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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

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

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.

Our Team

Claire Vandewalle


Claire Vandewalle, RN, BSN, (she/her) is a Board-Certified Registered Nurse with over five years of nursing experience. She grew up in Kansas and attended nursing school in Durham, North Carolina, where she worked for two years in a Surgical and Trauma ICU. Claire originally moved to the Bay Area in 2017 to work at a primary care clinic in San Francisco serving cis-gendered women and transgender folks, where she worked for three years. She is grateful for the opportunity to continue working with the transgender community at Align Surgical Associates and assist in the pre and post operative care for gender affirming surgeries. Claire is committed to care that centers the patient's experience and their individual goals.

Outside of work, Claire enjoys traveling by bicycle, camping, doing acro-yoga and spending time with family, friends and her new kitten, Mochi.

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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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