What Gender Confirmation Center does

Gender Confirmation Center (GCC) is a private medical practice founded in 2013 in San Francisco by Dr. Scott Mosser, specializing exclusively in gender-affirming surgical care. The practice delivers a full spectrum of procedures including top surgery (chest reconstruction), breast augmentation, facial feminization/masculinization, body contouring, and bottom surgery, employing eight board-certified plastic surgeons and serving transgender, non-binary, and gender non-conforming adults. Since 2009, GCC surgeons have collectively performed over 5,000 top surgery procedures and served more than 4,000 breast augmentation patients, with a reported approximately 4% revision rate and a less than 0.5% serious complication rate at accredited surgery centers.

GCC operates under an informed consent model that removes traditional barriers such as mandatory therapist letters for adults, and uses free virtual and in-person consultations as its primary patient acquisition channel. The practice differentiates on technical breadth — offering the widest range of top surgery techniques (double incision, keyhole, periareolar, buttonhole, inverted-T, fishmouth, lollipop, nipple-sparing) plus a neurotization nerve preservation method delivered in partnership with Dr. Ziv Peled that preserves approximately 80% of post-operative nipple sensitivity — and on inclusivity (patients accepted regardless of BMI up to 65, hormone status, age, or gender identity). A free Insurance Concierge Service reports a 90% approval success rate, complemented by financing through CareCredit and a maintained list of grants.

Revenue is generated primarily through one-time surgical procedure fees supplemented by insurance billing, with patient payment typically due six weeks before surgery; ancillary revenue comes from add-ons such as medical tattooing, scar microneedling, and interpretation services. GCC operates three California locations (San Francisco headquarters, Pasadena via the Prosilio Care subsidiary offering whole-person care, and San Luis Obispo) and serves both domestic and international patients from markets including Japan, England, and Italy. Marketing is community-led, driven by patient testimonials, an active social media presence, provider referrals, and the #AllOfUs visibility project.

Name

Gender Confirmation Center

Legal name

Gender Confirmation Center

Website

https://genderconfirmation.com

Company type

Private

Founded year

2013

Operating status

Operating

Headcount range

11–50 employees

Short description

Gender Confirmation Center is a San Francisco-based private surgical practice that provides gender-affirming procedures — top surgery, breast augmentation, facial surgery, body contouring, and bottom surgery — to transgender and non-binary adults through a team of eight board-certified plastic surgeons.

Ownership category

akta.pro rank

Product category

Gender-Affirming Surgical Services

NAICS

Offices of Physicians (62111), Offices of Physicians (except Mental Health Specialists) (621111)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

Plastics / Cosmetic & Dermatologic Surgery Centers (HLAFAIAK)

Keywords

• Gender-affirming surgery
• Top surgery
• Breast augmentation
• Facial feminization
• Plastic surgery

Headquarters

HQ city

San Francisco

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Infrastructure, Others

Revenue model

1. Surgical Procedures: One-time surgical procedure fees for gender-affirming surgeries including top surgery, breast augmentation, facial surgery, body contouring, and bottom surgery. Patients can pay via self-pay (cash, credit card, check), insurance, or grants. Procedures are scheduled after consultation with payment required 6 weeks before surgery date.
2. Insurance Billing: The practice accepts insurance and provides documentation for insurance coverage claims. The insurance concierge service assists patients in securing coverage, with approximately 90% success rate. Patients with insurance still pay co-pay if applicable 6 weeks prior to surgery.
3. Financing and Grants: Partnership with CareCredit and other medical credit agencies for financing options. The practice also maintains a list of scholarships and grants for gender-affirming surgeries for patients facing financial hardship.
4. Consultation Services: Free consultations (virtual and in-person) with board-certified surgeons. While consultations are complimentary, they serve as the entry point for surgical procedure revenue.

Pricing tiers

Go-to-market motion3 records

Distribution channels5 records

Marketing channels8 records

Core offering

The Gender Confirmation Center provides gender-affirming surgical care delivered by eight board-certified plastic surgeons. Core services include top surgery, breast augmentation, facial surgery, body contouring, and bottom surgery, supported by free consultations, insurance concierge services, and post-operative care at accredited facilities in California.

