Dr. Dirk Lazarus

Plastic, Reconstructive & Cosmetic Surgeon

MBChB (UCT), FCS (SA) Plast & Recon Surg


I offer top surgery and other gender affirming surgery for trans patients. I do not do bottom surgery any more.

For F –> M I do bilateral mastectomies and free nipple graft surgery, often/usually supplemented with some liposuction to optimise shape.

For M –> F patients I do standard Breast Augmentation.

I perform all surgery in my own private clinic, Tranquillity Clinic, as day case surgery – in and out on the same day. After admission I will greet and mark you up. We will give you a pre-operative sedative and you will meet the anaesthetist. Surgery is performed under deep sedation so that you will be asleep, unaware and pain-free. Local anaesthetic is used as well to help with intra and post operative pain.

After surgery, once in the ward you will recover. Good pain killer medication will be given. When you are ready, you will be discharged home into the company of a responsible adult. Regular check ups will be done after surgery and as required by you. Dressings will need to be changed and advice about scar management will be given.

Gender affirming surgery is life changing. My goal is to get you through this transition as safely and as painlessly as possible. Further I strive to obtain the optimal aesthetic result for you.

10 March 2021


Hi Anneli, Just have to share this…today I walked through the foyer of our company and an oldish German lady who passed through took my arm, looked at me and said in english :’ So elegant, so chic”. Anneli, it was NOT my clothes or hair or even my eye-lift, it was the confidence I exuded because I felt good about myself for the first time in many years. Kiss Dirk for me and tell him how wonderful it made me feel.