TRANSform Surgery Los Angeles, CA | Gender Affirming Care Center

Los Angeles TRANSform procedure model with curly

The TRANSform Procedure

Scarless Tracheal Shave and Vocal Feminization Combined into a Single Surgery

The TRANSform procedure is a game-changing option for transgender and non-binary individuals who want to address both their voice and appearance in a single surgery. Created by Dr. Abie Mendelsohn at the Los Angeles Center for Ear, Nose, Throat, and Allergy, this innovative procedure combines a scarless tracheal shave and vocal feminization surgery into one efficient session. Patients love the convenience of a combined approach and the care they receive in an affirming, supportive environment. The TRANSform procedure is all about helping you feel more aligned with your true self.

One Surgery, Two Transformations

What is the TRANSform procedure?

The TRANSform procedure is designed to give you a seamless experience by combining two surgeries that address key aspects of gender presentation. The scarless tracheal shave smooths the neckline by reducing the Adam’s apple, while the vocal feminization surgery (VFSRAC) elevates the vocal pitch for a more feminine sound. By performing both surgeries at the same time, Dr. Mendelsohn helps patients achieve a cohesive transformation with less downtime and fewer logistical challenges.

Los Angeles TRANSform procedure model with blonde hair

The Subtle Feminization You Deserve

What is a Scarless Tracheal Shave?

A scarless tracheal shave, also known as chondrolaryngoplasty, is a procedure that reduces the size of the Adam’s apple without leaving visible scars. Traditional methods often require external incisions, but Dr. Mendelsohn uses an advanced endoscopic technique to access the area internally, which provides elevated results even as compared with other so-called “scarless tracheal shave” approaches that do not utilize high definition endoscopes. The result? The smoothest, and most natural neckline possible without external evidence of surgery. It's a discreet and effective way to align your physical appearance with your identity.

Elevate Your Pitch, Enhance Your Confidence

What is Vocal Feminization Surgery?

Vocal feminization surgery using the VFSRAC technique (Vocal Fold Shortening and Retroplacement of the Anterior Commissure) adjusts the vocal folds to raise the pitch of your voice. This advanced procedure is performed endoscopically, allowing Dr. Mendelsohn to achieve a higher, more feminine vocal tone without sacrificing voice quality. The technique is precise, minimizing the risk of strain or instability, and the results are permanent.

Los Angeles TRANSform procedure model with brown hair

Efficiency Meets Elegance

TRANSform Benefits

The TRANSform procedure offers so much more than just convenience. Combining two surgeries into one seamless session creates a unique opportunity for patients to achieve their goals efficiently and with minimal disruption to their lives. Here’s why so many patients choose this innovative approach:

Less Time Recovering, More Time Living: With one surgery instead of two, your total recovery time is cut significantly. This means you’re back to your daily life and routines faster.
Reduced Risks with a Single Anesthesia Session: Every surgery under general anesthesia carries some risk, but the TRANSform procedure minimizes that by combining both surgeries into one.
A Harmonized Transformation: This isn’t just about addressing your voice or your neckline—it’s about ensuring both align beautifully. The combined results are cohesive, natural, and designed to boost your confidence.
A Vocal Cord Expert Protecting You: By combining the tracheal shave with vocal feminization surgery your vocal cords are consistently being protected by a dedicated voice box expert.
Streamlined Process for Busy Lives: From fewer appointments to less time off work, this approach is ideal for anyone with a packed schedule who wants an efficient way to achieve their goals.
Specialized Expertise Every Step of the Way: Dr. Mendelsohn brings years of experience and personalized touch to every surgery. You’re not just another patient—your care is tailored specifically to your anatomy, goals, and needs.

This isn’t just a surgery—it’s a carefully designed experience that puts your comfort, safety, and satisfaction first.

Is TRANSform Right for You?

TRANSform Candidates

The TRANSform procedure is perfect for any adult looking to align both their voice and their neckline with their true gender. It has been beneficial for many transgender women, non-binary individuals, and individuals within the gender-diverse community seeking to align their voice and their neck appearance with their true gender identity. Additionally, some cisgender individuals may require this procedure to address non-gender affirming aspects of an Adam’s apple and vocal pitch. You might be a good candidate if you:

Experience anxiety or discomfort about the sound of your voice AND the prominence of your Adam’s apple.
Are in good overall health and able to safely undergo anesthesia.
Are 18 years or older.
Prefer the convenience of addressing both concerns in a single surgery.

During your consultation, Los Angeles TRANSform procedure surgeon, Dr. Mendelsohn will review your medical history, discuss your goals, and determine whether the TRANSform procedure is the right fit for you.

From Consultation to Confidence

Consultation and Preparation

Your consultation with Dr. Mendelsohn is an important first step. He takes the time to get to know you, understand your goals, and explain what you can expect from the surgery. During this appointment, he will:

Listen to your experiences and learn about the areas of priority to you.
Talk through the details of the possible procedure and recovery process.
Answer all your questions to ensure you feel confident moving forward.

To prepare for surgery, you’ll need to:

Avoid smoking and alcohol for at least two weeks before the procedure.
Follow specific instructions about medications and supplements to minimize risks during surgery.
Arrange for someone to drive you home and help you with initial post-operative care.

Preparation is key to a smooth recovery and the best possible results.

