Your body, finally aligned. Specialists who've done this before.
Your body, fully realized — by a specialist team that has dedicated every procedure, every skill, and every detail of care to you.
About Bottom Surgery
You've spent years knowing exactly who you are. Bottom surgery is where that truth becomes fully embodied — and the surgeon you choose for this procedure matters more than almost any other decision in your transition. At Chrysalis Surgery in Beverly Hills, every bottom surgery procedure is performed by a specialist team built exclusively around transgender and non-binary patients. This is not a general plastic surgery practice that occasionally performs gender-affirming work. Every surgeon here focuses specifically on trans anatomy, which means the nuance, precision, and depth of understanding your procedure demands is present from your very first consultation.
Vaginoplasty and phalloplasty are among the most technically complex procedures in gender-affirming care, and the outcomes you can realistically achieve depend enormously on your surgeon's specialization and experience. Dr. David N. Sayah — board-certified by the American Board of Plastic Surgery, a Fellow of the American College of Surgeons, and a published researcher with 26 years of surgical experience — leads a practice where your anatomy, your goals, and your specific body are the center of every surgical plan. You will never be rushed through a high-volume clinic or handed off between providers who don't communicate. This is boutique, private care in Beverly Hills, designed from the ground up around patients like you.
For out-of-state and international patients, Chrysalis coordinates your entire care continuum so that recovery logistics never become a barrier to accessing the right surgeon. From your pre-operative consultations through post-operative follow-up, your team remains consistent and reachable — because a procedure this significant deserves support that doesn't disappear the moment surgery ends.
Why choose us
Specialist team
every surgeon focuses specifically on gender affirming procedures, not a generalist who also does trans care
Beverly Hills discretion
private boutique setting, never an assembly line clinic
Dr. David Sayah's 26+ years of surgical experience
board certified ABPS, FACS, published researcher
Full
spectrum care under one roof face, top, bottom, body, and spa services with no fragmented referrals
Frequently asked questions
Bottom surgery reshapes or reconstructs your genitals to align with your gender identity — procedures include vaginoplasty, phalloplasty, metoidioplasty, and orchiectomy, each tailored to your specific anatomy, goals, and surgical history. At Chrysalis Surgery, every bottom surgery is performed by a specialist team that works exclusively with transgender and non-binary patients, never a generalist fitting you in between other cases. Dr. David Sayah brings 26 years of board-certified surgical experience to your care, so the conversation about what's genuinely achievable for your body starts from a place of real expertise.
The cost of bottom surgery at Chrysalis varies based on your specific procedure, anatomy, and surgical goals — and a precise estimate is something we build with you during your consultation, not before it. What we can tell you is that our team works with you to navigate insurance coverage, financing options, and the full financial picture so nothing feels opaque or overwhelming. You deserve clarity alongside care, and that conversation starts the moment you reach out.
The length of your procedure depends entirely on which surgery you're having and the specific goals we're working toward together — vaginoplasty, phalloplasty, metoidioplasty, and orchiectomy each carry their own timeline, typically ranging from one to several hours. At Chrysalis Surgery, your dedicated specialist team — not a generalist rotating between procedure types — will walk you through exactly what to expect for your body and your goals during a thorough consultation with Dr. David Sayah, whose 26 years of focused surgical experience means nothing about your care is estimated or rushed.