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Dr. Jonathan Keith
Phalloplasty Specialist in New Jersey & New York City
Dr. Jonathan Keith, MD, FACS is a fellowship-trained, board-certified plastic and reconstructive surgeon recognized for his leadership in gender-affirming surgery. A trailblazer in the field, he became the first surgeon in New Jersey to offer the complete range of gender-affirming procedures, including Phalloplasty. In 2025, Dr. Keith partnered with Dr. Drew Marano to establish GAMMA (Gender Affirming Medical and Microsurgical Associates), a practice dedicated to advancing the art and science of gender surgery.
Dr. Keith works in close collaboration with experts across Urology, Gynecology, Internal Medicine, and Psychiatry to provide truly integrated, patient-focused care. Through GAMMA’s offices in New Jersey and New York City, he continues to expand access to world-class surgical options and compassionate support for transgender and nonbinary individuals seeking gender affirmation.
Dr. Keith completed his 7-year residency at the University of Pittsburgh, one of the most well-respected plastic surgery training programs in the United States. In 2012, he was awarded the Stephen S. Kroll Fellowship in microsurgery at the University Hospital of Gent, Belgium, making him only the fourth American to earn this distinction. During his fellowship, Dr. Keith trained under Dr. Stan Monstrey, a world-renowned expert in Phalloplasty, and gained expert experience in cutting edge techniques in microsurgery and Phalloplasty.
Dr. Keith is board-certified by the American Board of Plastic Surgery and a member of American Society of Plastic Surgeons and the World Professional Association for Transgender Health (WPATH). He is affiliated with St. Barnabus Medical Center in Livingston and University Hospital in Newark, New Jersey.
Dr. Keith performs Radial Forearm and Anterolateral Thigh Phalloplasty, and can also offer other methods, such as Abdominal Phalloplasty, when RFF and ALT are contraindicated. He stages surgeries in the manner of the London methodology, where urethral "hookup" and Glansplasty are performed at Stage 2. Due to the higher risk of fistula and stricture formation, Dr. Keith requires Vaginectomy if Urethral Lengthening is to be performed. He uses a modified Horton technique for Glansplasty, and can also incorporate the palmaris tendon to augment the bulk of the coronal ridge in RFF patients. For Scrotoplasty, Dr. Keith uses the so-called "VY Scrotoplasty" technique which involves the rotation and advancement of labial flaps to create a correctly positioned scrotum.
Dr. Keith's team includes Reconstructive Urologist Dr. Karl Coutinho, who works with Dr. Keith for implantation of Testicular Implants and/or Erectile Implants. Dr. Coutinho also offers repair surgeries for urological complications following Phalloplasty.
Dr. Keith follows WPATH guidelines for surgery: You will need to provide two referrals from qualified mental health professionals, and a letter from your hormone specialist stating you have been on 12 months of continuous hormones, unless clinically contraindicated.
Insurance: Dr. Keith is an in-network provider with Horizon Blue Cross Blue Shield of New Jersey, and can accept out-of-area BlueCard members with in-network benefits as well. For other private/employer insurance plans, authorization may be possible but coverage isn't guaranteed. Medicaid and Medicare are not accepted.
Consultations: Dr. Keith is available for in-person consultations.
Current wait list: 6 months.
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