MTF Surgery » Surgeons

Dr. Alexis Laungani, MD, FRCSC, is a board-certified plastic surgeon in Montréal, Québec, specializing in gender-affirming surgery. He performs Vaginoplasty, Vulvoplasty, Breast Augmentation, Facial Feminization Surgery and Body Feminization, including Rib Remodeling using the RibXcar technique.

Dr. Laungani has extensive experience in feminizing genital surgery, having performed approximately 1,000 Vaginoplasties. His practice also includes revision of previous genital surgeries, feminizing body contouring and Breast Augmentation using implants, fat grafting or a combination of both.

Gender-affirming surgery is a major focus of his practice at Atelier du Corps, where approximately 75–95% of the people receiving care are transgender. Surgical procedures are performed at Institut de Chirurgie Laungani in Montréal.

Education, Training & Professional Experience

Dr. Laungani has more than 20 years of medical education and training spanning Europe, Canada and the United States. His professional background includes:

• Medical education: Medical degree from the University of Liège in Belgium.
• Plastic Surgery residency: Six-year residency at the University of Liège.
• Mayo Clinic training: Additional training at Mayo Clinic in Rochester, Minnesota.
• Board certification: Board-certified in Plastic Surgery in Canada and Europe.
• WPATH Global Education Institute: Instructor providing training in transgender health to healthcare professionals.
• International surgical education: Invited by the Government of India to contribute to the development of a Vaginoplasty program in India.

Dr. Laungani is a member of the World Professional Association for Transgender Health (WPATH), American Society of Plastic Surgeons, International Society of Aesthetic Plastic Surgery, French Society of Plastic and Reconstructive Surgery and Canadian Society of Aesthetic Surgery.

He also serves as a board member of Québec's LGBTQ chamber of commerce.

Vaginoplasty and Vulvoplasty in Montréal

Dr. Laungani performs Penile Inversion Vaginoplasty for transgender women and other transfeminine individuals seeking gender-affirming genital surgery. With approximately 1,000 Vaginoplasties performed, he has substantial experience in this area of reconstructive surgery.

His practice offers both full-depth Vaginoplasty and shallow-depth Vulvoplasty, providing surgical options for people with different anatomical goals and preferences.

Full-depth Penile Inversion Vaginoplasty involves creating external genital structures, including the vulva and clitoris, along with a vaginal canal. This option is intended for people who want vaginal depth and are prepared for the postoperative dilation requirements associated with the procedure.

Shallow-depth Vulvoplasty creates feminine external genital anatomy without a full-depth vaginal canal. It may appeal to people who do not want vaginal penetration or the ongoing dilation associated with full-depth Vaginoplasty.

Dr. Laungani also performs revision of previous genital surgeries. Revision procedures may be considered when a person has concerns about the appearance or function of a previous surgical result, or when additional reconstruction is required. The procedures available depend on the individual's surgical history and the issues being addressed.

Other genital procedures offered include Orchiectomy and Scrotectomy, which are available as standalone surgeries.

Breast Augmentation for Transgender Women

Dr. Laungani performs gender-affirming Breast Augmentation using saline or silicone implants, fat grafting, or a combination of these techniques. He reports having performed approximately 125 Breast Augmentations for transgender women.

Breast Augmentation can increase breast volume and change the shape and proportions of the chest. For transgender women, breast development from hormone therapy varies, and surgery may provide additional volume when natural breast growth does not match the individual's goals.

Breast Augmentation with implants

Dr. Laungani offers both saline and silicone breast implants. The choice of implant and surgical technique takes into account existing breast tissue, chest anatomy, desired breast size and personal preferences.

Implants can provide a more substantial increase in breast volume than fat grafting alone. Implant selection also influences breast projection and overall shape.

Breast Augmentation with fat grafting

Fat grafting uses fat removed from another area of the body through liposuction and transfers it to the breasts to increase volume.

This approach may be suitable for people seeking a more moderate increase in breast size without implants. The amount of augmentation possible depends partly on the available donor fat and the amount that can be transferred.

Dr. Laungani also offers hybrid Breast Augmentation, combining implants with fat grafting. Transferred fat can add volume around an implant, help refine breast contours or address differences in breast shape and symmetry.

Fat grafting may also be incorporated into a broader body feminization procedure, allowing fat removed from the waist or other areas to be used for breast enhancement.

Body Feminization Surgery

Dr. Laungani performs Body Feminization procedures intended to alter the contours and proportions of the torso, waist, hips and buttocks.

His approach includes high-definition liposuction and fat grafting, which can be used separately or together to change the distribution of body volume.

High-definition liposuction removes fat from selected areas to reshape the body. For feminizing body contouring, this may involve reducing volume around the waist or torso to create a more pronounced difference between the waist and hips.

Fat removed during liposuction can also be transferred to other areas of the body. This allows fat reduction and augmentation to be combined within the same surgical plan.

Dr. Laungani offers fat grafting to increase volume in the hips and buttocks, including Brazilian Butt Lift (BBL). Fat transfer can create fuller contours and alter the proportions of the lower body without using implants.

