Orchiectomy
in Charlotte, NC
A Comprehensive Guide to Surgical Testicular Removal & Gender-Affirming Genital Surgery.
The Cosmetic Concierge provides orchiectomy in Charlotte, North Carolina — offering individualized surgical planning for trans, non-binary, and cis patients seeking testicular removal for gender affirmation, long standing dysmorphia (psychological discomfort) with the testicles, desire for decreased testosterone production, and chronic testicular pain . Each surgical approach is tailored to the patient’s anatomy, goals for perineal appearance, and plans for future procedures.
Orchiectomy is an elective surgical procedure involving the removal of one or both testes. Surgical planning addresses scrotal management, tissue preservation or removal, and the option for testicular implants, depending on personal preference and anticipated future needs.
Why patients choose Dr. Sherie
AAAHC Accredited Facility
Private surgical suite, Charlotte, NC
Double Board-Certified
General & cosmetic surgery
25+ years of experience
Elective orchiectomies offered since 2012
Virtual consults available
Nationwide & international patients
Overview
What is Orchiectomy Surgery?
Orchiectomy is the surgical removal of the testes. For patients pursuing gender-affirming care or decreased testosterone levels, bilateral orchiectomy eliminates over 95% of endogenous testosterone production, which can simplify or reduce hormone therapy requirements. The procedure may also be pursued for personal comfort, chronic pain, dysphoria reduction, or as a step toward further gender-affirming surgeries.
Procedure options include:
- Orchiectomy without scrotal excision — testicular removal with scrotal tissue preserved
- Orchiectomy with scrotal excision — removal of the testes and scrotal skin for a smoother contour
- Orchiectomy with testicular implants — placement of prosthetic implants for patients who wish to retain external appearance
A comprehensive consultation allows Dr. Sherie to evaluate your anatomy, discuss your goals, and determine the most appropriate approach for your individual plan.
Who seeks orchiectomy
Why Choose Orchiectomy
Orchiectomy can be an important choice for people who want to reduce testosterone, lessen the need for long-term hormone blockers, relieve discomfort or dysphoria, or have a body that feels more aligned with who they are. It can also support those seeking a more neutral genital appearance, or anyone looking to simplify their hormonal care and overall well-being.
There is no single “right” reason — only what feels right for you.
Transfeminine (MTF / AMAB)
Transfeminine Patients
An affirming step that lowers testosterone at its source — often reducing the need for anti-androgens and supporting feminizing hormone therapy.
Cisgender Men
Orchiectomy for Cisgender Men
Some cisgender men pursue orchiectomy to address chronic pain, manage hormonal imbalance, or find relief from concerns related to their testicles or testosterone production.
Non-Binary
Non-Binary Patients
Non-binary individuals may seek orchiectomy for a range of reasons — the desire for a more neutral anatomy, relief from dysphoria, or to simplify hormonal care.
Your surgeon
About Dr. Hope Sherie
Dr. Hope Sherie is a double board-certified general and cosmetic surgeon with advanced training in gender-affirming surgical procedures for a diverse range of patients. She has been performing testicular surgery since 1999 and has specifically offered non-urgent elective orchiectomies since 2012.
Dr. Sherie performs 50–100 bilateral orchiectomies per year at a private AAAHC-accredited surgical facility in Charlotte, NC, and has cared for patients traveling from across the United States and internationally.
Surgical options
Orchiectomy Surgical Options
During consultation, Dr. Sherie will talk through each option with you — always validating, and ensuring the outcome aligns with your personal vision of yourself.
Scrotal-preserving
Orchiectomy Without Scrotal Excision
This approach removes the testes while preserving the scrotal tissue. Scrotal preservation may be appropriate for patients who prefer to maintain external appearance, who are considering future vaginoplasty, or who prefer a less extensive initial procedure.
The scrotal skin remains but will typically tighten and retract over time. All skin is preserved and can be used for future vaginoplasty reconstruction.
Maintains external anatomy while removing one or both testicles
Often chosen by patients planning future vaginoplasty
Less extensive procedure with straightforward recovery
Before / after photo
Smooth contour
Orchiectomy With Scrotal Excision
For patients who prefer a smoother, more minimal genital contour and do not plan to use scrotal tissue for future reconstruction, this approach removes both the testes and the scrotal skin — leaving a clean, smooth surface along the perineum.
