Find out about insurance coverage for gender-affirming surgeries

Coverage might depend on your plan. Find out what is available through the SF Department of Public Health.

What to do

1. Find out if you are eligible

You must be an adult in San Francisco who is enrolled or covered by:

  • Medi-Cal or Medicare
  • Healthy San Francisco, Healthy Workers, or Healthy Families
  • A managed Medi-Cal plan, like San Francisco Health Plan or Anthem

2. Check what surgeries are covered

Through Gender Health SF, you can access the following surgeries:

  • Orchiectomy
  • Vaginoplasty
  • Labiaplasty
  • Clitorplasty
  • Penectomy
  • Hysterectomy
  • Vaginectomy
  • Metoidioplasty
  • Phalloplasty
  • Scrotoplasty
  • Hair restoration
  • Mastectomy with chest reconstruction
  • Feminizing mammoplasty
  • Facial feminization surgery
  • Facial masculinization surgery
  • Body contouring: Feminizing and masculinizing

View by insurance plan

Coverage options may depend on your insurance.

Get a breakdown of covered surgeries and referral steps:

Gender Health insurance and health benefits chart

Get help


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Last updated May 31, 2023