Metoidioplasty Surgery » Surgeons

Dr. Drew Marano

Expert Metoidioplasty Surgeon in New York City & New Jersey

Dr. Drew Marano, MD is a highly trained gender-affirming surgeon practicing in New York City and Livingston, New Jersey, specializing in masculinizing bottom surgeries such as metoidioplasty. After completing advanced fellowship training in gender-affirming surgery, Dr. Marano joined Dr. Jonathan Keith at East Coast Advanced Plastic Surgery, where he refined his expertise in complex reconstructive and gender-affirming procedures. In 2025, Dr. Marano co-founded GAMMA (Gender Affirming Medical and Microsurgical Associates) alongside Dr. Keith, establishing a leading center for comprehensive and affirming surgical care. Known for his technical precision, deep expertise, and compassionate approach, Dr. Marano is dedicated to creating a supportive and affirming environment for every patient seeking gender-affirming surgery across the New York metro area and northern New Jersey.

Education & Training

• Bachelor’s degree in Music, Brown University, New York
• Medical degree, Rutgers New Jersey Medical School
• Six-year integrated plastic and reconstructive surgery residency, Columbia / Cornell University, New York City
• Fellowship in Gender Surgery, Harvard University

Metoidioplasty in New York City

Dr. Marano is highly skilled at performing all of the popular methods of metoidioplasty, from Simple Meta to Full Meta with vaginectomy, urethral lengthening (UL), scrotoplasty and testicular implants. If you're unsure about which method to pursue, Dr. Marano will clarify the pros and cons of each and how they relate to your goals during your consultation.

People seeking metoidioplasty have various reasons for choosing this procedure. While complications requiring follow-up stages are possible, metoidioplasty is generally considered less invasive than phalloplasty and many patients value the opportunity to achieve their goals following a same day, all-in-one surgery. Standing-to-pee, the option of non-binary aesthetics and lower overall cost are also considerations. However, if you're on the fence between metoidioplasty and phalloplasty, Dr. Marano offers the following advice:

@drew.marano.md Replying to @jeaneypeeny Great questions about metoidioplasty- there's the basic rundown ??????? #genderaffirmationsurgery #genderaffirmationsurgery #genderaffirmingcare #transhealth #transgender #trans #lgbt #lgbtq #plasticsurgery #ftm #metoidioplasty #meta #phallo #phalloplasty ? original sound - Drew Marano, MD

To reduce complications, Dr. Marano requires vaginectomy if UL is also being performed. For those who have not yet had a hysterectomy, vaginectomy can be performed at the same time as the hysterectomy.

To create the scrotum, Dr. Marano uses rotated labial flaps (V-Y scrotoplasty). Patients can choose between saline- or silicone-filled testicular implants.

Dr. Marano’s team includes reconstructive urologist Dr. Karl Coutinho, who assists with UL and implantation of testicular implants. Dr. Coutinho also offers repair surgeries for urological complications following metoidioplasty.

Dr. Marano offers metoidioplasty in New York City as well as the greater Newark, New Jersey area. He operates at Lenox Hill Plastic Surgery Center in NYC, as well as Short Hills Surgery Center and North Fullerton Surgery Center in New Jersey.

Surgery Requirements
Dr. Marano is a member of the World Professional Association for Transgender Health (WPATH) and follows WPATH guidelines for surgery:

• You will need to provide two referrals from qualified mental health professionals.
• Age 18+

Insurance Accepted
Dr. Marano is in-network with Horizon Blue Cross Blue Shield of New Jersey, and can also accept out-of-area BlueCard members, and some NJ Medicaid plans. (Credit and debit cards are also accepted.) NY Medicaid and Medicare are not accepted.

Booking Your Consultation
Dr. Marano is available to meet with you either virtually or in-person. His current wait time for a consultation is one month. Your surgery date can be booked to take place 2-3 months later. Contact his office to book your consultation.

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