Incision placement is carefully planned. Over time, the scar is nearly invisible — appearing as a single fine line in the midline perineal space.
Single fine scar in the midline perineal space
Best for patients seeking a smooth, flat contour
Not recommended if vaginoplasty may be planned
Before / after photo
Retained appearance
Orchiectomy With Testicular Implants
For patients who wish to retain a typical scrotal appearance following testicular removal — whether for personal, professional, or social reasons — prosthetic testicular implants can be placed at the time of surgery.
Implant size and placement are individualized to achieve natural-looking symmetry and proportion.
Prosthetic implants placed at time of surgery
Individualized sizing for natural symmetry
Suitable for patients wishing to retain external anatomy
Before / after photo
How Technique Selection Is Determined
Technique selection is evaluated based on several factors during consultation. There is no universal approach — planning is fully individualized.
Goals for scrotal tissue — preservation, excision, or implant placement
Plans for future gender-affirming procedures, including vaginoplasty
Personal preference for external genital appearance
Overall surgical staging and recovery planning
Hormone therapy history and anticipated future needs
Combined procedures
Staging With Top Surgery or Other Procedures
For patients pursuing multiple gender-affirming procedures, orchiectomy may be planned as a standalone procedure or staged alongside other surgeries. Combined surgical planning is discussed in detail during consultation.
Patients considering top surgery (chest or breast) along with orchiectomy may benefit from coordinated staging — either performing procedures simultaneously where appropriate, or sequencing them to optimize recovery and results. Dr. Sherie provides individualized recommendations based on your surgical goals and overall health.
Recovery
Recovery After Orchiectomy
Orchiectomy is typically performed as an outpatient procedure under general anesthesia at Dr. Sherie’s AAAHC-accredited facility in Charlotte, NC. Recovery is generally straightforward, with most patients returning to daily activities within a short time.
Surgery day
Outpatient procedure under general anesthesia. Same-day discharge from AAAHC-accredited facility.
Initial downtime (~1 week)
Rest and limited activity. Temporary swelling and bruising. Within 24 hrs, testosterone reaches castrate level.
Swelling resolves
Swelling and bruising resolve. Most patients return to light daily activities.
Restricted lifting
Restricted strenuous activity and lifting. Ongoing care with Dr. Sherie's team.
Full activity return
Gradual return to full activity. Ongoing guidance and scheduled follow-up appointments throughout recovery.
Hormone therapy
Effects on Testosterone & Hormone Therapy
Bilateral orchiectomy eliminates over 95% of endogenous testosterone production, which often allows for simplification of feminizing hormone therapy. The half life of testosterone in the blood is less than one hour; and within 24 hours of orchiectomy, the patient’s testosterone levels are within “castrate level” and testosterone blocking medications may be discontinued.
Any adjustments to hormone therapy should be coordinated with your prescribing provider. Dr. Sherie’s team can provide surgical documentation to support this coordination — and for patients who prefer to manage their hormone care in one place, The Cosmetic Concierge also offers bio-identical hormone pellet therapy on-site.
BioTe Hormone Therapy — Available On-Site
BioTe uses pellet-based bio-identical estrogen and/or testosterone hormone delivery to provide consistent, sustained hormone levels, without the fluctuations that can come with other delivery methods. For patients who have undergone orchiectomy, this means hormone management handled by a team that already knows your surgical history, your goals, and your care plan.
Patients interested in combining surgical care with ongoing hormone management through BioTe are encouraged to ask about this option during their consultation.
Pricing
Orchiectomy Cost in Charlotte, NC
All-inclusive pricing — no hidden fees or surprise bills. Prices include all operating room and facility fees, doctor’s fees, anesthesia, post-operative garments, and pre- and post-operative visits.
Prices do not include prescription drugs or pre-operative laboratory fees (if required). The Cosmetic Concierge is currently out-of-network with all insurance providers. At this time, we are unable to file insurance requests, but will provide you with your medical codes and surgical documentation if you wish to file for reimbursement from your own insurance provider. If you have questions about coverage or costs, please call our office — we’re happy to walk you through the details.
