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Gender Nullification

Conveniently located to serve Washington DC, Arlington, Bethesda

Gender nullification surgery is a procedure where the external genitalia is removed, the urethra shortened and a smooth appearance is created in the pubic region. We also offer customization of the surgery for patients whose goals for final appearance may be unique. The surgery can be covered by insurance with letters of support.


Gender nullification is a part of the spectrum of gender affirmation procedures. It offers individuals the opportunity to align their physical form with their gender identity in a non-binary or agender way. This procedure is distinct from traditional gender reassignment surgeries, focusing instead on creating a body that represents a neutral or null gender appearance.

Am I a Good Candidate for Gender Nullification?

Ideal candidates for gender nullification are those who identify beyond the binary gender constructs and seek to physically manifest their identity. Individuals should have a stable understanding of their gender identity and realistic expectations about the outcomes of the surgery. A psychological evaluation is typically required to ensure readiness and support throughout the process.

Are There Insurance Requirements for Gender Nullification?

Insurance coverage for gender nullification varies widely. Some insurers may cover it under gender affirmation procedures, while others may not recognize it due to its non-binary nature. Prospective patients should consult their insurance providers for detailed information on coverage and any necessary pre-authorization requirements.

How to Prepare for Gender Nullification

Preparation involves psychological counseling, thorough medical evaluations, and discussions about the desired outcomes with your surgeon. Patients may need to undergo hormone therapy and live in their identified gender role for a period, as recommended by their healthcare providers.

How Is a Gender Nullification Procedure Performed

The specifics of gender nullification surgery depend on the individual’s goals. The procedure may involve the modification or removal of gendered physical attributes to achieve a more neutral appearance. Techniques and approaches vary, with a focus on minimizing scarring and preserving nerve sensation.

Schedule Your Consultation

To learn more about Gender Nullification in Washington DC, visit us at District Plastic Surgery. Contact us today to schedule your informative and helpful consultation.

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Your Gender Nullification will be performed will be performed at George Washington University Hospital.

Your Vaginoplasty will be performed in Dr. Praful Ramineni‘s surgery center located in Washington, DC.

This has been an amazing experience from the consultation to post-surgery!!! I honestly can’t even express how happy & grateful I am with the results. Everyone….Dr. Ramineni and his whole team are impeccable, to say the least. A very thoughtful, professional, kind, and knowledgable team. I will 100% always refer anyone I know to this amazing team…Dr. Ramineni had a challenge when I came to see him with my issue but he 1000% went above & beyond to achieve perfection with my results. I can’t thank this team enough!! I genuinely want to thank you so much!

- Sally T.

Dr. Ramineni was recommended to me by my plastic surgeon as a masterful surgeon who could figure out why I was having complications. He diagnosed the problem correctly and fixed it. I am grateful for his openness, his honesty, and skill.

- Saiyyaed A.

Life-altering surgeon. He helped make my dreams come true with the most flawless surgery I’d been waiting my whole life to get. Healing and recovery has been almost disturbingly easy and pain-free. I could not recommend enough. Everyone there is so sweet as well!

- Katie C.

Before & After

Gender Nullification Before and After Photo by District Plastic Surgery in Washington DC

Dr. Praful Ramineni



Dr. Ramineni is the founder of District Plastic Surgery. He is board certified and has over 15 years of experience in plastic and reconstructive surgery. He started his career as one of the busiest surgeons at Medstar Washington Hospital Center with a focus on complex reconstructive surgery including cancer and trauma reconstruction, microsurgery and aesthetic surgery.

Dr. Praful Ramineni

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