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(415) 530-5335 (310) 751-5886 Menu

Align Surgical Associates Inc.

Gender confirmation surgery for transwomen, transmen, non-binary, and gender diverse individuals

Align Surgical Associates, Inc. Align Surgical Associates, Inc.
Align Surgical Associates, Inc. Align Surgical Associates, Inc.
Align Surgical Associates, Inc.

"Dr. Satterwhite and Dr. Gurjala are caring and easy to talk to. Thanks for making my surgery easy breezy! — P.A.V"

Align Surgical Associates, Inc.

"The staff are caring, professional, and make you feel like they really do care about you as a person both before and after your surgery. — S.Y."

Align Surgical Associates, Inc.

"My partner and I are both very satisfied with the surgical outcome. — K.G."


With the safety and well-being of our patients and staff as our highest goal, our team is committed to provide needed medical care and planning.

  • CONSULTATIONS: we offer phone, video and in-person visits, providing access to all patients interested in gender confirming surgery
  • FOLLOW UPS: we provide needed care for our existing patients by phone and video, and in person when medically appropriate
  • SURGERY: we perform surgery with all proper safety measures in place

Please do not hesitate to reach out to us with any questions.

Schedule A Consultation

San Francisco’s most committed transgender surgeon

Identity Confirmed

Choosing to affirm your gender identity through surgery may be among the most important and exciting decisions you can make. Our skilled surgeons specialize in Bay Area transgender surgery, and their number one goal is to make your transition as comfortable, enjoyable and empowering as possible. You will find our practice to be a supportive sanctuary where authenticity and compassion are deeply valued, and where individuality and personal style are nurtured.


It is always my honor to work with the LGBTIQ community. I consider gender confirmation surgery to be my life’s calling.

- DR. Thomas Satterwhite

Dr. Thomas Satterwhite

Dr. Satterwhite is a board-certified plastic surgeon who has been working with the transgender population since 2014, helping transmen, transwomen, non-binary, and gender diverse individuals to fully actualize their aesthetic potential and embody their ideal version of themselves while gaining in self-confidence and self-love.

After obtaining his medical degree from Stanford University in Palo Alto, CA, Dr. Satterwhite followed up with a demanding residency in plastic surgery at Stanford Hospital, one of the most highly regarded facilities around the globe. After obtaining his board certification as a plastic surgeon, he embarked on a prestigious fellowship in the complex and painstaking field of craniofacial surgery in Miami, FL under the tutelage of Dr. Anthony Wolfe, an internationally respected surgeon.

Meet Dr. Satterwhite

Dr. Dev Gurjala

Dr. Gurjala is a board-certified plastic surgeon who is honored to be among the most accomplished, compassionate, and dedicated gender confirmation surgeons practicing in the San Francisco Bay Area. He is dedicated to guiding his patients through the life-affirming journey to a happier, more fulfilling future.

Dr. Gurjala’s mission is to use his love of surgery and design to advance gender confirmation surgery, helping the transgender community through surgeries that are thoughtful, safe, and innovative.

Meet Dr. Gurjala

Dr. John Pang

Dr. Pang is a double board-certified plastic and reconstructive surgeon who has dedicated his life to servicing the transgender and gender non-conforming communities. He specializes in complex genital, face, and chest reconstruction, and aesthetic surgery and body contouring. Dr. Pang is a committed advocate for transgender healthcare rights. When he is not working to create masterful surgical results, he focuses his time on educating others on plastic surgery and transgender care and stays active in transgender surgery clinical outcomes research.

Meet Dr. Pang

Dr. Michael Safir

Dr. Michael Safir joined the Align Surgical team to serve the Los Angeles area patients! Michael Safir, MD is a board-certified urologist specializing in gender-affirming bottom surgery procedures. His sub-specialty certification in Female Pelvic Medicine and Reconstructive Surgery (FPM-RS) makes Dr. Safir one of the few urologists worldwide with individual fellowship training and experience in both male and female genital reconstruction. Dr. Safir’s extensive expertise in urology and compassion for his patients has made him a trusted choice among transgender people from across the U.S. seeking bottom surgery.

Meet Dr. Safir

Dr. Paul Mittermiller

Dr. Mittermiller is a craniofacial plastic surgeon dedicated to providing personalized gender-affirming care to the transgender, nonbinary and gender-diverse community in and around Los Angeles. His specialties include gender-affirming facial surgery (facial feminization surgery and facial masculinization surgery). He is one of the few plastic surgeons in the U.S. with specialty training in craniofacial and facial feminization surgeries.

A Southern California native, Dr. Mittermiller works closely with his patients to find the exact combination of surgical options that will meet their personal goals. He has been actively involved in research to advance facial feminization surgery, and his published peer-reviewed research has gained recognition from the Plastic and Reconstructive Surgery journal.

Meet Dr. Mittermiller

Top Surgery

Top surgery is performed to contour the chest, and give the client a more masculine appearance. For transmen, top surgery is performed to remove excess breast tissue and create a more chiseled, streamlined upper torso. The nipples may also be adjusted to appear more masculine.

Top Surgery

A Message from Dr. Satterwhite

It’s a true honor to call Dr. Gurjala, Dr. Pang, and Dr. Safir my partners in this practice. They are all gifted and skilled surgeons. Their attention to detail is superb. As a clinician, these doctors are astute, thoughtful, intelligent, and thorough. But beyond all this, Dr. Gurjala, Dr. Pang, and Dr. Safir are kind, compassionate, sympathetic, caring, and selfless. All three doctors share in the Align family, as well as devoted advocates for the community. I trust them on all levels as surgeons, as doctors, and as my friends.

- Dr. Thomas Satterwhite

I love myself because of you [Dr. Safir]. The best gift I can ever have is the ability to love myself."

— A.

Dr. Gurjala and his staff are great. His P.A. Debby is also amazing. They truly care about their patients. They spend time to talk with them in detail about anything and everything, making sure to answer any and all questions. You can tell Dr. Gurjala and Debby do what they do because they truly like and want to help people. I have nothing but great things to say about them and I couldn’t be more thankful I found them."

— A.H.

Dr. Satterwhite and his staff are caring, professional, and make you feel like they really do care about you as a person both before and after your surgery.

— S.Y.

I will never forget the help they gave to me and the work they did. They have helped me in a new phase of my life, and I go towards that happiness that I worked with such capable, respectful, and just kind people.

— B.E.

I honestly have never been in the care of a more lovely team. They've always made me feel like a VIP and I can't thank them enough for being so great at what they do.

— M.M.

Dr. Satterwhite fixed all the broken mirrors and opened all the closed doors. I am free!... the overall results have made it possible for me to finally live. I am convinced my transition and surgeries saved my life. Dr. Satterwhite is kind and personable. His staff are capable and compassionate.

— M.O.

View More Testimonials

Video Testimonials

Stacey's Facial Feminization with Dr. Gurjala

Omega's Double Mastectomy with Dr. Satterwhite

West's Chest and Phalloplasty Revision with Dr. Satterwhite and Dr. Gurjala

Eirin's Facial Feminization Testimonial with Dr. Satterwhite

Patient Testimonials from procedures with Dr. Guruja

Did You Know...

Did you know...

Each of our surgeons is passionate about education, as they feel that a well-informed patient with realistic expectations has the best chances of a successful outcome and a positive surgical experience. For this reason, we spend a great deal of time in consultations listening to your wishes and concerns and co-creating a vision for your surgery that appeals to your aesthetic desires and unique tastes. You can expect to walk away from your initial meeting with our Align doctors fully knowledgeable about every phase of your transformation.

Today more than ever, transgender is beautiful. The happiest years of your life lie ahead.

Facial Feminization Is Yours

Creating delicate, feminine features that reveal your softer side.

Facial Feminization

Each member of our precision-minded team can be counted as among the most skilled plastic surgeons in the region when it comes to facial feminization techniques, thanks to their rigorous training in craniofacial surgery. Align Surgical offers the full gamut of procedures for bringing out your natural inner beauty and vitality. Among these are hairline advancement, forehead contouring, rhinoplasty, tracheal shave, facelift, eyelid surgery, lip augmentation and many others. Each procedure is personalized to blend seamlessly with your existing anatomy for an organic-looking outcome you will be thrilled with.

Facial Feminization Testimonial

Out of town patients

Considered among the best transgender surgeons in San Francisco, Dr. Satterwhite, Dr. Gurjala and Dr. Pang draw patients from all over the world who come to the Bay Area for beautiful, nuanced results and warm, caring practice demeanor. Our doctors at Align Surgical ensure our out-of-town clients receive top-tier concierge treatment while they are in the area, with recommendations for lodging, travel, dining, shopping and sightseeing. California is among the most stunning destinations in America, so there is lots to see on your trip in addition to enjoying our fabulous office and chic décor.

Out of Town Clients

Advocacy. Community. Support.

Bay Area hospital steps in to help transgender patients

Mill Valley doctor begins performing gender reassignment surgeries at Marin General Hospital

How Transgender Surgery and Hormones Affect the Body

Bottom Surgery

We perform bottom surgery for transmen, transwomen, non-binary and gender diverse individuals, giving them the dignity and self-confidence to fully express their sexuality and gender identity. For many transgender clients, gender reassignment surgery in San Francisco finally gives them the comfort and ease to be intimate with a partner for the first time. Dr. Satterwhite, Dr. Pang, and Dr. Safir perform vaginoplasty and genital surgery for transwomen and non-binary. For transmen, Dr. Gurjala and Dr. Safir perform phalloplasty, urethroplasty, and implant-based surgery.

Learn More

Bottom Surgery



We have all experienced pain. Nowhere is this more true than in the Trans community. Our mission is to ease gender dysphoria, help you find strength from pain, and align your body with your mind.


We believe in kindness, authenticity, and innovation as first principles. As everyday actions, we will always listen, be present with you, and take joy in your care.


We provide gender affirming surgery to the Trans community, and strive to do so not only with excellence, but with warmth, humility, and connection. Our joy is not just in doing surgery, but in seeing you live your best and truest lives.

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(415) 530-5335 (310) 751-5886


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