albrecht, Mill Creek – (425) 316-9159
Dr. Hasan Abdessamad, Burien – (206) 965-4200
Dr. Catherine Cairney, Spokane – (509) 755-5205
Dr. Dina Gordon, Edmonds – (425) 640-4810
Dr. Dennis Goulet, Everett – (425) 339-5430
Dr. Mallory Kremer, Seattle – (206) 520-5000
Dr. Lauren Lucas, Spokane – (509) 489-2101
Dr. Adam O’Brien, Wenatchee – (509) 433-2303
Dr. Megan Bird, Portland, OR – (503) 413-5600
Swedish OB/GYN , First Hill – (206) 215-6307
Virginia Mason - (206) 223-6191
- Dr. Marisa Dahlman
- Dr. Megan Loring
- Dr Elena Wagner
Women’s Health/Gynecology- University of WA-Roosevelt – (206) 598-5500
Surgical Care - Transgender & Gender Non-Binary Health Program
Harborview OB/GYN Clinic
- Dr. Jennie Mao
Sea Mar Community Health Centers
- Dr. Richard Kubiniec, Vancouver- (360) 892-0208

Orchiectomy Providers

Dr. Emily Bradley, Seattle – (206) 528-4944
Dr. Daniel Dugi, Portland, OR – (503) 346-1500
University of Washington- Harborview, Seattle – (206) 744-3241
- Dr. Thomas Walsh
- Dr. Judith Hagedorn
- Dr. Marah Hehemann, Seattle
Dr. James Kuan, Seattle – (206) 386-6266
Dr. Una Lee, Seattle – (206) 223-6772
Dr. Alvoro Lucioni, Seattle – (206) 223-6772
Dr. Geoffrey Stiller, Spokane – (509) 747-5773

“Full” bottom surgery

(Includes vaginoplasty, metoidoplasty, and more.)

One recent (within the past 18 months) behavioral health assessment from a licensed mental health care provider;
Recent (within the past 18 months) letter from the provider managing your hormone therapy, if indicated; and
Recent (within the past 12 months) history and physical and surgical plan from the surgeon who will perform the surgery.

Providers

The following providers offer full bottom surgery to treat gender dysphoria for Apple Health clients. The names given here are not recommendations based on care provided or provider preference.

   OHSU Urology Clinic, Portland OR– (503) 346-1500

Dr. Daniel Dugi
- Dr. Geolani Dy
OHSU Plastic & Reconstructive Surgery Clinic, Portland OR– (503) 494-6687
- Dr. Blair Peters
University of Washington Medical Center, (Plastic Surgery) Seattle- (206) 520-5000
- Dr. Shane Morrison
  - PCP Referral required- fax: (206) 744-8948
Dr. Toby Meltzer, The Meltzer Clinic- Scottsdale, AZ – (480) 657-7006
Dr. Geoffrey Stiller, Spokane – (509) 747-5773
University of Washington - Surgical Care - Transgender & Gender Non-Binary Health Program
Legacy Health, Good Samaritan Medical Center
- Dr. Nick Esmonde, Portland OR – 503-413-5915 (not bc)

Hair Removal

Letter from the provider managing the client’s gender affirming hormone therapy (within the past 18 months)
Letter of medical necessity from dermatologist or primary care provider completed within 18 months prior to the request for hair removal, and
- Description of medical condition and attempted treatments that prohibit the client from shaving or utilizing other hair removal techniques (except electrolysis or laser). Examples include documented folliculitis, documented sensitivity to hair removal techniques, or thick male pattern hair growth prohibiting adequate hair removal.

Photos of requested area for hair removal, only upon request
Letter of medical necessity from the treating provider performing the hair removal that includes the size and location of the area to be treated, and the number of expected units needed to complete treatment.

Providers

The following providers offer hair removal to treat gender dysphoria for Apple Health clients. The names given here are not recommendations based on care provided or provider preference.

Stiller Aesthetics, Spokane – (509) 747-5773
Real You Electrolysis, Vancouver and Lakewood (360) 217-4205
Plastic Surgery Department @ OHSU, Portland – 503-494-6687
Zap Master Electrology, Centralia 360-459-6952
Orchard House Spa, Olympia, WA 360-790-2183 * Need to confirm.
Orchard House Studio, Olympia, WA 360-790-2183 * Need to confirm.
Vitality Spa, Electrolysis and Laser, Keizer, OR 503-479-7111
Providence Swedish, Seattle (206) 386 6111

Facial Feminization/Masculinization

One recent (within the past 18 months behavioral health assessment from a licensed mental health care provider;
Recent (within the past 18 months) letter from the provider managing your gender affirming hormone therapy, if indicated; and
Recent (within the past 12 months) history and physical and surgical plan from the surgeon who will perform the surgery.

Providers

The following providers offer facial feminization surgery to treat gender dysphoria for Apple Health clients. The names given here are not recommendations based on care provided or provider preference.

University of Washington Medical Center, (Plastic Surgery) Seattle- (206) 520-5000 Surgical Care - Transgender & Gender Non-Binary Health Program
- Dr. Russell Ettinger
  - PCP Referral required- fax: (206) 744-8948
Dr. Michael Nuara, Seattle – (206) 223-6600
Virginia Mason- Plastic & Reconstructive Surgery, Seattle – (206) 341-0895
- Dr. AJ Flaherty
The Meltzer Clinic- Arizona - (480) 657-7006
Dr. Geoffrey Stiller, Spokane – (509) 747-5773
Legacy Health, Good Samaritan Medical Center
- Dr. Nick Esmonde, Portland OR – (503) 413-6271

Gender Affirming Voice Surgery Criteria

Completion of speech/voice therapy
Otolaryngologist consult/evaluation
Live in a gender role that matches clients gender identity for a minimum of 12 months preceding treatment/surgery, unless otherwise noted, or have been unable to live in their desired gender identity due to personal safety concerns.
It is a general requirement to be on gender-affirming hormone therapy for a minimum of 12 months preceding treatment/surgery, or have a medical contraindication to hormone therapy.
Gender affirming hormone therapy is not required for voice feminization.

Required Documentation

Letter of Support (within the past 12 months) from speech language pathologist (SLP) that client has completed speech therapy/voice therapy which includes the outcome of the therapy.
Recent (within the past 12 months) history and physical and treatment plan from the Otolaryngologist who will perform the procedure.
Recent (within the past 18 months) letter of medical necessity supporting the request for voice modification procedure from the primary care provider; or
- For voice masculinization a recent (within the past 18 months) letter from the provider managing the client’s hormone therapy.

Providers

The following providers offer voice modification surgery to treat gender dysphoria for Apple Health clients. The names given here are not recommendations based on care provided or provider preference.

UW Medicine- Otolaryngology [ENT]
Surgical Care - Transgender & Gender Non-Binary Health Program
- Dr. John Paul Giliberto (206) 598-4022

To get started, call the enrolled provider you are interested in seeing and schedule a consultation. Consultations do not require prior approval. The provider will need to get a prior authorization for the gender affirming treatment.

Transportation services

You may be eligible for help with transportation to your health care appointments at no cost to you. If you need help to find transportation, please call 1-800-562-3022 or visit the transportation services webpage to find a transportation broker for your county. Contact a broker 7-14 days before your appointment. Requests to your broker less than two business days before your appointment may not be scheduled.