Gender Surgery
Gender-affirming surgery in London at Centre for Surgery’s CQC-regulated Baker Street clinic. Chest surgery (FTM and Ablative Laser resurfacing MTF top surgery, all five techniques), facial feminisation surgery (FFS), tracheal shave, body feminisation and masculinisation, and non-binary surgery — performed by Dr Spiros Vlachos, Mr Andreas Shiatis, and Dr Shehab Jabir on the GMC Specialist Register. No referral required. Aftercare rated "outstanding" by the CQC.
Top Surgery and FFS Surgery by Centre for Surgery

Gender affirmation surgery — also known as gender confirmation surgery — describes a range of surgical procedures that modify a person’s physical characteristics to align with their gender identity. Historically referred to as Gender Reassignment Surgery (GRS) or Sex Reassignment Surgery (SRS), these procedures address physical features that contribute to gender dysphoria — the distress caused by a mismatch between gender identity and physical body.
At Centre for Surgery, gender-affirming chest surgery is performed by Dr Spiros Vlachos and Mr Andreas Shiatis, two consultant plastic surgeons on the GMC Specialist Register with subspecialist experience in gender-affirming surgery. Facial feminisation surgery (FFS) and tracheal shave are performed by Dr Shehab Jabir, Consultant Facial Plastic Surgeon. All procedures take place at our CQC-regulated Baker Street clinic — with our aftercare programme rated "outstanding" by the Care Quality Commission.
A two-week mandatory cooling-off period applies after every consultation. No referral or gender clinic letter is required — adults aged 18+ can self-refer directly. 0% APR finance is available through Chrysalis Finance.
Centre for Surgery offers comprehensive gender-affirming surgical care under one roof — chest surgery, facial surgery, and body contouring — for transgender men, transgender women, non-binary, and gender-diverse patients.
For transgender men and masculinising chest surgery, all five FTM/N top surgery techniques are available:
For transgender women and feminising chest surgery:
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Address: 95–97 Baker Street, London W1U 6RN
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FTM top surgery removes breast tissue to create a masculine chest contour for transgender men and non-binary individuals. Performed by Dr Spiros Vlachos and Mr Andreas Shiatis at our CQC-regulated Baker Street clinic. Five techniques: double incision, nipple-sparing double incision, periareolar, keyhole, and inverted T. Technique selected at consultation based on chest anatomy and goals. From £9,500.
Non-binary surgery encompasses gender-affirming procedures for individuals who do not identify exclusively as male or female. Procedures available at Centre for Surgery include top surgery (chest masculinisation or reduction), facial surgery, and body contouring. The approach is determined at consultation based on each patient’s specific goals and areas of dysphoria. Chest surgery performed by Dr Spiros Vlachos and Mr Andreas Shiatis under TIVA at our CQC-regulated Baker Street clinic.