Permanent, Affirming Hair Removal for Surgery Clearance & Beyond.
Specialized, compassionate electrolysis dedicated to gender-affirming care, pre-surgical site clearance for bottom surgery, and facial & body dysphoria relief. Working directly with your surgical team and Oregon insurance providers.
Recognized by OHSU Transgender Health Program, Legacy Good Samaritan, and independent gender-affirming surgeons across the Pacific Northwest.
Zero judgment • Fully confidential • FDA-approved only permanent method
Precision Electrology for Every Phase of Transition
Unlike laser reduction which can leave deep dormant follicles, needle electrology is the gold standard required by surgeons to permanently eliminate follicles before flap creation and surgical closure.
Pre-Surgical Clearance (Bottom Surgery)
Vaginoplasty (penile inversion, scrotal graft & peritoneal pull-through), Phalloplasty donor prep (RFF forearm and ALT thigh flaps), and Metoidioplasty. We treat strictly to the millimetric templates provided by your surgical team.
- doneSurgeon Clearance Packets
- doneFollicle Dormancy Cycling
Facial & Body Affirming Care
Permanent facial feminization hair removal (beard, upper lip, chin, neck), hairline redesign, and chest contouring. We calibrate galvanic, thermolysis, and synchronized blend modalities for dense, coarse follicle structures.
- doneBlend & Thermolysis
- doneSkin Barrier Protection
Pain Management & Comfort Protocols
Collaborative protocols with MD/ND prescribers for compounded topical 23%/7% lidocaine/tetracaine formulations, referral networks for physician nerve blocks, weighted blankets, dim lighting, and silent treatment modes.
- doneCompounded Topical Protocols
- doneSensory Accommodations
Insurance & Prior-Auth Navigation
Direct billing for Oregon Health Plan (CareOregon, Health Share of Oregon, Yamhill, Trillium) and dedicated single-case agreements for commercial carriers (Kaiser Permanente Northwest, Regence, PacificSource, Providence).
- doneCPT 17380 Code Filing
- donePrior-Auth Appeals Advocacy
Surgical Hair Clearance Roadmap
Surgeons require a rigorous waiting clearance period after the final session to ensure no dormant follicles emerge after tissue inversion. Here is how we chart your journey backwards from your prospective surgery date.
Typical Duration
8 – 14 Months
Template Review & Mapping
We review your surgeon's specific anatomical diagram (scrotal perineal margins or forearm graft lines) and establish magnification photographs of follicle density.
Insurance Prior Authorization
We submit CPT 17380 authorizations along with your surgeon's medical clearance letters to OHP or commercial plans, securing written approval hours before you pay anything.
Intensive Clearance Cadence
Regular 60–120 minute sessions every 1–2 weeks catching anagen hair growth cycles. We rotate treated quadrants to support tissue integrity and comfortable skin healing.
Final Audit & Surgical Sign-Off
A mandatory 6–8 week observation window without treatment to verify zero active regrowth. Once verified, we send an official Letter of Clearance directly to your surgery coordinator.
Follicle Depletion Projection Curve
Cumulative treated follicle dormancy across anagen growth cycles (CPT 17380)
Integrated Directly With Your Surgery Team
Surgeons have unique preference margins. Some require 3cm margins beyond the skin graft border; others prefer specific perineal contours. We speak directly with surgical coordinators to eliminate surprises or last-minute surgery delays.
“Getting ready for vaginoplasty at OHSU was overwhelming until I found Rose City. They handled my CareOregon paperwork effortlessly and treated me with profound gentleness. My surgeon gave my clearance letter an immediate stamp.”
Maya R. (she/her)
Vaginoplasty Prep • CareOregon / OHP Member
“Radial forearm site clearance for phalloplasty is physically taxing, but the sensory room accommodations, prescription lidocaine coordination, and non-judgmental atmosphere made weekly sessions completely manageable.”
Elliot T. (he/him)
RFF Phalloplasty Donor Prep • Kaiser NW
No Hidden Fees. Direct Insurance Billing.
Affirming care should never be hindered by billing confusion. We directly bill Oregon Health Plan coordinated care organizations and manage prior authorization extensions so your care is continuous.
Hourly Sessions
- check30 Min Session: $65
- check90 Min Intensive: $160
- check120 Min Intensive: $210
- checkSliding scale reserved spots available
- checkFull superbills provided for out-of-network reimbursement
OHP Direct In-Network
- verifiedCareOregon & Health Share of Oregon
- verifiedTrillium Community Health Plan
- verifiedYamhill Community Care (YCCO)
- verifiedPrior authorization documentation submitted by us
- verifiedNo surprise balance billing
Commercial Insurance
- checkKaiser Northwest Referral Authorizations
- checkRegence BlueCross BlueShield
- checkPacificSource & Providence Health
- checkWPATH SOC8 Letters of Medical Necessity
- checkIn-network gap exception assistance
Trauma-Informed Practice Commitments
We recognize that clinical hair removal on intimate anatomical zones or dysphoria-inducing facial areas requires radical safety, control, and patience.
Unconditional Stop-Word Policy
You remain in absolute authority. Any session pauses instantly upon request with zero questioning, whether for pain, emotional overwhelm, or posture shifts.
Privacy Draping & Modesty Care
During genital clearances, only the immediate 2x2 inch working zone is ever uncovered. Sheets and warm blankets preserve your comfort throughout.
Sensory & Silent Appointment Options
Request low ambient lighting, weighted blankets, heated treatment tables, or a completely silent session where you can listen to headphones or rest in peace.
“Our studio is an emotional sanctuary where your autonomy, your body, and your pronouns are protected without exception.”
— The Rose City Electrology Care Team
Begin Your Affirming Journey
Complete this secure pre-consultation intake. We will verify your insurance benefits or provide transparent pricing options before booking your 30-minute complimentary assessment.
Thank you! Your intake is received.
Our clinic care coordinator will review your information, check insurance prior-authorization pathways, and email/text you with our consultation calendar.
Hawthorne Sanctuary
3434 SE Hawthorne Blvd, Suite 204
Direct Call or SMS
(503) 555-0184
Clinic Hours
Tue–Sat: 8:00 AM – 6:30 PM