LGBTQIA+ Clinical Services at UPMC: Expert and Inclusive Care

We offer transgender surgery and other gender-affirming care at UPMC. This includes care for female-to-male (trans masculine) and male-to-female (trans feminine) people.

The UPMC Magee Center for Reproduction and Transplantation team treats gender dysphoria. They can help you get ready for gender-affirming surgery.

Trans people can also preserve their fertility at the Magee Center's Fertility Preservation Program.

Many people who are LGBTQIA+ may not fall under one label or identity. That's why UPMC caters to the unique needs of each gender-diverse person.

This includes people who are:

• Agender.
• Genderfluid.
• Gender neutral.
• Genderqueer.
• Nonbinary.
• Pangender.
• Third-gender.
• Two-spirit.
• Another gender identity.

Voice therapy and training at UPMC can help gender-diverse people with the sound and feel of their voice. A speech-language pathologist can help ensure your voice depicts and reflects your identity.

UPMC's Pittsburgh Area Center for Treatment of HIV (PACT) offers complete primary, specialty and social HIV care, including:

• Anal health care.
• Clinical trials for HIV infection.
• Free and private partner testing.
• Gynecologic care.
• Hepatitis C co-infection care.
• HIV support groups.
• HIV pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (nPeP).
• Hormone therapy for those older than 19.
• Medical case management.
• Mental health care.
• Nutrition consults.
• Pain care.
• Pharmacy.
• Telehealth for people with HIV who live far from Pittsburgh and don't have local access to care.
• Treatment for alcohol or opioid use.

The UPMC Latterman Family Health Center in McKeesport also cares for people at risk for HIV or living with HIV.

The Resources, Education, and Comprehensive Care (REACCH) for HIV Program in central Pa.:

• Offers free and private HIV testing and primary care.
• Gives full health, dental, and social care for people of all ages living with HIV.
• Provides HIV classes, nutrition help, and PrEP.
• Can refer you to other health care experts.

Social care through REACCH includes:

• Care planning and medicine adherence support.
• Emergency housing and utility assistance.
• Financial aid for HIV-related care.
• Health insurance counseling and enrollment.
• Help to access local services.
• HIV support groups.
• Linkage to care.
• Local outreach, educational events, and HIV testing.
• Medical case management.
• Onsite mental health counseling.
• Outreach to those who've fallen out of care.
• Transportation to and from health care visits.

UPMC offers gender-affirming surgery including trans masculine and trans feminine top and bottom surgery. These procedures are available to adults older than 19.

Top surgery at UPMC includes:

• Breast enhancement.
• Breast size increase.
• Mastectomy.

Bottom surgery includes:

• Male urinary and reproductive techniques.
• Female urogynecology procedures.

We also specialize in techniques to:

• Create a penis using current genital tissue (metoidioplasty).
• Create a penis using other tissue (phalloplasty).
• Reduce the vulva lip (labiaplasty).
• Reconstruct the urethra (urethroplasty).
• Remove all or part of the vagina (vaginectomy).
• Remove the testicles (orchiectomy).
• Remove the uterus (hysterectomy).

Ear, nose, and throat experts at UPMC can do:

• Vocal cord surgery.
• Vocal therapy.
• Other vocal care at the UPMC Voice Center.

UPMC also offers facial surgery to make you look more feminine or masculine.

Facial options include techniques to:

• Increase cheek and malar.
• Decrease or increase Adam's apple (tracheal shave or grafting).
• Lift the brow.
• Move the hairline forward.
• Rebuild the chin.
• Recontour the jaw.
• Reduce the forehead (cranioplasty).
• Reshape the nose.
• Set back the sinus.