FACIAL SURGERY
Brow	Brow reduction Brow augmentation Brow lift
Hair line advancement and/or hair transplant
Facelift/mid-face lift (following alteration of the underlying skeletal structures)
Facelift/mid-face lift (following alteration of the underlying skeletal structures)	Platysmaplasty
Blepharoplasty	Lipofilling
Rhinoplasty (+/- fillers)
Cheek	Implant Lipofilling
Lip	Upper lip shortening Lip augmentation (includes autologous and non-autologous)
Lower jaw	Reduction of mandibular angle Augmentation
Chin reshaping	Osteoplastic Alloplastic (implant-based)
Chondrolaryngoplasty	Vocal cord surgery (see voice chapter)
BREAST/CHEST SURGERY
Mastectomy	Mastectomy with nipple-areola preservation/reconstruction as determined medically necessary for the specific patient Mastectomy without nipple-areola preservation/reconstruction as determined medically necessary for the specific patient
Liposuction
Breast reconstruction (augmentation)	Implant and/or tissue expander Autologous (includes flap-based and lipofilling)
GENITAL SURGERY
Phalloplasty (with/without scrotoplasty)	With/without urethral lengthening With/without prosthesis (penile and/or testicular) With/without colpectomy/colpocleisis
Metoidioplasty (with/without scrotoplasty)	With/without urethral lengthening With/without prosthesis (penile and/or testicular) With/without colpectomy/colpocleisis
Vaginoplasty (inversion, peritoneal, intestinal)	May include retention of penis and/or testicle
Vulvoplasty	May include procedures described as “flat front”
GONADECTOMY
Orchiectomy
Hysterectomy and/or salpingo-oophorectomy
BODY CONTOURING
Liposuction
Lipofilling
Implants	Pectoral, hip, gluteal, calf
Monsplasty/mons reduction
ADDITIONAL PROCEDURES
Hair removal: Hair removal from the face, body, and genital areas for gender affirmation or as part of a preoperative preparation process. (see Statement 15.14 regarding hair removal)	Electrolysis Laser epilation
Tattoo (i.e., nipple-areola)
Uterine transplantation
Penile transplantation