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Meet Breïa


Breïa's story

Annual Trans Surgery Fund recipient

Breïa (she/her) is a trans woman who has faced many challenges when it comes to insurance and trying to access bottom surgery. At first, her employers said she would have it covered but only if the surgeon was in-network in the state. When coverage was rejected, Breïa tried using ACCHS and unfortunately there were no surgeons in network. Breïa felt defeated and felt that she would never be able to achieve her goal.

Breïa is both an older and younger sister, and she loves to sing and dance and go out with friends. Those who know her describe her as someone who likes to live in the moment, who is caring and does everything and anything she can to support anyone in need.

"Gender dysphoria always seems in the way of life," she shares. She worries about safety if people learn about her trans status; she longs to feel more confident and affirmed post-op. "When I was 2 years old, I remember hoping I'd grow up to be just like my sister," Breïa says. "And now, 21 years later, that just might happen."

Breïa's timeline

  • Award Granted

    March 30, 2023

    Breia was granted a Surgery Fund Award!

Grant details

$20,000 towards gender-affirming care.

TikTok-a-Thon grantee

About MTF Bottom Surgery

On average, it costs $35,000+ for Breïa's care.

What is it?

MTF bottom surgery is also known as gender-affirming vaginoplasty or genital reconstruction surgery. Bottom surgery typically involves multiple surgical techniques and varies widely based on a person’s individual needs and desired outcome.

What is life like for a person who needs this care?

Before undergoing surgery, trans individuals typically experience dysphoria that impacts their daily life. Patients will undergo extensive consultations to discuss their goals, expectations, and surgical options. It is often a long and challenging process to be approved for surgery.

How accessible is it for trans folks to receive this care?

While bottom surgery is often categorized as a covered benefit in many insurance plans, the reality is that it's frequently denied coverage. Many people report unsuccessful attempts to appeal for coverage. In addition, finding skilled surgeons experienced in performing top surgery can be extremely challenging, particularly in states and regions most affected by anti-trans healthcare legislation.

What is the impact of this care on the recipient’s life?

The recovery period for bottom surgery is significant: depending on the individual, it may take several months to heal from the surgery. Most trans folks report greatly improved self-esteem, confidence, and sense of authenticity, which translates into greater opportunities in employment and more.