CareCredit
Alphaeon Credit
Self-pay
Insurance documentation provided
Questions & answers
Frequently Asked Questions
Will orchiectomy affect my hormone therapy?
Bilateral orchiectomy eliminates over 95% of endogenous testosterone production, which often allows for simplification of feminizing hormone therapy. The half-life of testosterone in the blood is less than one hour — within 24 hours of orchiectomy, testosterone levels reach castrate level and testosterone-blocking medications may be discontinued. Any adjustments to hormone therapy should be coordinated with your prescribing provider. Dr. Sherie’s team can provide surgical documentation to support this coordination — and for patients who prefer to manage their hormone care in one place, The Cosmetic Concierge also offers bio-identical hormone pellet therapy on-site.
Can I have orchiectomy without scrotal excision?
Yes. Scrotal-preserving orchiectomy is available for patients who prefer to maintain scrotal tissue — whether for future surgical use, personal preference, or other reasons. Scrotal skin will typically retract and become less prominent over time, but all the skin remains and can be used for future vaginoplasty.
Is scrotal tissue needed for future vaginoplasty?
Depending on the vaginoplasty technique, scrotal tissue may be used in reconstruction. If vaginoplasty is part of your longer-term surgical plan, this should be discussed during consultation so that staging and tissue preservation can be planned accordingly.
How visible are scars after orchiectomy?
Incision placement is planned to minimize visible scarring. For scrotal-preserving procedures, a single small incision is made in the midline (raphe) of the scrotal skin. For scrotal excision, a single fine line is left in the midline perineal space — over time this is nearly invisible.
Can orchiectomy be combined with other surgery?
For some patients, staging orchiectomy alongside top surgery or other gender-affirming procedures may be appropriate. This is evaluated individually based on your surgical goals, recovery capacity, and overall health. Combined planning is discussed in detail during consultation.
Does The Cosmetic Concierge see patients from outside Charlotte?
Yes. Dr. Sherie sees patients from across North Carolina, South Carolina, the broader United States, and internationally. Virtual consultations are available for out-of-town patients, and our team provides coordinated support for surgical scheduling and post-operative planning.
What is included in the orchiectomy price?
Our pricing is all-inclusive: operating room and facility fees, surgeon’s fees, anesthesia, post-operative garments, and pre- and post-operative visits. Prices do not include prescription medications or pre-operative laboratory fees if required.
Patient experiences
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6% discount for active duty military and veterans with a valid VA or military ID.
Service area
Serving Charlotte & Surrounding Communities
The Cosmetic Concierge serves patients seeking orchiectomy in Charlotte and the surrounding areas, including South End, Dilworth, Ballantyne, Huntersville, Matthews, Concord, Gastonia, and beyond.
In addition to caring for patients across North Carolina and South Carolina, Dr. Sherie has performed gender-affirming procedures for individuals who have traveled from across the United States as well as internationally. Patients often choose to travel for Dr. Sherie’s individualized surgical planning, compassionate care, and experience in gender-affirming procedures.
Our team provides coordinated support for out-of-town patients, including virtual consultations, surgical scheduling guidance, and post-operative planning to ensure a seamless experience.
Charlotte, NC
South End
Dilworth
Ballantyne
Huntersville
Matthews
Concord
Gastonia
North Carolina
South Carolina
Nationwide
International
Schedule a Consultation
Virtual consultations available for out-of-town patients
Orchiectomy — Charlotte, NC
Related Procedures
Why patients choose us
AAAHC Accredited Facility
50–100 bilateral orchiectomies/year
25+ years of experience
Double board-certified surgeon
On-site BioTe hormone therapy
Virtual consults available
CareCredit & Alphaeon accepted
Financing
Military Discount
6% off for active duty military and veterans with valid VA or military ID.
Schedule a Consultation
If you are considering orchiectomy in Charlotte — whether as a standalone procedure or as part of a broader gender-affirming surgical plan — we invite you to schedule a private consultation with Dr. Sherie. Virtual consultations are available for patients traveling from outside the Charlotte area.