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When you read Dr. Satterwhite’s testimonials, you will often hear patients mention his support staff with equally high praise as they have for the doctor. This is because each member of Dr. Satterwhite’s staff, from his RNs and physician assistant to his 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 provides specific training for all his 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

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

Melany Pacheco

Administrative Medical Assistant

Melany is our administrative medical assistant and surgical scheduler. She grew up in the Bay Area and graduated with a Bachelor of Arts in Psychology with a minor in Sociology and Chicano/a Studies at the University of California, Davis.

Many of her classes focused on LGBTQ+, Gender Equality, and Freedom of Gender Expression. This led to her desire to work with the transgender community and she has been doing so for the past 3 years. Melany is bilingual and is currently working toward getting certified as a medical interpreter. During her spare time, she enjoys traveling, hiking, and spending time with her family and her much loved dogs.

Our Team

Brenda Romero

Clinical Medical Assistant

Brenda is our bilingual clinical medical assistant. She is originally from Los Angeles, CA where she graduated from UCLA with a Bachelor of Science in Biology. Prior to joining our practice, she worked as an intern at UCLA Medical Center for 2 years in several departments including post-partum, ICU, pediatrics, and the emergency room.

This past year she moved to San Francisco and began working as a patient care coordinator serving the transgender community. This inspired her to become more involved with the clinical side of patient care and was excited to join Align Surgical Associates as a clinical medical assistant. Helping people is her greatest passion and she aspires to be a nurse practitioner with the goal of providing health equity and care to diverse, underserved, and vulnerable communities. She is currently taking classes to become a certified medical interpreter.

In her free time, Brenda loves to travel, spend time with her husband and their puppy

Our Team

Debby Anziano, PA-C

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.

(415) 592-6307



View Update Virtual Consultation

A Message to Our Patients:


With the safety and well-being of our patients and staff as our highest goal, Dr. Satterwhite and Dr. Gurujal are determined to provide the medical care and planning you need during COVID-19.

  • 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: while we cannot currently perform surgery due to the shelter in place, we continue booking surgeries for future dates

Please do not hesitate to reach out to us and let us know how we can help. To the best of our ability, we pledge to keep you safe, healthy, connected, and informed!


With best wishes, Your Align Surgical Team


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