Master Surgeon in Gender Confirmation Surgery

SRC’s Gender Confirmation Surgery (GCS) accreditation programs are the first offered by any organization to advocate for gender confirmation patient safety. In consultation with industry experts, GCS accreditation programs are designed to help patients identify providers that meet and exceed SRC’s rigorous standards.

SRC’s expertise to set industry standards was outlined by the organization’s Chief Medical Officer, Dr. Neil Hutcher. “SRC developed the gender confirmation surgery accreditation to establish standards for a specialty where every patient deserves the compassion of their providers and the best possible clinical care. We offered the world’s first accreditation programs for bariatric surgery in 2003, and once again, we are proud to be at the forefront of advocating for underserved patients of an emerging specialty.”

The Master Surgeon in Gender Confirmation Surgery (MSGCS) accreditation identifies surgeons who specialize in performing gender-confirming procedures. SRC requires that a majority of an accredited surgeon’s work is focused on gender confirmation surgery. The MSGCS program confirms the surgeon’s expertise in and dedication to the specialty and its unique sensitivities before accreditation is awarded.

If you’re interested in accreditation, please complete the Accreditation Program Information Form or contact

Program Requirements

1: Surgical Experience

The applicant surgeon performs at least 125 qualifying surgeries annually and has served as the primary surgeon for at least 150 qualifying surgeries in their lifetime.

Procedures performed at any facility may be used toward volume. Surgeons must have served as the primary surgeon for a procedure to qualify. If the surgeon’s role as primary surgeon has been properly documented, procedures performed during fellowship or residency may qualify. Cases in which the surgeon served as co-surgeon or assisting surgeon do not qualify.

Each procedure used for volume must be thoroughly documented to enable a medical chart review.

Volume waivers may be approved in some circumstances.

2: Equipment and Instruments

The applicant performs gender confirmation surgery in a facility that has a full line of equipment and surgical instruments to provide appropriate perioperative care for their patients. The applicant’s facility has documented training for appropriate staff in the safe operation of this equipment.

3: Surgeon Dedication

The applicant spends a significant portion of their effort in the field of gender confirmation surgery and has active, full privileges in general surgery and gender confirmation surgery.

The applicant is board-certified or an active candidate for board certification in their surgical specialty by the highest certifying authority available.

The applicant completes at least 12 hours of continuing medical education (CME) focused on gender confirmation surgery every three years. Only American Medical Association Physician’s Recognition Award Category 1 Credits or similar credits from a CME accrediting body outside the United States or two national or international meetings qualify.

4: Clinical Pathways and Standardized Operating Procedures

The applicant formally develops and implements clinical pathways that facilitate the standardization of perioperative care for gender confirmation surgeries. The following pathways are required:

  1. Anesthesia, including monitoring and airway management
  2. Perioperative care, including monitoring, pain management and airway management
  3. Deep vein thrombosis (DVT) prevention and management
  4. Antibiotic administration and management
  5. Instructions for identification, evaluation and management of early warning signs of complications.
  6. Preoperative patient preparation, evaluation, patient education, consent and plan of action for discharge that includes follow-up and any necessary patient education

Each applicant surgeon performs each surgical procedure in a standardized manner as allowed by variations in operative circumstances.

Each applicant surgeon uses a template for operative note dictation that ensures proper collection of data for surgical procedures.

5: Surgical Team and Support Staff

The applicant has nurses and/or physician extenders who provide education and care to patients. The applicant performs gender confirmation surgery in a facility that has an operative team trained to care for gender confirmation surgery patients.

The applicant ensures appropriate staff are provided with ongoing, regularly scheduled staff education in-services to ensure they have a basic understanding of gender confirmation surgery and the appropriate management of the gender confirmation surgery patient. In-service topics must include:

  • Signs and symptoms of common postoperative complications
  • Equipment and surgical instruments
  • Sensitivity training
  • Clinical pathways

6: Patient Education

The applicant must provide all gender confirmation surgery patients with comprehensive preoperative patient education.

The applicant must also have a process for obtaining informed surgical consent and selecting procedures that are most appropriate for each patient’s condition.

7: Continuous Quality Assessment

The applicant must collect prospective outcomes data on all patients who undergo gender confirmation surgeries in SRC’s Outcomes Database (or a similar qualifying database) in a manner consistent with applicable patient privacy and confidentiality regulations. This de-identified data must be available to SRC for initial and renewal inspections or upon request.

Program Fees

Initial Fees

Application Fee: $1,650 USD

  • Discounts may be available for surgeons that participate in multiple accreditation programs. Contact SRC for details.
  • Upon payment of application fees, applicants achieve Provisional Status and gain access to SRC’s Outcomes Database at no additional charge.

Site Inspection Fees

Site Inspection: $1,175 USD

  • Inspections for Master Surgeon accreditations are performed on site at the surgeon’s location.
  • The site inspection fee covers a one-day inspection with one site inspector and includes one Master Surgeon. A day will be added to the site inspection for every additional co-applicant surgeon. Each additional day is $925.
  • Applicants are responsible for arranging and paying for the site inspector’s hotel, ground transportation and, if needed, an interpreter/translator. These items are not included in the standard site inspection fee.
  • Renewal inspections are required every three years to ensure ongoing program compliance.

Recurring Fees

Annual Fee: $1,650 USD

  • Annual participation fees will be billed one year after applicants achieve Provisional Status and each year thereafter.

Fees are subject to change without notice and are not refundable. Payment of required fees does not guarantee accreditation.