Fat grafting can also be used for Breast Augmentation, allowing chest and body feminization to be addressed together.

Rib Remodeling (RibXcar) for Waist Feminization

Dr. Laungani offers Rib Remodeling using the RibXcar technique, which he introduced to Montréal.

Unlike liposuction, which reduces fat volume, Rib Remodeling addresses the structure of the lower rib cage. The procedure is intended to reduce the width of the lower torso and create a narrower waist.

Rib Remodeling may be considered by people seeking changes to their waist proportions that cannot be achieved through fat reduction alone. It can also be combined with high-definition liposuction, fat grafting or Brazilian Butt Lift as part of a broader body feminization plan.

Combining these procedures allows different aspects of body shape to be addressed: liposuction reduces volume in selected areas, fat grafting adds volume to the hips or buttocks, and Rib Remodeling changes the proportions of the lower rib cage.

The suitability of Rib Remodeling and the potential for combining procedures are assessed during consultation.

Facial Feminization Surgery

Dr. Laungani also performs Facial Feminization Surgery (FFS), with a particular interest in procedures involving the middle and lower face.

His surgical options include:

• Feminizing Rhinoplasty
• Cheek Implants
• Lip Lift
• Chin Recontouring
• Tracheal Shave (Chondrolaryngoplasty)

For feminizing rhinoplasty, Dr. Laungani offers a closed surgical technique in appropriate candidates, with incisions made inside the nose rather than through an external incision.

He also performs Tracheal Shave to reduce the prominence of the thyroid cartilage, commonly called the Adam's apple.

Facial Feminization Surgery may involve one procedure or several, depending on the facial features being addressed and the changes the individual is seeking.

Gender-Affirming Care at Atelier du Corps

Dr. Laungani practices at Atelier du Corps in Montréal, where gender-affirming surgery represents a significant part of the practice. Approximately 75–95% of the people receiving care are transgender.

His approach emphasizes empathy, respect and individualized care. Staff receive ongoing training in gender-affirming topics, and the practice provides gender-neutral bathrooms and LGBTQ-inclusive materials in its waiting area.

Consultations and care are available in English and French, making the practice accessible to both French-speaking and English-speaking patients.

Surgery is performed at Institut de Chirurgie Laungani, a surgical facility accredited by Accreditation Canada. The facility includes an operating room and two postoperative suites.

Consultations and Surgery Wait Times

Dr. Laungani offers phone, virtual and in-person consultations, including options for people considering traveling to Montréal for surgery.

• Consultation fee: $200 CAD (approximately $145 USD), plus tax
• Typical consultation wait: 2–3 weeks
• Typical wait for surgery: 1–3 months

Consultations provide an opportunity to discuss surgical options, previous procedures, anticipated recovery arrangements and costs.

Traveling to Montréal for Gender-Affirming Surgery

Montréal has a long history as a destination for gender-affirming surgery, attracting people from across Canada, the United States and internationally. The city has a large and visible LGBTQ+ community, extensive air connections and a range of accommodations for people planning a surgical stay.

For people traveling to Montréal for Vaginoplasty or Vulvoplasty, Dr. Laungani's surgical package includes arrangements for the initial postoperative recovery period.

Following surgery, patients receive one overnight stay in the clinical setting, followed by six nights in a postoperative apartment where they can stay with a partner or family member.

Twice-daily nursing rounds are included during the apartment stay, providing postoperative support while patients remain in Montréal.

The package also includes postoperative care, follow-up appointments and, where applicable, vaginal dilators and a vaginal douche.

People traveling for Breast Augmentation, Facial Feminization Surgery, Body Feminization or other procedures can contact Atelier du Corps to discuss the recommended length of stay and postoperative arrangements.

Surgery Costs, Financing & Insurance

Approximate costs for selected procedures are provided below. All prices are pre-tax estimates. USD equivalents are approximate and may change with currency exchange rates. A consultation is required to determine the surgical plan and confirm final pricing.

• Vaginoplasty or Vulvoplasty: approximately $30,000–$40,000 CAD ($22,000–$29,000 USD)
• Liposuction: starting at $8,000 CAD ($6,000 USD)
• Tracheal Shave: approximately $7,500 CAD ($5,500 USD)

Surgical fees generally include the procedure, anesthesia, a postoperative garment and follow-up care.

For Vaginoplasty and Vulvoplasty, the quoted package includes surgeon and anesthesia fees, an overnight clinical stay, six nights in a postoperative apartment, twice-daily nursing rounds and postoperative follow-up. Dilators and a vaginal douche are provided when applicable.

The practice accepts cash, credit cards and checks. Medical financing is available.

Atelier du Corps works with insurance plans that provide coverage for gender-affirming surgery. The practice is also open to working with provincial health insurance programs throughout Canada, although the individual seeking surgery must initiate the provincial coverage request.

Insurance coverage and authorization requirements should be confirmed with the practice before scheduling surgery.

Surgery Requirements

Dr. Laungani follows the WPATH Standards of Care criteria and uses an informed consent model for gender-affirming surgery.

View Dr. Alexis Laungani's full profile on TransHealthcare »