Seamless Transformation

The TRANSform Procedure

The TRANSform procedure is performed under general anesthesia to ensure your comfort. Here’s what to expect:

Scarless Tracheal Shave: Dr. Mendelsohn uses an endoscopic approach to reduce the Adam’s apple without external incisions, leaving you with a smooth, natural-looking neckline.
Vocal Feminization Surgery: Using the VFSRAC technique, the vocal folds are shortened and adjusted to elevate pitch while preserving voice quality.

The entire surgery typically takes two to three hours. Since it’s an outpatient procedure, you’ll go home the same day to recover in your own space.

Results That Reflect Your True Self

Results, Recovery, and Aftercare

TRANSform Procedure Results

Many patients notice immediate improvements in their voice and neckline. Over the next few weeks, as the swelling subsides, the full results become more apparent, leaving you feeling more confident and aligned with your gender identity.

TRANSform Procedure Recovery

Most patients recover within two to three weeks. During the initial healing period, you’ll need to:

Rest your voice completely for the first week.
Avoid strenuous activities and heavy lifting.
Follow all post-operative instructions provided by Dr. Mendelsohn.

TRANSform Procedure Aftercare

Long-term success depends on proper aftercare, including:

Gradually reintroducing voice use under the guidance of a speech therapist.
Attending follow-up appointments to monitor your progress.
Maintaining a supportive environment to aid in your recovery.

By following these guidelines, you can ensure the best possible outcome.

Trusted, Compassionate, Expert

Why Choose Dr. Abie Mendelsohn?

Dr. Mendelsohn is a trailblazer in gender-affirming surgeries, combining technical expertise with genuine care for his patients. At the Gender Affirming Care Center, you’ll find:

Innovative Techniques: Dr. Mendelsohn is the pioneer and inventor of this combined approach and currently represents one of the only sites WORLDWIDE who can provide both procedures during a single anesthesia setting.
Track Record: With years and hundreds of patients undergoing their surgical care with Dr. Mendelsohn has proven that the advanced endoscopic methods ensure minimal scarring producing exceptional results.
Tailored Care: Dr. Mendelsohn designs every surgical plan to meet the unique needs of each patient.
A Supportive Environment: The center is a welcoming space where patients can feel seen, heard, and respected.

When you choose Dr. Mendelsohn, you’re choosing a partner in your journey to self-expression and confidence.

TRANSform Surgery Frequently Asked Questions

Does Vocal Feminization Surgery really work?

Yes, the VFSRAC technique is a highly effective way to permanently raise vocal pitch while maintaining natural voice quality.

Is TRANSform Surgery safe?

Absolutely. Dr. Mendelsohn’s expertise and advanced methods ensure the procedure is both safe and effective.

Is TRANSform Surgery painful?

Most Los Angeles TRANSform procedure patients experience mild discomfort during recovery, which can be managed with a combination of over the counter and prescription medication.

What is TRANSform recovery like?

Recovery typically takes two to three weeks and involves voice rest, light activity, and adherence to post-operative care instructions.

How much does TRANSform Surgery cost?

Los Angeles TRANSform procedure costs vary depending on individual needs, though achieving insurance coverage for your necessary health care is a top priority of our office. Contact our office for detailed pricing and information about insurance coverage.

How much does the combination TRANSform (endoscopic scarless tracheal shave with vocal feminization) surgery cost if my insurance doesn’t cover gender-affirming care or if I don’t have medical insurance?

We understand that access to gender affirming care is critically important and in scenarios that insurance does not cover gender-affirming benefits or you do not have medical insurance, the cost for each surgical procedure is $15,000 for a total cost of $30,000. Our office routinely provides superbills and any necessary documentation to support efforts to gain reimbursement from your insurance following the surgery when applicable.

Show The World Who You Are

Schedule a Consultation Today

Overall, tracheal shave surgery can be an effective way to achieve a more aesthetically pleasing neck contour, and with the technique used at Los Angeles Center for Ear Nose Throat and Allergy, patients can achieve their desired outcome without any visible scarring in a welcome and supportive environment. If you are a transgender individual seeking transoral tracheal shave surgery or other medical services, we welcome you to schedule a consultation with one of our doctors. We are committed to providing the highest quality care in a safe and supportive environment, and we look forward to helping you achieve your healthcare goals.

TRANSform Surgery in Los Angeles, CA

The TRANSform Procedure

Scarless Tracheal Shave and Vocal Feminization Combined into a Single Surgery

What is the TRANSform procedure?

What is a Scarless Tracheal Shave?

What is Vocal Feminization Surgery?

TRANSform Benefits

TRANSform Candidates

Consultation and Preparation

The TRANSform Procedure

Results, Recovery, and Aftercare

TRANSform Procedure Results

TRANSform Procedure Recovery

TRANSform Procedure Aftercare

Why Choose Dr. Abie Mendelsohn?

Schedule Your Los Angeles TRANSform Consultation at Gender Affirming Care Center Today

TRANSform Surgery Frequently Asked Questions

Does Vocal Feminization Surgery really work?

Is TRANSform Surgery safe?

Is TRANSform Surgery painful?

What is TRANSform recovery like?

How much does TRANSform Surgery cost?

How much does the combination TRANSform (endoscopic scarless tracheal shave with vocal feminization) surgery cost if my insurance doesn’t cover gender-affirming care or if I don’t have medical insurance?

Show The World Who You Are

Schedule a Consultation Today