me to TSSurgeryGuide.com
Your Guide to Transgender Surgeries

Dr. Medalie Transgender Surgery Guide:


Dr. Daniel A. Medalie, M.D.
Multiple Locations
Cleveland, Ohio
Phone: (1) 216-778-4450
Email: vrowan@metrohealth.org
Website: www.clevelandplasticsurgery.com

Male to Female (MtF)
Breast Augmentation
Facial Feminization Surgery (FFS)

Female to Male (FtM)
Mastectomy (Top Surgery)

(Please Review Dr. Medalie 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. Daniel A. Medalie, M.D. is a board certified plastic and reconstructive surgeon that has been performing surgery for the transgender community for 16 years as of 2012.

 Dr. Medalie graduated magna cum laude from Harvard University and then studied art in New York City at Parsons School of Design and the Art Student’s League, prior to entering Cornell University Medical College.

 After his third year of medical school, he spent a year in Paris conducting research, returning to Cornell for his fourth year to receive his Doctorate of Medicine with early membership in the honor society, Alpha Omega Alpha. At graduation, he and two classmates were recognized as the top three medical students in the graduating class.

 He then received the honor of being the first physician ever accepted into the new and highly regarded University of Pittsburgh Medical Center integrated plastic surgery training program. This comprehensive program combines six years of general and plastic surgery training with two additional years of intensive research.  Dr. Medalie decided to spend those two years at the Massachusetts General Hospital and Shriners Burns Institute as a surgical research fellow studying gene therapy and skin tissue engineering.

 Upon completion of his training, he was appointed assistant professor of plastic and reconstructive surgery at the University of Kentucky Medical Center in Lexington, Kentucky. He remained there as an attending surgeon and director of the burn/wound clinic for three years prior to moving to Cleveland to be closer to family. For the next 4 years, he served as an assistant professor at University Hospitals and Case Western Reserve University in Cleveland, and Chief of plastic surgery at the Cleveland VA Medical Center.

 He is now pleased to announce his  full time affiliation with Metrohealth Medical Center in Cleveland and the Cleveland Clinic (adjunct teaching faculty) and his continued affiliation with Case Western Reserve Medical School.

Transgender Surgery Requirements:

Dr. Medalie follows the WPATH Standards of Care.

Letters of Recommendation:

 Dr. Medalie requires FTM patients seeking top surgery to have one letter of recommendation from a mental health professional. The letter must follow the WPATH standards and state that you meet the criteria for gender identity disorder and are an appropriate candidate for this surgery.

Two letters are required by Dr. Medalie for metoidioplasty.

Online therapists that can provide letters of recommendation for surgery


 Dr. Medalie has no set age requirements. However you must be healthy enough to operate on, and if under 18 might be required to have parental consent.


 Dr. Medalie doesn't require for you to be on hormones for top surgery. However, testosterone for at least a year is required before metoidioplasty. This is because testosterone is needed to enlarge the clitorus to have enough material for the metoidioplasty.

Real Life Experience:

Real life experience in the new gender role isn't a requirement.


 Dr. Medalie only accepts smokers that have quit at least 6 weeks prior to surgery. This is because smoking greatly increases risks, and slows healing. It also can cause scarring.


There isn't a set weight requirement for surgery, as long as you are healthy.

How Much Dr. Medalie Costs:

 The average cost of a masectomy with nipple reconstruction (top surgery) is about $6200-6500 USD as of 2012.

 Metoidioplasty is priced at $9,000-10,000 USD. This includes anesthesia, facility fee, surgeon's fee and cost of the testicular implants.


 There is a small consultation fee that is refunded if you get surgery with Dr. Medalie. Consultations might be done on the phone a few weeks before surgery, or in person the day before.


 Dr. Medalie has an average 2-3 month wait time for scheduling. You should make sure to schedule further in advance then this.


 You should plan to remain in the area for at least a week after top surgery. You can return to work after a week, however two weeks is highly recommended.

 Metoidioplasty is an outpatient procedure, but it is recommended to stay in the area for a couple of weeks and to take 2-3 weeks off of work.


 Top surgery commonly can leave scarring on your chest. You can take precautions to prevent scars. You will need to follow general surgical aftercare.

Trans men have found silicone scar sheets very effective in reducing the visibility of scars.

Dr. Medalie provides top surgery aftercare instructions for short term and long term.


 Dr. Medalie performs simple metoidioplasty as an outpatient procedure. Dr. Medalie does not perform urethral lengthening with the metoidioplasty. 

 If you desire scrotal construction from the labia majora and insertion of testicular implants, this procedure can be done simultaneously with the non-urethral metoidioplasty.

Pictures of Results:

For pictures of Dr. Medalie's metoidioplasty and top surgery results please visit his page here.


 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.

Additional Information:

 For additional information please visit Dr. Medalie's website or email him at vrowan@metrohealth.org.

Review or Comment:

 If you have a review, question or comment about Dr. Medalie, please post below or in the forums.