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Your Guide to Transgender Surgeries

Dr. Curtis Crane Surgery Guide:


Dr. Curtis N. Crane, M.D.
Dr. Michael L. Brownstein, M.D.
Brownstein & Crane Surgical Services
1001 Mariposa St., Ste. 101

San Francisco, CA 94107
Phone: (1) 415-625-3230 or toll free (1) 877-255-2081
Fax: (1) 415-625-3233
Email: curtis@brownsteincrane.com and mlb@brownsteinmd.com
Websites: www.brownsteincrane.com and www.brownsteinmd.com

(Please Review Below)


 The following information is provided as a guide to assist in discovering, researching and selecting a surgeon. After you have narrowed down your search, it is your responsibility to double check the information and ask them any questions that you may have. If you discover any updated or incorrect information, please email info@tssurgeryguide.com so that it can be corrected. Thank you.


 Dr. Curtis N. Crane, M.D. has been trained to replace Dr. Brownstein after his retirement. He has a very unique background as he is one of the few physicians that is dually trained as a reconstructive urologist and plastic surgeon. With this combination of specialties, Dr. Crane is particularly trained to treat patients requiring major genito-urinary reconstruction.

 He completed a urology residency at Dartmouth, a fellowship in trauma and reconstructive urology at Detroit Receiving Hospital, and plastic and reconstructive surgery at the University of Texas Health Science Center.

 Pursuing his interests in gender related surgeries, he has worked extensively with Dr. Miroslav Djordjevic multiple times in Belgrade, Serbia, with Dr. Preecha’s team in Bangkok, Thailand and with Dr. Monstrey in Ghent, Belgium.

 Having enjoyed working with transgender patients all over the world, Dr. Crane has settled in San Francisco where he is continuing Dr. Brownstein’s 35 year practice. Dr. Brownstein personally trained Dr. Crane to continue offering his style of chest masculinizing surgery. In addition to chest surgery, Dr. Crane will offer all procedures for male to female, female to male, and gender non-conforming patients including face, chest, and genital reconstruction.

SRS Requirements:

Dr. Crane follows the WPATH standards of care, but does make exceptions where he deems appropriate.

Surgery Letters:

Chest surgery for a minor: 1 letter

Chest surgery for an adult: Does not require a letter

Genital surgery: Requires two letters, but occasionally waives this requirement on a case by case basis.

Online gender therapists that can provide letters for surgery


Dr. Crane doesn't require genital electrolysis prior to MTF SRS, but he recommends it.

If you want to avoid professional services, but don't want to risk hair growth in your vagina you have a few options. You can try the Tria laser hair removal system (
www.triabeauty.com) or Silk'n (www.silkn.com). The Tria has worked for me, but only on black hairs. You can get 10.5% cash back on Silk'n and 5.6% back on Tria paid into Paypal, if you sign up for Big Crumbs.

You also may be able to do some of your own electrolysis from home with the One Touch system. The cheapest place to buy it is on Ebay, it usually costs about $10 USD. Make sure to also get replacement tips though, they bend easily. Please start out on a low setting to see how you heal and avoid scarring.

I have found Tend Skin to work very well to reduce redness and bumps after electrolysis.


Hormones are required for genital surgery, but not for top surgery.


Dr. Crane will operate on minors under age 18 as long as they have support from both parents and a letter for chest surgery, or two letters for bottom surgery.


No smoking at least one month before surgery.


A $500 scheduling fee is required to secure a date for surgery.

Consultation Fee:

There is no consultation fee.



Dr. Crane accepts all major credit cards including Care Credit. You can check your official credit score at Equifax.

Wait time:

You should schedule surgery with Dr. Crane at least 1 to 3 months before the date that you want.

Surgery List:

Male to Female (MTF)
Breast Augmentation 
Facial Feminizing Surgery (FFS)
Trach Shave
Vaginoplasty (SRS/GRS): $22,000

Female to Male (FTM)

Free flap phalloplasty performed in one stage. Dr. Crane is trained as a microsurgeon and is one of the only gender surgeons in the country performing this technique with a microscopic nerve hook up to maximize sensation. Donor sites from the forearm, back or thigh.

Chest Masculinizing Surgery trained by Dr. Brownstein: $8,000
Simple Metoidioplasty
Urethral Lengthening


As of 2013, metoidioplasty with a full vaginectomy (no drainage hole), urethral lengthening, and scrotoplasty costs $27,000. Without urethral lengthening the price is $17,000. Clitoral release costs $6,000.  

Vaginoplasty for MTF patients is $22,000. For other procedures, please contact Dr. Crane at (1) 877-255-2081 or email curtis@brownsteincrane.com.


Top Surgery Pictures: Before and After

Pictures are taken only a week after surgery, this is very early and healing has just begun.

For other pictures of Dr. Crane's work, please contact his office or look on his website. More pictures will be added or linked to here if he releases them for publication.


You should make sure to check the cost of traveling when calculating the price of surgery. You can use
 www.skyscanner.net and www.priceline.com to find the most affordable flights and hotels.

Ask Dr. Crane about housing after you are released from the hospital. He might have housing available for as low as $50 a night.

Additional Information:

For more information please visit Dr. Crane's website or you can email curtis@brownsteincrane.com.

Review or Comment:

If you have a review, question or comment about Dr. Crane, please help others out by posting below or in the forums.