Two practices in Austin say on their own sites that they do gender-affirming surgery. The Crane Center for Transgender Surgery does top surgery, bottom surgery and facial feminization, and five of its surgeons work out of its Austin office. Restora Austin Plastic Surgery does top surgery and facial feminization. This guide is for adults; Texas law limits this care for anyone under 18, and our gender-affirming care guide covers what the law says.
We looked up every surgeon we name in Texas Medical Board records on October 16, 2026. All seven hold active physician licenses with no restrictions on record. We aren’t clinicians, and this page isn’t medical advice. We don’t rank surgeons, and we don’t publish results or prices the practices don’t post themselves.
The Short List
| Practice | What it says it does |
|---|---|
| Crane Center for Transgender Surgery | Top surgery, vaginoplasty, vulvoplasty, phalloplasty, metoidioplasty and facial feminization; five Austin surgeons; works with insurance |
| Restora Austin | Top surgery and facial feminization; informed consent, so a therapist’s letter is recommended but not required |
Practices
Crane Center
The Crane Center for Transgender Surgery has offices in Austin, San Francisco and Boulder, and its Austin office is on Bee Cave Road, west of downtown. Its procedure pages put five surgeons in Austin:
- Dr. Curtis Crane: top surgery, vaginoplasty, vulvoplasty, phalloplasty, metoidioplasty and breast augmentation. Trained as both a plastic surgeon and a reconstructive urologist
- Dr. Ashley DeLeon: top surgery, vaginoplasty, vulvoplasty, orchiectomy and phalloplasty. Board certified in general surgery, with fellowship training in transgender surgery at the Crane Center
- Dr. Sol Mundinger: top surgery, vaginoplasty, phalloplasty, facial feminization, tracheal shave and breast augmentation. The only Austin surgeon the center lists for facial feminization
- Dr. Camille Torres: vaginoplasty, vulvoplasty, metoidioplasty, phalloplasty and revisions. Her page says she speaks English and Spanish
- Dr. Richard Santucci: metoidioplasty, phalloplasty and the related procedures (urethroplasty, scrotoplasty, implants)
The center has a page for non-binary patients. It says hormone therapy isn’t required for top surgery, top surgery isn’t required before bottom surgery, and its surgeons can adjust top surgery for a non-binary result. It also describes vulvoplasty (no vaginal canal) and nullification.
Letters. If insurance is paying, the Crane Center follows the older WPATH letter rules (Standards of Care 7), because that’s what insurers still enforce. Top surgery, breast augmentation and facial feminization need one letter from a licensed mental health professional, and breast augmentation also needs a letter from your hormone prescriber. Bottom surgery needs three: two from different mental health professionals and one from your hormone prescriber, who has to confirm at least 12 months of hormones. Self-pay patients need one mental health letter. The center’s patient care coordinators can suggest letter writers ([email protected]).
Insurance. The center checks your benefits before the first consultation and lists in-network plans by state on its insurance page. It says it often gets coverage on out-of-network plans too. It lists plans it can’t work with, including Tri-Care, Ambetter and Oscar Health, and says it stopped taking Federal Blue Cross Blue Shield and GEHA plans on January 1, 2026. The insurance process starts 2 to 3 months before your surgery date, and the center suggests booking only refundable travel until coverage is confirmed.
- License check: Curtis Crane, MD (Q5383), Ashley DeLeon, MD (Q6744), Gerhard “Sol” Mundinger, MD (T2450), Camille Torres-Cintron, MD (V9728) and Richard Santucci, MD (R5205). All five active, no restrictions and no board actions on record, each with the Austin office as their practice address (Texas Medical Board, October 16, 2026)
- Where: 4407 Bee Cave Rd., Suite 612, Austin 78746. Monday to Friday 8 to 4:30
- Contact: 512-446-9486, [email protected]. Letter questions: 512-277-5248
- More: the Crane Center’s Austin office, letter requirements, insurance and non-binary surgery
Is this your practice? Update this listing
Restora Austin
Restora Austin is a plastic surgery practice on West 38th Street. Its top surgery page says Dr. Dustin Reid “specializes in transgender top surgery” for trans men and trans women, and that he’s a member of WPATH and the Central Texas Transgender Health Coalition. For chest masculinization he offers keyhole, periareolar and double-incision surgery. For trans women, top surgery means breast implants.
Restora uses informed consent. Its pages say Dr. Reid “subscribes to the ‘informed consent’ model,” so “a therapist’s letter is recommended but not an absolute requirement,” and hormones aren’t required either. Surgery is outpatient, at an accredited surgery center in the suite next door.
Dr. Reid and Dr. Ashley Gordon both do facial feminization at Restora, including brow and forehead contouring, rhinoplasty and jaw work. Restora doesn’t post prices; it gives a cost breakdown and financing options at the consultation. Its pages don’t say whether it takes insurance, so ask when you call.
- License check: Dustin Reid, MD (M1314) and Ashley Gordon, MD (M4110), both active, no restrictions and no board actions on record, with Restora’s address as their practice address (Texas Medical Board, October 16, 2026)
- Where: 901 W. 38th St., Suite 401, Austin 78705. Monday to Friday 8 to 5
- Phone: (512) 371-8817
- More: Restora’s top surgery page and facial feminization
Is this your practice? Update this listing
Before You Book
- Ask what letters you need. It depends on the practice, the procedure and whether insurance is paying. Our HRT guide covers clinics that prescribe hormones, and some of them write letters
- Ask about insurance early. Ask whether the practice is in network for your plan, and call your insurer to ask what it requires for gender-affirming surgery
- Ask what the total cost covers. Surgeon, anesthesia, facility and follow-up visits can be billed separately
- Ask about recovery time. How long before you can work, drive or travel, and how many follow-up visits are in Austin
- Plan for help at home. Ask who can stay with you the first few days, and where out-of-town patients stay
- Check a license yourself. The Texas Medical Board’s lookup is free
More trans health guides:
- LGBTQ+ therapists in Austin, if you need a letter writer
- Electrolysis and laser hair removal. The Crane Center asks for hair removal before vaginoplasty
What We Couldn’t Check
- Wait times for a consultation or a surgery date at either practice
- Which insurance Restora takes, if any
- Prices. Neither practice posts them for these procedures
- Which hospitals or surgery centers the Crane Center uses in Austin; its pages we read don’t say
Last checked: October 2026. Each practice’s pages read on October 16, 2026, and each surgeon looked up in Texas Medical Board records the same day. See how we choose what goes on a list.
How We Check
We check every business and group we name against what it publishes about itself: its own site, its booking page, or its state license. No business pays to be in a guide, and we don’t earn a commission when you book.
The full method is on How We Choose. If something here is wrong or out of date, send a correction.