To register yet for this course, please contact the SMSNA Executive Office directly at
Wednesday, November 15, 2023: Open to SMSNA Fall Scientific Meeting (Nov. 16-18) attendees
This course is offered by the Cedars-Sinai Transgender Surgery and Health Program in collaboration with the Sexual Medicine Society of North America (SMSNA).
Javier Belinky, M.D. completed Residency training in Urology at the Carlos G Durand Hospital in Buenos Aires, Argentina.
He is Director of the Section of Urethral and Genital Reconstructive Surgery and gender Surgery of CDU Urology Center and Guemes Clinic. Buenos Aires and Durnad Hospital ( 2006-2023). His clinical practice is dedicated to genito-urinary reconstructive surgery, with an emphasis on masculinizing and feminizing gender affirming genital surgery.
He serves as coordinator of the Subcommittee on Reconstructive Surgery of the Argentine Society of Urology, 2010-2012
He is a member of the Subcommittee of Reconstructive Surgery of the Argentine Society of Urology. He is a member of WPATH (World Professional Association of Transsexual Health), and is co-author of the WPATH Standards of Care Guidelines v. 8 (2022). He has served on the WPATH Board (2018-2023). He is a member of AUA (American urological Association), and is a member of GURS (Society of Genitourinary Reconstructive Surgeons).
Maurice M. Garcia, MD, MAS is Associate Clinical Professor of Urologic Surgery In Residence at Cedars-Sinai Medical Center in Los Angeles, where he serves as Director of the Cedars-Sinai Transgender Surgery and Health Program, and, Fellowship Director for the Cedars-Sinai Genital Reconstructive and Gender Affirming Surgery and Sexual Medicine fellowship. Dr. Garcia specializes in genital reconstructive surgery, including gender affirming masculinizing and feminizing genital surgery, neurourology, sexual medicine.
Dr. Garcia completed his residency in Urology and Fellowship training in Andrology and Neurourology at UCSF. He completed a 2-year Master’s Degree in Clinical Research in the Department of Biostatistics and Epidemiology at UCSF. He then completed clinical fellowships in masculinizing genital gender affirming surgery at University College Hospital in London, U.K. (David Ralph and Nim Christopher), and feminizing genital gender affirming surgery at Charing Cross Hospital in London, and in Brighton, U.K. (Philip Thomas).
He is a member of the Sexual Medicine Society of North America (SMSNA) and International Society for Sexual Medicine (ISSM), and serves as Chair of the SMSNA LGBTQ Committee. He is a member of the World Professional Association for Transgender Health (WPATH) since 2013, and serves on the WPATH Surgery and Ethics Committees. He is co-author of the 2022 WPATH Standards of Care (SOC v.8) clinical care guidelines. He serves as the American Urologic Association (AUA) Core Curriculum Section Editor for Transgender Surgery.
Dr. Garcia completed NIH K08 research training grant #K08HD069462 and is Principal Investigator for NIH R01 Research Grant #1R01CA201709-01. He is P.I. for several clinical trials focused on transgender surgery and health. Together with Dr. Derek Harmon, Dr. Garcia co-directed the 2018 AUA Cadaver-based transgender surgery course.
Derek Harmon, PhD., is Associate Professor of Anatomy at The Ohio State University, in Columbus, Ohio.
Dr. Harmon graduated in 2015 with his Doctorate in Anatomy from The Ohio State University. As a doctoral student, Dr. Harmon developed a novel anatomy mobile app for integrated medical curricula.
Dr. Harmon joined the faculty at the University of California, San Francisco (UCSF) in 2015 as an Assistant Professor and was promoted to Associate Professor in 2019. While at UCSF he was the director of the Anatomy Learning Center and discipline director for anatomy in the Bridges medical curriculum. In addition to his role as an anatomy educator, Dr. Harmon created the introductory and advanced 3D printing for health sciences electives at UCSF. Dr. Harmon developed and ran two iHackHealth Appathon events that brought computer science and engineering students from UC Berkeley together with clinicians and researchers at UCSF to develop iOS mobile app prototypes to solve clinical-based problems. While at UCSF, Dr. Harmon and Dr. Garcia began a now years-long collaboration on transgender anatomic research and education, and in 2018 served as co-director with Dr. Garcia for the American Urologic Association’s first transgender surgery cadaver-based hands-on course.
