IM Gender · Gender Unit · Barcelona
Gender-Affirming Surgery
One to three months of full-time, on-site clinical and surgical immersion at IM Clinic (Sant Cugat del Vallès), directed by Dr. Iván Mañero and Dr. Trinidad Labanca.
The programme
An opportunity to complete an observership at the IM Clinic Gender Unit, with direct exposure to one of the most innovative and specialised fields of plastic and reconstructive surgery, alongside a surgical team of recognised international standing.
Learning objectives
A pathway designed for specialist surgeons, combining technical mastery, a multidisciplinary outlook and ethical awareness.
Observe and understand the most frequently requested procedures (chest masculinisation, vaginoplasty, phalloplasty, metoidioplasty, breast augmentation and body procedures), together with the relevant surgical anatomy and individualised planning.
Gain a holistic perspective that brings together surgery, endocrinology and psychology, taking part in team meetings and learning the criteria used to select candidates for surgery.
Understand the emotional and social considerations involved, develop patient-centred communication and reflect on autonomy, informed consent and respect for gender identity.
Recognise and manage the complications specific to each procedure, assess aesthetic and functional outcomes, and take part in long-term follow-up.
Contribute to clinical and academic research, review the current scientific literature, and develop skills in writing up and presenting clinical cases.
Become familiar with the diversity of gender identities and learn to provide care that respects cultural, religious and social differences.
Programme activities
Surgical activity is the heart of the programme. Guaranteed minimum monthly exposure:
Observation and assisting
Assessment and follow-up
Seminars and literature
Team meetings
The facilities · IM Clinic, Sant Cugat
The programme takes place at IM Clinic in Sant Cugat del Vallès: smart operating theatres filled with natural light, the latest technology and the capability to broadcast surgery live.
Programme directors
Director
Plastic, aesthetic and reconstructive surgeon · Founder of IM Clinic and IM Gender
More than three decades in plastic surgery and a pioneer of genital gender-affirming techniques, internationally recognised as one of Europe's leading gender surgeons.
Director
Gender-affirming surgery · IM Gender
Co-director of the scientific programme, specialising in gender-affirming surgery and complex reconstruction in transgender patients.
Requirements and documents
Admission process
Stage 1
An admissions committee assesses each application on academic background, surgical experience and the quality of the CV, letter of intent and references.
Stage 2
Shortlisted candidates are invited to an interview, in person or by video call, to assess their motivation, understanding of the field and ability to integrate into the team.
Stage 3
Successful candidates receive an official letter of acceptance with dates, requirements and practical information. Confirmation is requested within 2–3 weeks.
Fees and financial information
Admission fee
One-off enrolment fee
€500
Monthly fee
For each month of the programme
€7,000
First month
The admission fee is deducted from the first monthly payment
€6,500
Administration fee
Official certificate of completion and academic transcript
€100
Scholarships and grants
Available to applicants from countries classed as least developed by the United Nations.
Accommodation
Reduced rates in a shared flat in Sant Cugat, subject to availability.
Not included
Travel, accommodation and health insurance (insurance is compulsory for the duration of the stay).
IM Gender · Dossier
Gender-Affirming Surgery
Edition
2026
The programme in detail
Everything about the Observership Programme in one dossier: objectives, activities, requirements, admission process and fees, ready to read or to share with your department.
Apply today
Join an internationally respected team at the forefront of reconstructive and gender-affirming surgery. Places are limited to protect access to the operating theatre and close contact with the team.
