For many transgender and gender-diverse people, surgery is one part of a longer process of aligning the body with their sense of self. It is a personal decision, and no one should feel pushed towards or away from it. Apex lists gender reassignment surgery within the department, and care is delivered with dignity and privacy.

Planning is carried out in accordance with recognised clinical standards. It includes a detailed discussion of goals, a review of physical and mental health, coordination with the patient's endocrinologist if they are on hormone therapy, and a clear explanation of the options, risks, and recovery. Fertility is raised early because some procedures affect it. The consultation is a place to ask questions and decide at your own pace.

These are significant operations that may need more than one stage. Risks include infection, wound healing problems, changes in sensation, scarring and the need for revision surgery. Recovery can take weeks to months, and follow-up continues afterwards.

Apex provides gender-affirming and related reconstructive care:

• Gender Reassignment Surgery: Apex performs gender reassignment surgeries after individual assessment.
• Vaginal Reconstruction: Apex performs vaginal reconstruction, which forms part of this work and is also used for other indications.
• Pre-Surgical Planning and Coordination: Apex coordinates assessment and planning with the patient's other treating doctors.