Dr. Harmon joined The Ohio State University in 2022 with a focus on graduate gross anatomy and neuroanatomy, undergraduate medical education, and graduate medical education.
Wai Gin (Don) Lee (he/him), MBChB, PhD, FRACS is a Consultant Urological Surgeon and Andrologist practicing in London, United Kingdom. His practice encompasses all aspects of male sexual health including erectile dysfunction, male infertility and Peyronie’s disease. He has a specialist interest in penile prosthetic surgery and penile reconstruction (phalloplasty) for genital gender affirming surgery and for individuals assigned male at birth.
He serves on the Executive Committee (Board) of the European and British Societies for Sexual Medicine (ESSM and BSSM). He is the Co-Chair for the International Society for Sexual Medicine Scientific Review Committee and serves on the Editorial Board of the Video Journal of Sexual Medicine. Teaching is a passion of his and he enjoys sharing his experience as faculty at the European School of Urology and as invited faculty at national and international conferences. He also jointly chairs the North Central London Andrology Working Group.
He has published multiple peer-reviewed research articles and book chapters. Additionally, he is an invited reviewer for European Urology, Journal of Urology, BJU International, Journal of Sexual Medicine and the International Journal of Impotence Research, among others.
Edward Ray, MD, FACS, is an Associate Professor of Plastic & Reconstructive Surgery at Cedars-Sinai Medical Center in Los Angeles where he serves as Program Director of the Microsurgery Fellowship and Plastic Surgery Lead for the Cedars-Sinai Transgender Surgery Program. Dr. Ray specializes in breast reconstruction, gender-affirming surgery as well as microvascular reconstruction.
He grew up in upstate New York and attended Cornell University and Mayo Medical College. He trained in General Surgery at the University of Rochester (New York) and then completed a residency in Plastic Surgery at the University of Southern California (Los Angeles). Dr. Ray spent 5 years as a solo private practice reconstructive plastic surgeon in North Carolina, during which he served as Chairman of Surgery at Duke Regional Hospital. Seeking to transition to an academic practice, he then pursued a fellowship in Complex and Microvascular Reconstruction at Memorial Sloan-Kettering in New York. He joined the teaching faculty at Cedars-Sinai in 2016. He is a member of the Cedars-Sinai Transgender Surgery and Health Program, and serves as Plastic Surgery Lead.
Shannon Smith, MD, MPH is Assistant Professor of Urology and Associate Program Director in the Department of Urology at Cedars-Sinai Medical Center, in Los Angeles, California.
Dr. Smith was born in Colorado Springs, CO, where she lived until she moved to Tulsa, Oklahoma to complete her undergraduate degree in Psychology at the University of Tulsa. She obtained her medical degree and a Master’s in Public Health from the University of Oklahoma. She completed Urology Residency at Long Island Jewish Medical Center in New Hyde Park, NY in June 2021. She completed a Master’s Degree in Bioethics University of Oklahoma Health Sciences Center; Oklahoma City, OK.
She recently completed her fellowship in Gender Affirming Genital Surgery and Sexual Medicine at Cedars-Sinai Medical Center under the direction of Dr. Maurice Garcia, and remained at Cedars Sinai Medical Center as an Assistant Professor and Associate Residency Program Director for the Urology Residency Training Program.
A one-day course comprised of didactic lectures and two 2-hour hands-on fresh-cadaver lab sessions covering masculinizing genital-reconstructive and gender affirming surgeries (GAS). Designed for both the reconstructive urologist interested in masculinizing genital surgery and for the general urologist interested in better understanding the anatomy and surgical approaches such patients undergo. Taught by leading clinical Urology, Plastic Surgery, and Gross Anatomy faculty from the U.S. and international gender surgery centers, this course offers substantial learning opportunities for the experienced reconstructive surgeon seeking to learn alternative approaches to common challenges in genital gender-affirming surgery.
*A box-lunch will be provided to attendees.