Product overview

The Gender Confirmation Center (GCC) is a surgical practice offering a comprehensive suite of gender-affirming surgeries and supporting services. The core product portfolio centers on five primary surgical procedures: Top Surgery (chest reconstruction), Breast Augmentation, Facial Surgery (FFS), Body Contouring, and Bottom Surgery. These surgical offerings are complemented by supporting modules including an Insurance Concierge Service (achieving 90% coverage success rate), free virtual and in-person consultations via a secure patient portal, therapy and mental health support referrals, travel and accommodation assistance, and medical tattooing services. The practice operates under the informed consent model, does not require therapist letters for adults (except for insurance or bottom surgery per WPATH guidelines), and serves patients regardless of BMI, age, hormone status, or gender identity. GCC has locations in San Francisco, Pasadena, and San Luis Obispo, California, with surgeons performing procedures at accredited surgery centers including Vista Surgery Center, San Francisco Surgery Center, California Pacific Medical Center, Saint Francis Memorial Hospital, and Saint Mary's Hospital.

Differentiator

Problem solved

Functional benefit

Quantifiable outcome

• 90% insurance approval rate through insurance concierge service
• +4 more outcomes

Named customers4 records

Segments4 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

One partnership is on record.

• Dr. Ziv PeledcoreStrategic or Co-development PartnerDr. Ziv Peled performs the neurotization (nerve reconstruction) procedure for top surgery patients who choose nerve preservation. This partnership enables GCC to offer approximately 80% sensitivity preservation in nipples after top surgery through free nipple grafts with nerve grafting.

Scale indicators6 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Dr. Sidhbh Gallagher (Gallagher Plastic Surgery): Private plastic surgery practice with a high-volume gender-affirming top surgery focus, offering insurance-accepted procedures and competing for the same national pool of patients seeking chest reconstruction.
• The Crane Center for Transgender Surgery: Austin, Texas-based private practice specializing in gender-affirming surgery (top, bottom, FFS). One of the largest dedicated private gender-surgery centers in the U.S., competing for out-of-state and international patients traveling from California and elsewhere.
• Garrison Medical / Dr. Tony Garrison: Private gender-affirming plastic surgery practice offering top surgery and related procedures. Competes directly for self-pay and insured patients seeking chest reconstruction and facial procedures.
• Align Surgical Associates: San Francisco-based gender-affirming surgery practice offering top surgery, breast augmentation, FFS, and bottom surgery with a similarly specialized surgeon team. Direct competitor in the same Bay Area geography with overlapping procedure mix and patient demographic.
• Dr. Daniel Medalie / Cleveland Plastic Surgery: Private practice in Cleveland performing high-volume gender-affirming top surgery, including a reputation for serving high-BMI patients. Direct competitor in the private-pay, out-of-town patient segment.

Broad incumbents

• Mount Sinai Center for Transgender Medicine and Surgery: Hospital-based multidisciplinary gender-affirming care program in NYC offering the full surgical spectrum (top, bottom, FFS) within a large academic health system. Provides a credible hospital-backed alternative for East Coast and international patients.
• Boston Medical Center — Center for Transgender Medicine and Surgery: Academic medical center operating a multidisciplinary gender-affirming surgery program. Provides a hospital-based alternative for Northeast and international patients, especially those needing comprehensive perioperative support.
• Cleveland Clinic — Center for Gender Affirming Surgery: Large academic health system offering a dedicated gender-affirming surgery program with multiple surgeons and hospital-based perioperative infrastructure. Competes for medically complex and insured patients who prefer hospital settings.

Others

• WPATH (World Professional Association for Transgender Health): Professional association setting standards of care for transgender health, of which GCC's founder and surgeons are members. Not a competitor, but a key ecosystem participant that influences referral patterns, clinical guidelines, and reputational standing.

Regional players

• Two Birds Wellness / Los Angeles gender surgery practices: Southern California–based private gender-affirming surgery practices (including those aligned with the broader FFS/top surgery ecosystem in LA). Compete with GCC's Pasadena expansion for in-state California patients who do not want to travel to SF.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/channel/UCprYBzueFRxlMDK19w_GLeA
• Facebookfacebook.com/genderconfirmation
• Instagraminstagram.com/genderconfirmationcenter
• LinkedInlinkedin.com/company/gender-confirmation-center

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 records

Subsidiaries1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Gender Confirmation Center