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The surgeries were performed by Dr. Jonathan Keith, an assistant professor in the Division of Plastic Surgery at Rutgers New Jersey Medical School. Keith is also the co-founder of the Rutgers Center For Transgender Health, which brings together healthcare providers in gynecology, urology, otolaryngology, psychiatry, and plastic surgery (chest masculinization, breast augmentation, phalloplasty and metoidioplasty, and vaginoplasty) to provide care for both transmasculine and transfeminine patients. In 2017, the American Society of Plastic Surgeons reported 3,200 gender affirmation surgeries (also called gender confirmation surgeries) in the United States.