Transgender Surgery –
what we can do for you

Medically reviewed by: Dr. med. Timo Spanholtz
Senior Physician, Praxisklinik am Rosengarten · Cologne · Bergisch Gladbach · Hamburg

Dr. Spanholtz is a specialist with many years of specialization in gender-affirming and body-contouring surgery. He leads the interdisciplinary team at the Praxisklinik am Rosengarten and accompanies patients from the initial consultation through to aftercare.

You have a clear picture of how your body should feel. We help you take this path – with surgical experience, genuine understanding of your situation, and a team that sees you as a person, not just as a patient. At our locations in Cologne, Bergisch Gladbach, and Hamburg, we offer the entire spectrum of gender-affirming and body-contouring procedures.

Schedule an appointment with our experts

For us, transgender surgery is not routine.

Every procedure is as individual as the person we perform it for. We take the time to truly understand your wishes, your history, and your expectations – before we decide together which path is the right one.

Overview of our services

We cover all the essential areas of transgender surgery. Feel free to click through to the page that is relevant to you – there you will find detailed information on technique, procedure, and what to expect before and after the surgery.

Mastectomy

(Top Surgery FTM)

Mammary gland removal with chest contouring for trans* men and non-binary people. Various techniques – from the buttonhole method to double incision – depending on the starting situation and the desired result.

Breast Reconstruction & Breast Augmentation

(MTF)

Gender-affirming breast augmentation for trans* women – with modern implants and individual planning that takes your natural body structure into account.

Non-binary Surgery

non binary

For non-binary people who want to change their body without having to fit into binary categories. Together with you, we develop what suits you.

Body Masculinization

(FTM)

Surgical body masculinization for trans* men: liposuction, fat redistribution, and contouring for a more masculine body shape.

Body Contouring

(MTF)

Body contouring for trans* women: buttock lift, buttock shaping, Brazilian Butt Lift (BBL), liposuction, and hip contouring for a feminine body silhouette.

Cost Coverage & Expert Reports

Are you wondering whether your health insurance will cover the costs? We support you with the application, the letter of medical indication, and the process through the statutory health insurance (GKV).

Why people come to us

The Praxisklinik am Rosengarten is one of the most experienced facilities for transgender surgery in the German-speaking region.
What sets us apart from others:

Specialized team – All surgeons have extensive experience specifically in trans* surgery, not as a secondary field.
Three locations – Cologne, Bergisch Gladbach, and Hamburg, so you have short distances to travel.
GKV experience – We know the application process and actively help you with it.
Continuity – From the initial consultation through to aftercare, you are in the same hands with us.
Safe space – We work with and for trans* people – and you can feel it.

Frequently asked questions about transgender surgery

We are happy to answer your questions about the treatment here.

Do I need an expert report in order to have surgery?

That depends on which procedure you are planning and whether you want to bill through statutory health insurance (GKV). For GKV services, a psychiatric or psychotherapeutic expert report is usually required. We are happy to advise you individually on this.

Does the health insurance cover the costs?

Many procedures are eligible for reimbursement by statutory health insurance for insured persons with a corresponding diagnosis. We have years of experience with the application process and support you with it – from the application to the approval.

How long does healing take after a mastectomy?

Most patients are able to work again after 2–3 weeks. Sports and physical exertion are usually possible after 6–8 weeks. We discuss everything important in detail during aftercare.

Can I also have surgery if I have not yet undergone hormone therapy?

That is possible and depends on the respective procedure. We look at your situation together in the initial consultation and find the right path for you.

I am non-binary – are you the right clinic for me?

Yes. We treat people of all gender identities. For us, non-binary surgery is not a special case, but a completely natural part of our work.

Schedule an appointment

Would you like to know what is possible for you?

Completely without pressure, entirely non-binding, and above all on equal footing and without prejudice!

Transgender Surgery – what we can do for you