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Gender Surgery
in London at Centre for Surgery’s CQC-regulated Baker Street clinic. Chest surgery (FTM and MTF top surgery, all five techniques), facial feminisation surgery (FFS), tracheal shave, body and masculinisation, and non-binary surgery — performed by Dr Spiros Vlachos, Mr Andreas Shiatis, and Dr Shehab Jabir on the GMC Specialist Register. No referral required. Aftercare rated "outstanding" by the CQC.
Top Surgery and FFS Surgery by Centre for Surgery

— also known as gender confirmation surgery — describes a range of surgical procedures that modify a person’s characteristics to align with their gender identity. Historically referred to as Gender Reassignment Surgery (GRS) or Sex Reassignment Surgery (SRS), these procedures address physical features that contribute to gender — the distress caused by a mismatch between gender identity and body.
At Centre for Surgery, gender-affirming chest surgery is performed by and , two consultant surgeons on the GMC Specialist Register with subspecialist experience in gender-affirming surgery. Facial feminisation surgery (FFS) and tracheal shave are performed by , Consultant Facial Plastic Surgeon. All procedures take place at our — with our aftercare programme rated "outstanding" by the .
A two-week mandatory cooling-off period applies after every consultation. No referral or gender clinic letter is required — adults aged 18+ can self-refer directly. 0% APR finance is available through .
Centre for Surgery offers gender-affirming surgical care under one roof — chest surgery, facial surgery, and body contouring — for transgender men, transgender women, non-binary, and gender-diverse patients.
For men and masculinising chest surgery, all five FTM/N top surgery techniques are available:
For transgender women and feminising chest surgery:
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Address: 95–97 Baker Street, London W1U 6RN
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FTM top removes breast tissue to create a masculine chest contour for transgender men and non-binary individuals. Performed by Dr Spiros Vlachos and Mr Andreas Shiatis at our CQC-regulated Baker Street clinic. Five techniques: double incision, nipple-sparing double incision, periareolar, keyhole, and inverted T. Technique selected at consultation based on chest and goals. From £9,500.
Non-binary surgery encompasses gender-affirming procedures for individuals who do not identify as male or female. Procedures available at Centre for Surgery include top surgery (chest masculinisation or reduction), facial surgery, and body contouring. The approach is determined at consultation based on each patient’s goals and areas of dysphoria. Chest surgery performed by Dr Spiros Vlachos and Mr Andreas Shiatis under TIVA at our CQC-regulated Baker Street clinic.
Body masculinisation (BMS) covers a range of gender-affirming procedures to create a more traditionally masculine body shape for transgender men and non-binary patients. Procedures include liposuction for body contouring, abdominoplasty, brachioplasty, thigh lift, and body implants including pectoral, calf, and buttock implants. Can be combined with FTM top surgery as part of a broader surgical plan. Performed by Dr Spiros Vlachos and Mr Andreas under TIVA at our CQC-regulated Baker Street clinic.
MTF top surgery creates a feminine breast profile for women and non-binary individuals using silicone implants, fat transfer, or a combination of both. by Mr Andreas Shiatis at our CQC-regulated Baker Street clinic under TIVA. Implant-based augmentation from £6,500. Fat transfer pricing confirmed at consultation.
Body feminisation surgery combines and fat transfer to reshape the torso and create a more traditionally feminine silhouette. Performed by Mr Andreas Shiatis and Dr Spyridon Vlachos at our CQC-regulated Baker Street clinic in London under TIVA anaesthesia. Often combined with MTF top surgery in a single operation. Typical price range £8,000–£15,000, with 0% APR available through Chrysalis Finance. Mandatory two-week cooling-off period applies.
FFS encompasses surgical procedures modifying the forehead, brow, nose, jaw, chin, lips, and neck toward a more feminine appearance — performed individually or in combination. Led by Dr Shehab Jabir, Consultant Facial Plastic Surgeon, at our CQC-regulated Baker Street facility. No referral required for adults over 18.
Tracheal shave reduces the prominence of the thyroid cartilage through a small incision in the natural submental crease — no visible external scar, no overnight stay, return to desk work within 5–7 days. Performed as part of FFS or as a standalone procedure. No referral required. Results are permanent.
Call or fill in the form below. A patient coordinator will call you within one working day to book your consultation with the consultant best matched to your enquiry.
—Please choose an option—Rhinoplasty (nose surgery)Blepharoplasty (eyelid surgery)Facelift / Neck liftOtoplasty (ear surgery)Breast augmentationBreast liftBreast reductionLiposuctionTummy tuckBrazilian Butt Lift (BBL)Mummy makeoverLabiaplasty / Cosmetic gynaecologyGynaecomastia (male breast reduction)FTM / MTF top surgerySkin lesion / mole removalMorpheus8 / Fotona / non-surgicalRevision (any previous procedure)Other / not sure yet
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Expert Insights & Top Tips
TIVA — Total Intravenous Anaesthesia — is the anaesthetic technique Centre for Surgery uses as standard for all procedures requiring general anaesthesia. This guide explains what it is, how it works, and why it produces better outcomes for patients than traditional inhaled gas anaesthesia.
Fotona 4D and traditional ablative laser resurfacing both improve skin quality — but they work in fundamentally different ways, suit different patients, and have very different recovery profiles. Centre for Surgery London explains the key differences and which one is right for you.
Same-day mole removal at Centre for Surgery takes under an hour from arrival to departure. Here is exactly what to expect — from the local anaesthetic through to your histology results.
If you're plastic or cosmetic surgery in London, Centre for Surgery offers a level of clinical excellence that few clinics can match.
All procedures at Centre for Surgery are performed exclusively by GMC specialist-registered consultant plastic surgeons — the highest qualification available in the UK. Our surgeons hold positions on the GMC Specialist Register and are members of BAPRAS and ISAPS, ensuring you receive care from fully credentialled specialists, not cosmetic doctors.
Our purpose-built private hospital at Baker Street, Marylebone is regulated and inspected by the Care Quality Commission (CQC), which awarded us a Good rating — a standard very few cosmetic surgery facilities in the UK achieve. We use TIVA (Total Intravenous Anaesthesia) as standard, the safest and most form of available for day case .
We offer the full range of and non-surgical under one roof, with in-depth consultations directly with your surgeon — never a sales . Flexible 0% APR finance is available Chrysalis Finance, and our comprehensive aftercare programme includes 24/7 nursing support.
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Centre for Surgery is a CQC-regulated private hospital on London’s Baker Street, delivering plastic and cosmetic surgery through GMC-registered specialist surgeons. Our expertise spans facial procedures including and , , for men, and body contouring procedures such as and . Patient safety, surgical excellence and natural-looking results sit at the heart of everything we do.
Centre for Surgery is a CQC-regulated private hospital on London’s iconic , offering plastic and cosmetic surgery led by GMC-registered consultant surgeons.
Marylebone
London
W1U 6RN
Mon – Sat, 9am – 6pm
Saturday consultations available
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