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Dr. Nicholas Bene
Director of Gender Affirmation Surgery, Stanford Medicine
Dr. Nicholas Bene, MD is a Plastic and Reconstructive Surgeon and Director of Gender Affirmation Surgery at Stanford Medicine. He is fellowship-trained in advanced gender-affirming procedures, with a particular focus on phalloplasty and other masculinizing genital surgeries. His practice integrates surgical precision with a deep commitment to preserving erogenous sensation, optimizing sexual function, and supporting each patient’s individual goals.
Phalloplasty Expertise
Dr. Bene applies leading-edge reconstructive techniques developed through his fellowship in Advanced Gender Affirmation Surgery at Oregon Health & Science University, one of the nation’s highest-volume centers for gender surgery. There, he trained with top surgeons in both plastic and urologic reconstruction, specializing in nerve preservation and sensory optimization.
Dr. Bene offers comprehensive options for phalloplasty, including:
- Radial Forearm Free Flap (RFFF)
- Anterolateral Thigh (ALT)
- Abdominal Flap Techniques
Each approach is tailored to the patient’s anatomy, goals, and lifestyle, with options for tube-within-tube construction (for standing urination) or shaft-only techniques. Every step, from donor site selection to urethral design, is discussed collaboratively to ensure informed decision-making and optimal outcomes.
Dr. Bene routinely performs sensory nerve coaptations, connecting two to three nerves to maximize erogenous and tactile sensation. He utilizes intraoperative electrical nerve stimulation to identify and optimize functional nerve connections, prioritizing not only appearance but also sexual health and quality of life.
Dr. Bene's full credentials and surgical offerings are available on his TransHealthCare.org surgeon profile.
Consultations and Scheduling
Dr. Bene’s approach is grounded in clear communication and respect. During consultations, he discusses techniques, expected outcomes, and complication rates openly.
- Consultation wait time: 1–2 months
- Surgery scheduling: 3–6 months
All procedures are performed within Stanford’s multidisciplinary gender-affirming care program, ensuring seamless coordination with urology, anesthesia, and postoperative rehabilitation teams.
Insurance and Requirements
Dr. Bene accepts most major insurance providers, including UnitedHealthcare, Blue Cross Blue Shield, Cigna, Aetna, Medicare, and Medicaid.
Surgery requirements:
- Minimum age: 19 years
- Letters of support from a qualified mental health provider
- No required cessation of hormones before surgery
- Smoking/vaping cessation at least 2 months before and after surgery
- BMI guideline: <35