Advice

Who Performs My Surgery At Facialteam?

Facialteam’s workplace dynamic is unique from many other FFS providers, leading to this frequently asked question: Who will be my surgeons?

At Facialteam, we believe that the collective expertise and collaborative spirit of our surgeons set us apart in the field of facial feminization surgery. Our approach is centered around a team-based model where a combination of specialized skills and the highest standard of care are sustained for each and every patient.

Let us explain further how our team cohesion functions in the best interest of our patients.

From the initial consultation to the final stages of recovery, our surgeons remain united in the development, execution and care relevant to a surgical plan that was closely consensualized with you. This way, each patient benefits from the combined knowledge and experience of our entire team. By prioritizing clinical collaboration and patient-centered care, Facialteam proves their dedication every day to achieving the most precise, optimized results for each of you.

What Does It Mean To Be A Multidisciplinary Team?

At Facialteam, we utilize a unique team-based approach to surgery, which may differ from the traditional single-surgeon model some are familiar with. We are here to guide and support you through understanding this dynamic process.

Patients are center-stage here, even more so when the surgeons work based on a team ethic conducive for scientific investigation and development. Multiple professionals work alongside each other– not one at a time nor consecutively. Operating together, not in solitary, offers the many advantages of a hyper-specialized team, such as accelerated implementation of improvements, avoiding fatigue, reducing error, readiness for contingency situations, among other benefits. 

Your Patient Coordinator will be happy to inform you of which Facialteam surgeons are anticipated to be present and, closer to the time of surgery, confirm who is scheduled for your surgery.  Any changes to those team members will be duly reported to patients in advance of their surgery, and also reconfirmed during the Postoperative period. 

For an insider’s look at the day-to-day routine of the team, follow the journey of Ari, who recently had her FFS in Marbella with Facialteam – watch #MeetAri on our Instagram.

Discover the incredible result of Ari, our dear nurse, and her transformative experience with her FFS performed by Facialteam.

FAQ About Facialteam’s Surgical Logistics

Facialteam’s Team Method, Phase By Phase

Our team in Spain consists of over 60 top professionals with extensive experience in over 8400 facial feminization procedures, for 2500+ patients from 64 countries (as of March 2024).

Combined, our FFS surgeons sum up 40+ years of experience, working together with your best interest in mind. Every professional of our multidisciplinary team plays an important role in your gender affirming journey.

Let’s explain further how we work behind the scenes as a team and why this is important to overall outcomes.

Teamwork during the consultation phase

You may have more than one initial consultation before even considering actually reserving surgery. These may occur online or at one of our centers and may last minutes or an hour. Conclusions will be noted in our secure customer relations database, so even if you meet with different doctors, there will be a summary to refer to. 

However, our doctors sometimes have differing opinions on certain aspects of your case, which is natural and will provide you with alternative perspectives to think about. In the end, this forms part of your research upon which you are the final decision-maker when it comes to the procedures to perform.  

Teamwork during the surgical planning phase

Dr. Bailón reveals the steps behind planning a Jaw and Chin Surgery

As mentioned, the surgical plan that has been developed with you is noted in our database, on the planning documents, and in the legal consent forms. Specifics may be explored with 3D planning models or virtual simulations that are also discussed with you and noted in the surgical planning files.

Finally, the complexities of cases are regularly reviewed by the team in briefing sessions where fine details are discussed at greater length.

Teamwork during the surgery


Should I worry about my surgeons being different ones, or not the “founders”? The short answer is no.

At Facialteam, our surgeries have a margin of error much lower than the industry average for all procedures. This is due to our highly defined protocols, incorporation of new technologies, and a shared workflow.

Our team-based approach ensures that every surgeon is well-equipped and follows the same rigorous standards, regardless of whether they are founders or newer team members. You can trust that you will receive exceptional care from any of our skilled specialists.