Didactic Lectures will cover an introduction to the patient population, review of transgender epidemiologic data, review of culturally competent terminology, review of current WPATH Standards of Care v. 8 transgender care guidelines, and what requirements patients must meet to qualify for genital GAS. Additionally, topics such as mental health care, primary care and hormone management for the transgender patient, and pre-surgery evaluation will be taught. A focused review of key learning points that a general urologist should be aware of when evaluating and providing urologic care for transgender men and women patients in the community setting will be covered.
Following the hands-on cadaver-based lab sessions (see below), faculty experts will provide didactic lectures on: interdisciplinary transgender care, a review of essential ICD diagnostic and CPT procedure codes for the urologist, thoughtful post-op hospital pathways for patients undergoing masculinizing genital gender affirming surgery, and common complications and strategies to prevent them.
Hands-on Cadaver-Based Lab Sessions will cover the anatomy and surgical steps for masculinizing genital gender-affirming surgeries. Attendees will view, and be encouraged to handle, fresh human cadavers in various states of prosection, each with key structures clearly marked. Surgical techniques, important surgical landmarks and clinical pitfalls will be reviewed at each station. Key steps to planning and performing the surgeries will be reviewed and illustrated using the cadaver prosections. Our expert faculty is versed in alternative surgical techniques, and the pros and cons of recommended and alternative techniques will be discussed. They will highlight useful perspectives for reconstructive surgeons and/or general specialists not experienced with transgender surgery, who may encounter patients that have already had surgery elsewhere and now have complications to be managed. The etiology of such complications, their related anatomy, and their management will be reviewed.
Prosected cadavers will feature the following surgeries:
- Phalloplasty Stage 1: Radial-artery forearm (RAF) flap and Anterior lateral thigh (ALT) flaps
- With urethral lengthening (+UL)
- Without urethral lengthening (-UL)
- Phalloplasty Stage 2:
- Urethroplasty (+UL/-UL)
- Clitoris transposition
- Metoidioplasty Stage 1, +UL and -UL
- Metoidioplasty Stage 2
- Phalloplasty penile prosthesis placement (single and two-cylinders)
- What areas must undergo permanent hair removal
- Specific surgical instruments useful for each of the listed surgeries
At the conclusion of this course, participants will be able to:
- Use current terminology related to transgender patients, and appraise epidemiologic data about transgender people in the U.S.
- Describe what preparations transgender patients must complete before being ready to undergo genital gender affirming surgery (GAS).
- Outline the principal surgical steps for metoidioplasty and phalloplasty and explain how these surgeries are often divided into staged surgeries.
- Describe important anatomic landmarks and key surgical steps for masculinizing genital gender affirming surgeries.
- Identify what surgical instruments, dressings, and durable medical goods are most useful with genital GAS.
- Describe common genital GAS post-operative care pathways.
- Review common surgical complications, their management, and preventive strategies.
- Discuss common challenges patients face during recovery after surgery.
- Describe ways in which the general provider not specialized in masculinizing genital gender affirming surgery can provide meaningful basic urologic care to this grateful population.
Sunday November 12, 2023: Open only to medical students and residents. Must show medical student or Resident ID. Cost: SMSNA member $250, non-member $300. Lunch provided. Capacity: 30 attendees*
Tuesday November 14, 2023: Open only to U.S. Military healthcare providers and staff. Must show U.S. Military ID. Cost: SMSNA members $200, non-members $400. Lunch provided. Capacity: 30 attendees*
Registration closes Oct 23, 2023
Wednesday November 15, 2023: Exclusively for SMSNA 2023 Annual Meeting (Nov. 16-18) Attendees. SMSNA member $800, non-member $1000. Lunch provided. Capacity 30 Attendees*
*If during registration capacity is exceeded for any date, we will make every effort to offer additional sessions to accommodate persons interested in attending.
Registration for the Wednesday Course is a part of the registration for the SMSNA Fall Scientific Meeting.
Registration closes Oct 23, 2023
University of California, San Diego Campus
Department of Anatomy, Laboratory
San Diego, California
*Additional information regarding location will be shared upon registration