美国SRS医生基本情况汇总（MtF）

[amsonia17]

美国开展MtF SRS手术的医生很多，并且不断有新的医生加入这一领域，找到一个地区内全部开展手术的医生都并非易事。
虽然PCP或其他HRT provider可能对本地区SRS医生有一定的了解，但了解的多少取决于特定医生的个人经验，找到trans care经验丰富的PCP同样有难度。
Twitter上中文社群对美国SRS的讨论极少，而且很难找到已预约手术或术后、并愿意回答问题的人。能否从当地社群得到信息则取决于所在学校、公司或地区社群的存在性和活跃度。虽然reddit上的英文社群有大量讨论，但内容非常繁杂，搜索、翻阅费时费力。
这个讨论主题用来讨论、汇总学术文献、社群讨论等来源的信息，为将来整理为MtF wiki页面做准备。

[amsonia17]

Coon, D. et al. Gender-Affirming Vaginoplasty: A Comparison of Algorithms, Surgical Techniques and Management Practices across 17 High-volume Centers in North America and Europe. Plast. Reconstr. Surg.-Glob. Open 11, e5033 (2023). doi:10.1097/gox.0000000000005033

这篇论文收录了美国、加拿大、欧洲17位手术案例比较多的医生，这些医生均开展 vaginoplasty 超过3年，且每年不少于40例手术。这个医生列表由 William M. Kuzon, Loren Schechter, Devin Coon 确定，不排除有遗漏。

• United States:

  • Northeast:

    • Devin O'Brien Coon (BWH, Massachusetts)
    • Rachel Bluebond-Langner & Lee Zhao (NYU, New York)
    • Jess Ting (Mount Sinai, New York)
    • Christine McGinn (Private Practice, Pennsylvania)

  • Midwest:

    • Loren Schechter (Rush, Illinois)
    • William M. Kuzon (U. Michigan, Michigan)
    • Cecile Ferrando (Cleveland Clinic, Ohio)
    • Katherine M. Gast (U. Wisconsin, Wisconsin)

  • West:

    • Toby Meltzer (Private Practice, Arizona)
    • Marci Bowers (Private Practice, California)
    • Melissa Poh (Private Practice, California)
    • Thomas Satterwhite (Private Practice, California)
    • Daniel Dugi (OHSU, Oregon)

• Canada:

  • Pierre Brassard (Montréal)

• Europe:

  • Müjde Özer (VU Amsterdam, Netherlands)
  • Marlon E. Buncamper (Ghent, Belgium)
  • Stan Monstrey (Ghent, Belgium)

其中的 Supplemental Table 1 比较了这些医生的术前要求、手术方式、术后管理等信息。
这些信息通常很难找，而这里有很好的汇总。并且由于论文作者为这些医生本人，信息比较可靠。
https://cdn-links.lww.com/permalink/prsgo/c/prsgo_11_5_2023_04_11_morris_gox-d-23-00128r1_sdc1.pdf

[amsonia17]

Massachusetts开展SRS的医生

Jaromir Slama @ Boston Medical Center (BMC)

医生团队：Jaromir Slama (plastic surgeon), Ricardo M Munarriz (urologist)
（从前团队中的urologist为Robert D Oates，后来Dr. Oates退休）

Devin O'Brien-Coon @ Brigham and Women's Hospital (BWH)

医生团队：Devin O'Brien-Coon (plastic surgeon), William Boysen (urologist)
Devin O'Brien-Coon从前在Johns Hopkins，2021年加入BWH。信息不多。

Jonathan Winograd @ Mass General Hospital (MGH)

医生团队：Jonathan Winograd (plastic surgeon), ?, ?
MGH的SRS似乎由整形外科、泌尿科、妇科三个医生共同完成，但没找到另两个医生是谁，排期取决于三位医生的时间。信息不多。

Marissa Kent @ Beth Israel Deaconess Medical Center (BIDMC)

Fellowship: Mount Sinai Reconstructive Urology Fellowship (2020-2021)
医生团队：Marissa Kent (urologist), Ryan Cauley (plastic surgeon)

Khushabu Kasabwala @ Lahey Hospital & Medical Center

Fellowship: University of Minnesota Genitourinary Reconstructive Surgery Fellowship (2020-2021)

Frances Grimstad @ Boston Children's Hospital (BCH)

Fellowship: Cleveland Clinic Transgender Surgery Program (2021-2022)
医生团队：Frances Grimstad (gynecologist)

Ashley Alford @ UMass Memorial Medical Center

Fellowship: NYU Langone Gender-Affirming & Reconstructive Surgery Fellowship (2022-2023), with Lee Zhao and Rachel Bluebond-Langner
网站：https://www.ashleyalfordmd.com
医生团队：Ashley Alford (urologist)

[amsonia17]

Consultation排期及手术排期信息：

• 在BIDMC约到了不到两周后的consultation -- 8/3/2023, u/Kebiitra-9, https://www.reddit.com/r/Transgender_Surgeries/comments/14qlwvi/comment/julasgm/

• MGH排期超过2年 -- 9/13/2023, u/robotblockhead, https://www.reddit.com/r/Transgender_Surgeries/comments/16hueyp/comment/k0hd7hc/

• MGH consultation预约过程比较麻烦，然后预约又被reschedule了两次，在7个月后才看到consultation，手术排期则超过两年 -- 9/30/2023, u/robotblockhead, https://www.reddit.com/r/Transgender_Surgeries/comments/16w5unw/comment/k2xx3s2/

• BMC排期大概1.5年，MGH超过2年，BCH大概1年 -- 11/6/2023, u/[deleted], https://www.reddit.com/r/Transgender_Surgeries/comments/17pco2r/comment/k84jaxn/

• BIDMC在约consultation这步不需要letter -- 5/10/2024, u/Kebiitra-9 https://www.reddit.com/r/Transgender_Surgeries/comments/1cg966o/comment/l3fm43a/

• BMC约consult需要2个letter -- 9/14/2024, u/alliejo012, https://www.reddit.com/r/Transgender_Surgeries/comments/1fggecz/experiencetiming_with_slama_oates_at_bmc_for/

• MGH在consultation后排期大概为2年 -- 9/25/2024, u/Teddy_Squid, https://www.reddit.com/r/Transgender_Surgeries/comments/1fncxga/comment/lotb98p/

• BMC几个月后仍然没约到consultation，BWH能约到1-2个月后的consultation -- 6/15/2025, u/MaOfABitch, https://www.reddit.com/r/Transgender_Surgeries/comments/1dgbdk7/comment/l8pzdoe