Witness The Art of Simultaneity in Our 3 Surgical Theatres

Teamwork after surgery

The postoperative department currently consists of a network of specialist aftercare coordinators, psychologists, a medical doctor specialized in HRT as well as three FFS surgeons, the directors Dr. Luis Capitán and Dr. Javier Gutiérrez plus Dr. Ángel Penedo.  Patient recovery quality assurance is the main concern of this team, which is connected with all other areas of Facialteam.

Their work comprises accompanying hundreds of Facialteam’s patients with enquiries related to the healing process and final results of surgery.  Our aftercare systems continue to provide attention online, as most patients live abroad, or in person when essential. Surgical reports and direct communication with the patient’s local healthcare providers are available if circumstances require.

Facialteam patients may request a general report of their surgery be sent to their healthcare provider of choice in order to facilitate closer communications, pool resources and eventually raise awareness of what is involved in facial gender affirming surgery.

Facialteam is also a center for Research & Education, conducting essential scientific enquiry as well as exclusive training programs for both medical students and advanced professionals. This includes learning visits called “Observerships,” which are typically 1-3 days in duration. 

As the title implies, they observe surgery and do not intervene in the workflows nor interventions. Patients during the FFS Training Program week are notified in advance of the nature of the visiting professionals and permission by informed consent is obtained.

Scientific investigation forms part of the day-to-day routine here. We consider it an honor and privilege to be a center of reference for not only Facial Gender Affirming Surgery, but also study and training.

Logo of Elsevier, a leader in information and analytics for customers across the global research and health ecosystems

Comprehensive Care of the Transgender Patient

Cecile Ferrando
From a renowned specialist at the Cleveland Clinic and medical and surgical experts in this growing field comes an up-to-date, multidisciplinary resource on transgender health care and surgery. Comprehensive Care of the Transgender Patient, by Dr. Cecile Ferrando, covers all aspects of transgender health care, beginning with epidemiology and history and progressing to an in-depth review of the complex transition for patients, including mental health services, endocrine and hormone therapy treatment, and surgical options.
International Journal Of Transgender Health logo

Facial gender confirmation surgery—review of the literature and recommendations for Version 8 of the WPATH Standards of Care

Jens U Berli, Luis Capitán, Daniel Simon, Rachel Bluebond-Langner, Eric Plemons, Shane D Morrison
Based on new studies, increasing evidence points to the need to include FGCS among medically necessary gender-confirming surgeries, though more-prospective studies are needed. Updates to the WPATH SOC 8 are proposed based on available quality of life studies.
Logo of PRS, Plastic and Reconstructive Surgery.

Facial Gender Confirmation Surgery: A New Nomenclature

Luis Capitán, Daniel Simon, Jens U Berli, Carlos Bailón, Raúl J Bellinga, Javier G Santamaría, Thiago Tenório, Anabel Sánchez-García, Fermín Capitán-Cañadas
The term Facial Gender Confirmation Surgery indicates that although the surgical techniques are the same, their objective is very distinct and, moreover, they are intended for specific patients with well-defined needs.
Logo of PRS, Plastic and Reconstructive Surgery.

Facial Gender Confirmation Surgery: A Protocol for Diagnosis, Surgical Planning, and Postoperative Management

Luis Capitán, Javier Gutiérrez Santamaría, Daniel Simon, Devin Coon, Carlos Bailón, Raúl J Bellinga, Thiago Tenório, Fermín Capitán-Cañadas
During the past 10 years, academic publications that address facial feminization surgery have largely examined the technical aspects of the different surgical procedures involved and clinical evaluations of postoperative results. This Special Topic article focuses on aspects that are underdeveloped to date but useful with regard to taking the correct therapeutic approach to transgender patients who are candidates for facial gender confirmation surgery.
Logo of PRS, Plastic and Reconstructive Surgery.

