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Dr. Nick Esmonde - Gender Reassignment Surgery Scottsdale

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Dr. Nick Esmonde

Gender Affirmation Surgery In Portland

Dr. Nick Esmonde, MD, MPH is a Gender Surgeon in Portland, Oregon who has impeccable training in Gender Affirmation Surgery and whose practice is almost exclusively focused on helping transgender and non-binary patients. Dr. Esmonde offers the full spectrum of feminizing surgeries, from Facial Feminization to Vaginoplasty.

Education & Training

  • Bachelor of Science, University of Oregon
  • Master of Public Health and Doctor of Medicine, Oregon Health & Science University (OHSU)
  • Internship in plastic and general surgery, OHSU
  • Plastic surgery residency, Transgender Health Program, OHSU
  • Gender Surgery Fellowship, The Meltzer Clinic

After completing his fellowship with Dr. Toby Meltzer and Dr. Ellie Zara Ley, Dr. Esmonde joined The Meltzer Clinic as a full-time Associate Surgeon.

Dr. Esmonde performs the following gender-affirming procedures:

  • Facial Feminization Surgery: Hairline Correction, Forehead Recontouring, Brow Lift, Rhinoplasty, Cheek Implants, Lip Lift, Chin Recontouring, Jaw Recontouring, Tracheal Shave
  • Orchiectomy
  • Vulvoplasty
  • Vaginoplasty – 2-Stage Penile Inversion. 1st Stage: vaginal canal, labia majora, clitoris creation. 2nd Stage: labia minora, clitoral hood, and urethral or introitus revisions, if needed.
  • Breast Augmentation
  • Buttock Augmentation
  • Body Feminization

Surgeries take place at Legacy Good Samaritan in Portland.

For patients having pre-operative hair removal for Vaginoplasty, Dr. Esmonde offers scrotal blocks. These injections will numb areas for up to three hours, allowing a longer duration of an electrolysis session with more hair clearance. This results in less pain, fewer sessions of electrolysis and lower cost.

Surgery Cost
Exact pricing can only be determined following a consultation. If you're not using insurance, you can expect to pay from $10,000 to $100,000 for Facial Feminization and approximately $24,000 for Vaginoplasty. Pricing is all inclusive.

Surgery Requirements
Dr. Esmonde is a member of WPATH and follows WPATH guidelines for surgery:

  • Two referral letters from qualified mental health professionals for genital procedures; one letter for other procedures unless otherwise specified by insurance.
  • For genital procedures, one of your referral letters needs to include the length of time that you have been on hormone therapy, unless clinically contraindicated.
  • Smoking cessation.

Financing & Insurance
Dr. Esmonde accepts cash, credit cards, medical financing and insurance from Kaiser Washington as well as Pacific Source, BCBS and Washington Medicaid (Apple Health). If your insurance is not listed here, Dr. Esmonde may be able to establish a single case agreement with your insurance company.

Booking a Consultation
Dr. Esmonde is available for telehealth and in-person consultations in Portland for a fee of $100. Contact Dr. Esmonde to book your consultation.

Patient Reviews

More information about Dr. Nick Esmonde »

Research by Dr. Nick Esmonde

The Role of Facial Gender Confirmation Surgery in the Treatment of Gender Dysphoria.
Esmonde N, Najafian A, Penkin A, Berli JU. J Craniofac Surg. 2019 Jul;30(5):1387-1392.
Despite evidence of the efficacy of FGCS, there remains some extant controversies to address, such as reimbursement for these procedures, categorization of aesthetic versus functional surgery, and evaluation of outcomes. This review provides a discussion of these topics, as well as the historical and psychosocial issues specific to transgender patients that surgeons should know when providing FGCS

Differences in Chest Measurements between the Cis-female and Trans-female Chest Exposed to Estrogen and Its Implications for Breast Augmentation.
Nauta AC, Baltrusch KM, Heston AL, Narayan SK, Gunther S, Esmonde NO, Blume KS, Mueller RV, Hansen JE, Berli JU. Plast Reconstr Surg Glob Open. 2019 Mar 13;7(3):e2167.
The trans-female and cis-female populations seeking primary breast augmentation have significant demographic and anatomical differences. This has implications for surgical decision-making and planning to optimize outcomes for trans-female patients.