Gender Affirmation Surgery in Cape Town
By Dr. Ernst Möller
At the heart of Dr. Ernst Möller’s practice lies in a deep commitment to helping individuals live authentically and confidently in their bodies. For transgender and gender-diverse individuals, gender affirmation surgery can be a life-affirming step toward aligning one’s physical body with their gender identity. Located in Cape Town, South Africa, Dr. Möller offers a comprehensive, personalised, and compassionate approach to gender affirmation procedures.
What Is Gender Affirmation Surgery?
Gender affirmation surgery, also known as gender-confirming surgery or gender reassignment surgery, includes a variety of surgical procedures designed to help individuals transition physically to a gender that aligns with their identity. These surgeries may involve altering primary or secondary sex characteristics and can include procedures such as chest/top surgery, facial feminisation or masculinisation, and genital reconstruction (bottom surgery). It’s important to understand that not every transgender or non-binary person chooses to pursue surgery, and the journey is deeply personal. For those who do, however, these procedures can significantly reduce gender dysphoria and improve mental health, self-esteem, and overall quality of life.
Dr. Möller’s Approach to Gender Affirmation
Dr. Ernst Möller is a board-certified Plastic and Reconstructive Surgeon with extensive experience in aesthetic and reconstructive procedures. With a practice rooted in respect, empathy, and medical excellence, Dr. Möller collaborates closely with patients to understand their goals, provide education, and craft an individualised surgical plan. He understands that gender affirmation surgery is not simply a medical procedure – it is an intimate and often emotional journey. Every consultation is handled with discretion, sensitivity, and the utmost professionalism. Dr. Möller’s Cape Town clinic offers a safe, inclusive, and welcoming environment for all patients.
Gender Affirmation Procedures Offered
Dr. Möller provides a range of gender affirmation procedures for both transmasculine and transfeminine individuals. Each surgery is customised to the patient’s anatomy, goals, and health status.
For Transfeminine Individuals:
- Facial Feminisation Surgery (FFS)
Facial features often play a key role in gender perception. FFS can include procedures such as brow reduction, rhinoplasty (nose reshaping), jaw contouring, lip augmentation, and tracheal shave (Adam’s apple reduction). - Breast Augmentation
Using implants or fat grafting, breast augmentation helps create a more traditionally feminine chest contour. Dr. Möller works closely with patients to determine the ideal shape, size, and technique for the most natural and satisfying result. - Body Contouring
Through techniques like liposuction or fat transfer, body contouring can help accentuate the waist and hips, contributing to a more feminine silhouette. - Genital Reconstruction (Vaginoplasty)
In collaboration with a skilled multidisciplinary team, Dr. Möller offers referrals and support for patients seeking genital surgery such as penile inversion vaginoplasty. This highly specialised procedure requires careful planning and thorough preoperative assessments.
For Transmasculine Individuals:
- Chest Masculinisation (Top Surgery)
One of the most sought-after gender affirmation procedures, top surgery involves the removal of breast tissue to create a masculine chest. Depending on the patient’s anatomy and goals, Dr. Möller may use a double incision or keyhole technique to achieve optimal results. - Body Contouring
To enhance a more masculine shape, procedures like abdominal etching, liposuction, or fat redistribution can be performed. - Genital Reconstruction (Phalloplasty or Metoidioplasty)
Though Dr. Möller does not perform genital reconstruction procedures in-house, he works with patients as part of a coordinated care team, offering guidance, referrals, and postoperative support to those seeking these procedures.
Holistic Care and Multidisciplinary Collaboration
Dr. Möller believes in a holistic approach to gender-affirming care. Surgery is only one component of a broader journey that often includes psychological support, hormone therapy, and peer community engagement. That’s why he works alongside endocrinologists, mental health professionals, and other medical experts to ensure his patients receive complete and compassionate care. All patients are encouraged to obtain letters of recommendation from licensed mental health professionals, as per the WPATH (World Professional Association for Transgender Health) standards of care. Dr. Möller also respects and supports informed consent models where appropriate.
A Safe and Affirming Space
Cape Town is an increasingly recognised destination for high-quality, patient-centred transgender healthcare. Dr. Möller’s practice is designed to be inclusive and affirming of all identities and expressions. Every member of his team is trained to provide respectful, nonjudgmental, and confidential support throughout every stage of the process. From the first consultation to the final stages of recovery, you can expect to be treated with dignity, kindness, and world-class surgical skill.
Why Choose Dr. Ernst Möller?
- Board-Certified Expertise: A trusted surgeon with years of experience in both reconstructive and aesthetic surgery.
- Tailored Care: Every patient receives a personalised treatment plan based on their unique needs and transition goals.
- Cultural Sensitivity: A deep understanding of the emotional, psychological, and social dimensions of gender transition.
- International Standard Facilities: A modern, well-equipped clinic located in beautiful Cape Town, with access to leading private hospitals.
- Continuity of Care: Ongoing support before, during, and after surgery to ensure long-term satisfaction and wellbeing.
Treatments
Start Your Journey
If you are considering gender affirmation surgery in South Africa, Dr. Ernst Möller and his team are here to support you. Whether you are just starting your transition or are seeking surgical care as part of your continuing journey, we welcome you to book a consultation and explore your options. You deserve to feel at home in your body—and Dr. Möller is committed to helping you get there. Ready to take the next step? Reach out to schedule your private consultation.
Book Your Consultation Today
If you or a loved one requires flap surgery whether for reconstruction, trauma repair, or chronic wound treatment—know that you are in the best hands with Dr. Ernst Möller. Every procedure is tailored to the individual, and every patient receives the highest level of care, safety, and compassion. Contact our Cape Town office today to schedule a consultation and begin your journey to healing and restoration.