Prospective Quality of Life Outcomes after Facial Gender Affirmation Surgery: An International Multicenter Study

Shane D Morrison, Fermín Capitán-Cañadas, Anabel Sánchez-García, David C Ludwig, Jonathan P Massie, Ian T Nolan, Marco Swanson, Marina Rodríguez-Conesa, Jeffrey B Friedrich, Paul S Cederna, Raúl J Bellinga, Daniel Simon, Luis Capitán, Thomas Satterwhite
No data exist on the prospective outcomes of facial feminization surgery. This study set out to determine the effects of facial feminization surgery on quality-of-life outcomes for gender-diverse patients.
Aesthetic Surgery Journal logo

Social Perception of Facial Feminization Surgery Outcomes: Does Gender Identity Alter Gaze?

Shanique A Martin, Shane D Morrison, Viren Patel, Fermín Capitán-Cañadas, Anabel Sánchez-García, Marina Rodríguez-Conesa, Raúl J Bellinga, Daniel Simon, Luis Capitán, Thomas Satterwhite, Rahim Nazerali
The evaluation of gender-affirming facial feminization surgery (FFS) outcomes can be highly subjective, which has resulted in a limited understanding of the social perception of favorable gender and aesthetic facial appearance following FFS. Eye-tracking technology has introduced an objective measure of viewer subconscious gaze.
Logo of the Sexual Medicine Journal

ESSM Position Statement “Sexual Wellbeing After Gender Affirming Surgery”

Müjde Özer, Sahaand Poor Toulabi, Alessandra D Fisher, Guy T’Sjoen, Marlon E Buncamper, Stan Monstrey, Marta R Bizic, Miroslav Djordjevic, Marco Falcone, Nim A Christopher, Daniel Simon, Luis Capitán, Joz Motmans
This article aims to review the impact of various GAS on sexual wellbeing in treatment seeking trans individuals, and provide a comprehensive list of clinical recommendations regarding the various surgical options of GAS on behalf of the European Society for Sexual Medicine.
Logo of PRS, Plastic and Reconstructive Surgery.

Masking Gender: The Impact of Facial Coverings on Gender Recognition

Daniel Simon, Luis Capitán, Shanique A Martin, Rahim Nazerali, Thomas Satterwhite, Shane D Morrison, Fermín Capitán-Cañadas
Video conferences and masking have increased focus on the upper facial third. In the transgender community, this increased focus on the face could have substantial effects on facial gender recognition, leading to exacerbation of facial gender dysphoria.
Logo of PRS, Plastic and Reconstructive Surgery.

Facial Gender Surgery: Systematic Review and Evidence Based Consensus Guidelines from the IFGS

Devin Coon, Jens Berli, Norah Oles, Sol Mundinger, Kate Thomas, Toby Meltzer, Carrie Houssock, Thomas Satterwhite, Shane Morrison, Carlos Bailón, Thiago Tenório, Daniel Simon, Fermín Capitán-Cañadas, Luis Capitán
Facial gender surgery aims to modify patients’ facial features to be more congruent with their physical expression of gender, reducing gender dysphoria and improving quality of life.
Logo of Elsevier, a leader in information and analytics for customers across the global research and health ecosystems

Atlas of Operative Techniques in Gender Affirmation Surgery

Luis Capitán, Daniel Simon, Fermín Capitán-Cañadas
As transgender and gender non-binary individuals are a growing demographic, the number of patients seeking gender confirmation surgery is increasing. Atlas of Operative Techniques in Gender Affirmation Surgery is a highly illustrated and practical guide to the different types of gender affirmation surgery.

Let us answer your questions

If you have read this article but still need some extra information regarding our team dynamics book a free consultation now.

Our team of experts is ready to address any questions you may have regarding these.

Patient Relations Manager Lilia Koss, presentator of Lilia's Livestreams
About the author

Hello world! I’m Lilia Koss and I use she, her, and they pronouns. What are yours? With a background in humanities and diverse professional experiences, I have been working with the Facialteam founders and directors since 2008. Involved from the ground up, so I’ve had hands in many pots: patient coordination, orientation events on 3 continents, social media, written and audiovisual content about our gender-affirming healthcare...but now life is more defined. Lately, I focus my energies on Public Relations, community management and live streaming to help raise the visibility of trans health. Life is pretty complete.