The Garramone Center

Before FTM Top Surgery Information

At The Garramone Center, Dr. Garramone performs the FTM Top Surgery & FTN Top Surgery Procedure for patients who identify as transgender female to male, gender neutral, gender variant, lesbian, pangender, and female. 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:

Before Your Surgery

1. Setup a consultation by calling (954) 752-7842

Setup a complimentary no-cost phone consult for the FTM & FTN Top Surgery Procedure with Dr. Garramone by contacting our office at (954)752-7842 or email us directly at

2. Send Photos of your chest or body

After you have setup your phone consult for the FTM Top Surgery & FTN Top Surgery Procedure, we will tell you the email address for you to send photos of your chest. You will be required to send photos from the front of your body. Only send photos if you are over 18 years of age (DO NOT SEND PHOTOS IF YOU ARE UNDER 18 YEARS OF AGE).

3. Your telephone consultation

Dr. Garramone will contact you by telephone on your scheduled FTM Top Surgery consultation 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).

4. Schedule a FTM Top Surgery & FTN Top Surgery date

After your phone consultation, Dr. Garramone will discuss the treatment options that you are a candidate for with the FTM Top Surgery & FTN Top Surgery Procedure. At this time he will let you speak with our office staff and you may schedule a FTM Top Surgery date.

5. Send us a signed copy of the Financial Policy and a copy of a Government issued Photo Identification or Passport

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 copy may be necessary.

6. Send us a Letter of Recommendation for FTM Top Surgery Surgery

We will need a signed copy of the Letter of Recommendation for FTM Top Surgery 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.”

If you do not have a therapist, we can refer you to a reliable therapist who can perform telephone a consultation with you and also write you a letter of recommendation for surgery.

7. Get Medical Clearance and Lab Work

When you have scheduled your FTM Top Surgery with the non-refundable reservation fee, 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 FTM Top Surgery.

8. Complete final payment is due four weeks prior to surgery

Final payment is due four weeks prior to surgery. We accept Zelle, all major credit cards, certain medical loan payments,  or cash. We do not accept Personal Checks or medical insurance.

9. Setup your travel plans

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.

    • Transportation: If you need transportation from the airport to your hotel or to the surgery center, many patients use
    • Traveling From Outside the U.S. & Canada?: If you are traveling from outside the United States & Canada, you are required to purchase a temporary cell phone or have a SIM card with a U.S. based telephone number.
    • We recommend staying at a local hotel. 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 stay close to Ft. Lauderdale beach so they can enjoy our beautiful coastlines and beaches during their stay.
    • Many patients use the rental site to find great deals on weekly rentals.
10. Arrange to have someone travel with you or hire a Nurse
    • If you are traveling alone and require Nursing care after your surgery, we can help you arrange this for your surgery date. 
    • Dr. Garramone requires all patients, for the first 24 hours, to have someone with them at all time. This can be a hired nurse, friend, or family member. You cannot be left alone during the first 24 hours, and if the person responsible to be with you during this time period is unable to fulfill this requirement, then you will need to hire a private Home Healthcare Agency to care for you. You must have direct “one on one” supervision by someone dedicated to only your care, not to the care of multiple people at the same time. This means this person must be in the same room as you for the first 24 hours continuously, and not leave you alone for any reason or any period of time.
      • We do not recommend staying with someone you do not know, but in the event you do, do not assume they will provide adequate after surgery care and direct “one on one” monitoring of you. Do not assume any medical advice they give you is reliable, even if they claim to have professional experience. You will need to hire a Home Healthcare Agency even in these situations.
      • 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.
      • 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.
11. HIPAA Privacy Protection

Remember, we take you privacy seriously. We cannot speak with family or friends unless they are on the “allowed to talk to list” created by you. You must  complete a HIPAA release form found here.

About Our Services

The Week of Surgery

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 FTM Top 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

Be Aware

If you ever suspect any organization or business or individual is misrepresenting themselves as an affiliate of our office, providing medical advice on behalf of our office, dissuading you from following Dr. Garramone’s medical instructions,  if you believe someone has referred you to a suspicious business, or if you believe someone or another Doctors Office is giving you misinformation about our practice please email our Office Manager

You Can Do This, It's Easy

Mostly, all of our FTM Top Surgery 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.

Contact Us!
Send us your contact information and we will get back to during our business hours.

Your FTM Top Surgery & FTN Top Surgery Journey Starts Here

Flexible appointments and consultations.

Or call us at (954) 752-7842

About Dr. Garramone

Dr. Garramone is the current World's Leading Pioneer and Surgical Authority on GenSculpt® FTM Top Surgery ® (Female To Male Transgender Chest Surgery) and the ManSculpture ® Procedure (Body Masculinization). His practice serves an international clientelle, and is...

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Office News & Updates

Keep up to date with current News & Happenings at The Garramone Center Our current office is located at 4725 SW 148th Ave, Suite 202 Davie, Florida 33330. Please ignore any Google Maps addresses that state otherwise. Winter NEWS: Also note, our new office hours at...

Make An Appointment & Contact Info

Contact usBelow you will find helpful contact information for The Garramone Center. Please contact us to setup a consultation with Dr. Garramone for FTM & FTN Top Surgery or ManSculpture®For All Questions: Call (954) 752-7842Contact a Specific Department Phone:...
Contact Us!
Send us your contact information and we will get back to during our business hours.

The Garramone Center of Excellence

24/7 service. Confidential Appointments. Expert surgical care.

Main: (954) 752-7842

Toll Free: (888) 438-8133

Fax: (954) 473-2454

4725 SW 148th Ave, Suite 202, Davie, Florida, 33330, USA