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When you read our Align Surgical testimonials, you will often hear patients mention our support staff with equally high praise as they have for our doctors. This is because each member of Align Surgical’s staff, from our RNs and physician assistant to our patient coordinator and office manager, are hand-chosen for their experience working specifically with the transgender community.

Each team member is a highly sensitive and skilled individual who has the capacity for unconditional acceptance, trust and compassion. Our team is overflowing with knowledge and maturity, as well as the ability to add humor to the conversation, setting clients at ease, especially if they are feeling anxious about their surgery.

Thus the overall environment at Align Surgical Associates Inc. is like a sanctuary and a home away from home. Dr. Satterwhite and Dr. Gurujal provide specific training for all employees in the nuanced techniques that are used in top and bottom surgery, so you will receive an unprecedented atmosphere of support as you embark on the journey of a lifetime.

Our Team

Debby Anziano


Debby Anziano PA-C is a certified Physician Assistant specializing in Plastic Surgery. She has been working with Dr. Satterwhite for the past five years and has found her passion serving the transgender community. For those not familiar with Physician Assistants, they are medical providers licensed by the State Medical Board who work collaboratively with all healthcare professionals.

Debby was raised on the East Coast, graduated from the University of Vermont with a Bachelor of Science in Biology, and an Associate degree in Radiology. She received her PA degree from University of California, Davis, School of Medicine.

Debby worked for many years in Orthopedic Surgery and Plastic Surgery and has gone on many medical missions in third world countries. Debby says, “Working with the transgender community has been the most amazing, gratifying experience in my long career. I learn something new from patients every day and find our patients to be the most grateful, kindest, appreciative and bravest group of people I’ve ever had the pleasure to take care of and hopefully make a difference in their lives.”

Debby lives in Marin with her husband, 3 children, her dog “Caveman”, (who makes many visits to the hospital with her to visit patients) and her cats. In her free time, she enjoys skiing (having skied competitively in the past), martial arts, paddle boarding, golf, and glass work. She is also working on her private pilot’s license.

Our Team

Gráinne Healy


Gráinne Healy, RN, BSN is a Board- Certified Registered Nurse who brings to the practice over ten years of experience. She is originally from Ireland where she graduated from The National University Of Ireland with a Bachelor of Nursing Science Degree. Her training focused on Oncology and Hematology which she further concentrated on while working in the United Kingdom.

She has lived and worked in the United States for the past six years.

Before joining Align Surgical Associates, Gráinne worked at a busy transgender surgical practice. There she developed a close relationship with the transgender community, and a passion for caring for, and guiding her patients as they reached their surgical goals to match their true identity.

In her free time Gráinne enjoys traveling, spending time in nature and gatherings with family and friends.

Our Team

Lara Paskey, MA

Surgery Scheduler & Insurance Specialist

Lara Paskey, MA is Align’s surgery scheduler and insurance specialist. Lara earned her Master’s in Clinical Psychology from Azusa Pacific University and worked as a Marriage and Family Therapist for five years. After the birth of her daughter, Lara decided a change in professions was necessary and began her new career with Align Surgical.

Lara has a deep passion for helping others and believes equality, compassion, and respect should be offered to all individuals from every walk of life. She feels at home working with the Align team and is honored to be a helping part of the transgender community.

In her free time, Lara enjoys traveling with her family, going to Disneyland, and driving on road trips.

Our Team

Rachel Zamora

Certified Professional Coder

Rachel Zamora, CPC is a Certified Professional Coder with over 15 years of experience in Medical Billing and became certified as a coder in 2014. She has experience in multiple specialties with the most recent being Orthopedic Surgery, Gynecology, Cardiology, and Radiology. Rachel joined Align Surgical Associates in January of 2020 and says, “I knew right away this was the company I was meant to be at. I feel grateful to work with such amazing and caring Doctors.”

In her free time Rachel enjoys spending time with her son who will be graduating from High School in 2021. She enjoys traveling, fitness, spending time with her family and friends, going to museums and going to Disneyland.

Our Team

Jennifer Lee

Administrative Medical Assistant

Jennifer Lee is the Operations Administrator at Align Surgical with a background in consulting, people development and office administration.

Jennifer is originally from the East Coast and earned her BA in Sociology from San Diego State University. She is passionate about people and believes that by better understanding the individual, you can begin to understand a world where progress is not only possible, but inevitable.

Align Surgical has provided her the opportunity to work with and learn from an exceptionally talented team, while assisting patients who continue to navigate through the ever-evolving world of transgender healthcare.

By providing direct support to our team and our patients, she is determined to seek the most efficient ways for our practice to work together in serving the transgender community.

When she is not planning her next trip to her beloved Costco, Jennifer enjoys spa days, learning more about her Korean American heritage and making memories with family and friends.

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(415) 530-5335



View Update Virtual Consultation

We remain open to continue serving the transgender community

With the safety and well-being of our patients and staff as our highest goal, Dr. Satterwhite and Dr. Gurujal are determined to provide needed medical care and planning.

VIRTUAL CONSULTATIONS: we continue to be busy with phone and video visits providing access to all patients interested in gender confirming surgery

FOLLOW UPS: we continue to provide needed care for our existing patients by phone and video, and in person when medically appropriate

SURGERY: we are currently performing surgery with proper safety measures in place

Please do not hesitate to reach out to us with any questions. To the best of our ability, we pledge to keeping you safe, healthy, connected, and informed during COVID-19.

With best wishes, Your Align Surgical Team

Virtual Consultation

Align Surgical wants to know how we can help

We feel deeply for the disruption that coronavirus has likely caused to your lives. Amidst the restrictions in place, we realize that virtual consults, follow ups, and booking future surgical dates may not meet all your needs.

If there is more we can do for you as a medical practice, we want to know.

Please reach out and let us know other ways we can help. We have set up points of contact at 415-530-5335 and [email protected] to hear your suggestions.

We are here to listen.

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