The Division of Plastic & Reconstructive Surgery in collaboration with the Department of Urology offers a 1-year fellowship in Advanced Gender Surgery. The fellow will be exposed to the full breadth of gender surgery with a robust focus on facial and genital gender affirming surgery. The fellowship is unique in that our trainees will also spend significant amount of time with our Urology colleagues and work in close collaboration with the Reconstructive Urology fellow. This exposure is a rare opportunity to learn from surgeons in another field and best prepares fellowship graduates from our program to lead gender-affirming surgery and genital surgery teams.

The fellowship has 5 core faculty with 3 plastic and reconstructive surgeons - Dr. Jens Berli, Dr. Blair Peters and Dr. Monica Llado-Farulla - and 2 reconstructive surgeons - Dr. Daniel Dugi and Dr. Geolani Dy. The fellow will be under the primary mentorship of the fellowship director who will coordinate faculty-led rotations to ensure robust exposure to all aspects of gender-affirming surgical care. The surgical volume in all aspects of gender-affirming surgery at the OHSU Advanced Gender Surgery Fellowship is currently unparalleled.

Core Surgical Curriculum includes: 

• Facial Gender Affirmation Surgery
• Chondrolaryngoplasty (“Tracheal Shave”)
• Chest Affirmation Surgery (all variations of Mastectomy, Chest Masculinization, Breast Reduction and Breast Augmentation)
• All Stages of Phalloplasty Surgery including Erectile Device and Testicular Implants
• Simple Metoidioplasty and Metoidioplasty with Urethral Lengthening
• Open Penile Inversion Vaginoplasty, Robotic Peritoneal Flap  Vaginoplasty and Vulvoplasty 
• Individualized Surgical Procedures
• Body Contouring including Liposuction and High Volume Fat Grafting
• Simple and Complex Revision Surgeries Including Vulvar Revision Surgery, Phalloplasty Fistulas and Strictures, Revision Vaginoplasty (Open and Robotic), Revision Chest and Facial Surgery

Our fellows are also exposed to the full multi-disciplinary aspect of gender-affirming care through interactions and clinical exposure to: primary care, endocrinology, voice and speech, adolescent endocrinology, gynecology, mental health, social work, dermatology (laser and electrolysis) and if desired fertility counseling and treatment. Participation in programmatic building, multi-disciplinary initiatives and community engagement is highly encouraged and readily accessible; as well as involvement in monthly multi-disciplinary care discussions. 

Guided mentorship will ensure that exposure is adjusted throughout the year according to the fellow specific needs and career goals. Diverse faculty experience and interests provides additional opportunities for exposure and collaboration on clinical and basic science research, grant writing, scientific presentations, manuscript publishing, coordinating research teams, peer review and opportunities to partake in various committees and outreach and education initiatives. Graduates will be particularly able to lead new and developing gender-affirming surgery programs as they will have insight into all aspects of gender-affirming care and robust surgical exposure in all aspects of affirming surgery.

Qualifications:

• Medical Degree
• Completion or anticipated completion of ACGME accredited Plastic Surgery Residency
• Broad exposure in residency to Microsurgery, Facial Trauma and Aesthetic Surgery
• Board Eligibility in Plastic and Reconstructive Surgery