Before Surgery Info | FTM Top Surgery ® | Dr. Charles Garramone The Best Surgeon

Before Surgery Info

FTM Top Surgery ® Procedure
(Female To Male Transgender Chest Surgery)
ManSculpture ® Procedure
(Body Masculinization)

Before Your Surgery

Dr. Garramone performs the FTM Top Surgery® Procedure for patients who identify as transgender female to male, gender neutral, gender variant, lesbian, pangender. We just require a recommendation letter from your physician or therapist. You may find a link to a standardized form for recommendation at the bottom of this page.

Before scheduling a surgery with Dr. Garramone, there are several things that must be done. We have listed the steps below to help you organize and plan your surgery inquiry as follows:

    • First, setup a complimentary no-cost phone consult for the FTM Top Surgery® Procedure with Dr. Garramone by contacting our office at (954)752-7842 or email us directly at
    • Second, after you have setup your phone consult for the FTM Top Surgery® Procedure please email photos of your chest or body region to Send photos from the front of your body. Only send photos if you are over 18 years of age. Make sure your photo files sizes are less than 500kb.
    • Third, Dr. Garramone will contact you by telephone on your scheduled appointment date (if you are calling from outside the United States or Canada, you are required to call us on your scheduled appointment date, we will not make international calls to you).
    • Fourth, after your phone consultation, Dr. Garramone will discuss the treatment options that you are a candidate for with the FTM Top Surgery® Procedure. At this time he will let you speak with our office staff and you may schedule a surgical date.
    • After scheduling your surgical date, our office will email you a pre-operative packet containing useful information and our Financial Policy. You are required to send back to us a signed copy of the Financial Policy and a copy of a Government issued Photo Identification or Passport. A Birth Certificate copies may be necessary.
    • When you have scheduled your surgery with the $500 non-refundable deposit, we will then send you prescriptions for necessary lab work and medical clearance for surgery. You are required to have this done within 30 days of the date of your scheduled surgery.
    • We will need a signed copy of the Letter of Recommendation for Transgender Surgery from your therapist, psychologist, psychiatrist, or Primary Care Physician. The letter must state “Transgender Surgery is the next step in the transition process.”
    • Final payment is due three weeks prior to surgery. We accept all major credit cards, certain medical loan payments,  or cash. We do not accept Personal Checks or medical insurance.
    • After scheduling your surgery, you should look into finding a hotel, renting a car, and scheduling airline travel. Most patients fly into Fort Lauderdale International Airport, as this is closest to our office.
    • Most patients arrive in town about a day or two before surgery. You will meet with Dr. Garramone in his office for your pre-operative appointment where he will discuss the surgery details with you. The surgery is usually done the next day. About one week after surgery, we have you follow up in the office for your post-operative visit. Your bandages will be removed and Dr. Garramone will teach you how to care for your chest over the next few weeks while it heals. At this time it should be okay for you to travel home.

Where Should You Stay?

    • Most patients stay in town for about 6 to 8 days on average at a local hotel or with friends. We usually do not give recommendations for places to stay, as there are hundreds of options for you to stay during your visit here in South Florida. Many patients choose to stay at the Comfort Suites in Weston, FL which is very close to our office and has been rated the Best Budget Hotel in Weston, FL. It also has a Tripadvisor 2013 Certificate of Excellence. You’ll commonly meet many of our other patients who are staying there also, so you’ll never feel alone. Our office has arranged for greatly discounted corporate rates for our patients and you can book online by visiting this direct link COMFORT SUITES-WESTON SCHEDULING. You can also call them directly at 954-659-1555 and just tell them you would like the “Dr. Garramone Corporate Discount Rate” to receive a big discount. The Comfort Suites in Weston, FL has very nice rooms and accomodations close to many shops and restaurants. They also include a Complimentary Continental Breakfast for all Hotel Guests, Complimentary Wireless Internet, an outdoor heated pool, a Complimentary Fitness Center, on-site Laundry Facilities, Complimentary Self Parking, Complimentary USA Today newspaper, 24hr Coffee Service in Lobby, Complimentary Scheduled Shuttle to Sawgrass Mills Mall, and a lot more. They are also right next door to one of Dr. Garramone’s favorite Mexican Restaurants called “I Love Tacos”. Please contact their Front Desk to find out how they can better serve you. The Front Desk can also help arrange Shuttle or Taxi Service to our office for your pre-op and post-op appointments (rates vary but are affordable). If you are traveling alone and require Nursing care after your surgery, we can help you arrange this for your surgery date.  If you stay close to the surgery center, we can also arrange for the surgery center to pick you up for your surgery and return you to your hotel room safely.
    • Never agree to pay money or to stay with someone you do not know. We are not affiliated with any recovery services or approve of any service using our practice name or Dr. Garramone’s name for advertising services for his patients. If you are traveling alone or with someone who is unable to provide adequate Home Healthcare for you during your recovery, we can arrange for Professional Home Healthcare Agency to assist you. We can also arrange for transportation to and from the Hospital Surgical Center. Our office will only refer you to a verified Home Healthcare Staff Service operating with a business license in the State of Florida. These Home Healthcare Services operate under the guidelines of the State of Florida, and staff their own Professional Home Healthcare workers.  We want you to make safe choices for your lodging after surgery, and we do not want you to be taken advantage of by someone you do not know or someone who is misrepresenting themselves as offering unapproved services for our patients. You do not have to stay with any specific “recovery center” or “group house” to receive adequate care after your surgery. Mostly, all of our patients stay in local Hotels of their choice, arrange for their own transportation without any difficulty, and if needed, will hire a Professional Home Healthcare Agency to assist them with their after surgery care. All of this at very affordable prices with a verified business in the State of Florida.
    • If you ever suspect any organization or business is misrepresenting themselves as an affiliate of our office, or if you believe someone has referred you to a suspicious business, please email our Office Manager at


Below are a few downloadable PDF forms with some helpful information: