Dr. David N. Sayah, MD
Plastic & Reconstructive Surgery
Board-certified plastic surgeon with more than 26 years of clinical experience in aesthetic and reconstructive surgery, including facial, chest, and body gender-affirming care.
Re-define beauty. Re-store confidence.
Comprehensive gender-affirming surgery, the only fully multidisciplinary clinic.
Facial feminization, voice surgery, top surgery, bottom surgery, body contouring, and voice therapy, all from one integrated surgical team. Insurance-covered. No referrals for core procedures.
Our comprehensive services
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Facial Feminization
& Masculinization -
Voice Surgery
& Therapy -
Top Surgery
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Bottom Surgery
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Body Contouring
Insurance coverage accepted No referrals required for core procedures
Results
Before and after face surgery
Facial feminization for one patient. Individual results vary.
3Named surgeons for face, voice, and genital care
50+Years of facial feminization experience, Dr. Toby Mayer
5Disciplines under one roof
The surgical team
The surgical team
This is a team practice. The photographs on this site are of patients, face, chest, body, and genital care, not a founder portrait repeated on every page.
Dr. Toby Mayer holds facial feminization and voice. Dr. Maurice Garcia holds genital reconstruction. Chest, body, and additional facial work are planned on the same calendar so a patient is not split across four offices.
Insurance (Medi-Cal, LA Care, IEHP, and private plans) is handled by the same desk.
American Board of Plastic Surgery (ABPS)Fellow, American College of Surgeons (FACS)
Meet the team
Our services
Our services
All services are insurance-accessible. We are contracted with Medi-Cal, LA Care, IEHP, and more than ten private insurers. Self-pay patients can review financing on the insurance pages.
01
Face
Facial feminization planned feature by feature, unhurriedly, by surgeons who work only in gender-affirming care, never as a sideline.
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02
Gender-Affirming Voice Surgery & Therapy
Pitch, resonance, and the way your voice sits in a room.
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03
Top Surgery
Chest surgery shaped precisely to your body and vision, planned unhurriedly and performed by surgeons who do only gender-affirming work.
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04
Bottom Surgery
Genital surgery planned unhurriedly around you and performed by board-certified surgeons whose entire practice is gender-affirming care, nothing else.
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05
Body
Body contouring shaped patiently to your goals, performed by surgeons who focus solely on gender-affirming care, nothing else.
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06
Spa
A private on-site retreat where recovery unfolds gently, with dedicated care from the team who knows your surgery best.
Learn moreNot sure where to begin?
A consultation is the starting point for every path. We'll listen first, then plan.
Schedule a Consultation
The surgeons
Named surgeons for face, voice, chest, body, and genital care.
Dr. Toby G. Mayer, M.D., F.A.C.S.
Facial Feminization & Voice Surgery
Triple board-certified facial plastic surgeon with more than 50 years of experience. FFS, Mayer Voice Feminization, Mayer Hair Flap, and facial rejuvenation, same suite as the rest of the team.
Dr. Maurice M. Garcia, MD, MAS
Genital Reconstructive Surgery
Clinical Professor of Urologic Surgery and Director of the Cedars-Sinai Transgender Surgery and Health Program. Vaginoplasty, phalloplasty, metoidioplasty, and related genital reconstruction.
The voice team
Voice Surgery & Voice Therapy (SLP)
Pitch-raising and masculinizing voice surgery with integrated speech-language pathology, kept on the same plan as FFS and a tracheal shave.
In their words
What our customers say
I was heard before anything was planned. The whole team treated my care as the only thing that mattered that day.
Jordan M.FFS patient
A surgeon who does this and only this. That specialisation is exactly why I travelled to Beverly Hills.
Alex R.Top surgery patient
Recovery was staged, calm and private. Nothing felt rushed, which is what made it feel safe.
Sam T.Bottom surgery patient
From the journal
Explore all
Guidance, from people who do this every day.
Facial Feminization Surgery: What to Expect
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FTM Top Surgery: Choosing the Right Technique
For many transmasculine and nonbinary individuals, FTM top surgery in Los Angeles represents a genuinely life-changing step, one that aligns the body with a truer sense of self. Los…
Understanding Vaginoplasty: A Beverly Hills Surgeon's Guide
Finding the right vaginoplasty surgeon in Beverly Hills is one of the most important decisions a woman can make for her health, confidence, and quality of life. This procedure, …