Psychotherapist/Consulting Physicians


XTINE IRANDOKHT MILROD, Ph.D. (Human Sexuality), M.A. (Clinical Psychology), LMFT (Licensed Marriage and Family Therapist, California/New York), (they) certified as a transgender affirmative WPATH member and GEI SOC v. 8 Certified Mentor (World Professional Association for Transgender Health), as well as a certified sex therapist by AASECT (American Association of Sexuality Educators, Counselors and Therapists) specializes in gender identity concerns, transgender treatment issues, and human sexuality. Formerly associated with the Los Angeles LGBT Center, Dr. Milrod has published and lectured on transgender treatment ethics in minors, gender affirmative surgery, and the commercial sex industry. Xtine is a member of the California Association of Marriage and Family Therapists (CAMFT), and the Society for the Scientific Study of Sexuality (SSSS). Xtine is also a member of International Society for Sexual Medicine (ISSM). Xtine Milrod is neurodivergent and tweets @XtineMilrod regularly about TGD issues. (#MFC 39265, 2002; #NYS 000481, 2006)


RICHARD HOROWITZ, MD, F.A.C.P., (he/him) is board certified in internal medicine and has been a clinical faculty member of the Department of Medicine at Cedars-Sinai Medical Center in Los Angeles since 1991. Dr. Horowitz received his medical degree from Université François Rabelais in Tours, France in 1983. He completed a fellowship in reproductive immunology at Institut Louis Pasteur in Paris and was Chief Medical Resident of internal medicine at New York’s Mount Sinai City Hospital until 1986. He has been the Chairman and member of Executive Committees at several Los Angeles hospitals, in addition to his academic appointment as an Assistant Professor of. Medicine at UCLA Center for Health Sciences, Harbor-UCLA Medical Center and Wadsworth Veterans Administration Medical Center. A private practitioner and specialist in the area of transgender hormone replacement therapy, Dr. Horowitz is a member of the World Professional Association of Transgender Health, the American College of Physicians and the American Society of Nephrology. (A43197, 1987)


GARY J. ALTER, MD., (he/him) is one of only three physicians in the United States who is an ABMS board certified diplomate of both urology and plastic surgery. He is in the private practice of plastic and reconstructive surgery with a specialty in genital reconstruction, chest contouring, and a full range of Gender Confirming Surgeries.  Dr. Alter obtained his MD degree from UCLA in 1973 and finished his urology training in 1979 at the Baylor College of Medicine in Houston, Texas. After practicing urology for ten years, he entered a plastic surgery residency at the Mayo Clinic in Rochester, Minnesota. He completed this residency in June of 1992 and took a fellowship in genital plastic reconstructive surgery at the Eastern Virginia Graduate School of Medicine in Norfolk, Virginia. Dr. Alter is an Assistant Clinical Professor of Plastic Surgery at UCLA. He is a member of the World Professional Association of Transgender Health, the American Urological Association, the American Society of Plastic and Reconstructive Surgeons and the Society of Genitourinary Reconstructive Surgeons. (G27611, 1974)

HARRISON H. LEE, MD, DMD, FACS, (he/him) specializes in Facial Gender Confirmation Surgery (FGCS), osteoplasty, facial implants, reconstructive and elective facial cosmetic surgery procedures. Dr. Lee is a graduate of the dental program at Tufts University School of Dental Medicine, as well as a graduate of the four-year program in Oral Maxillofacial Surgery at Rutgers New Jersey Medical School. He served as assistant clinical professor at New York University College of Dentistry and obtained his MD from New York Medical College. Dr. Lee is a Diplomate of the American Board of Facial Plastic and Reconstructive Surgery, Diplomate of the American Board of Otolaryngology Head and Neck Surgery, and Diplomate of the American Board of Oral and Maxillofacial Surgery. He is a Fellow of the American College of Surgeons, Fellow of the American Academy of Facial Plastic and Reconstructive Surgery,  Fellow of the American Academy of Otolaryngology – Head and Neck Surgery, and a Fellow of the American Association of Oral and Maxillofacial Surgeons. (G83622, 1992)


DAN H. KARASIC, MD., Professor Emeritus, Psychiatry, UCSF Weill Institute for Neurosciences (he/him) has been a UCSF professor since 1991, and opened a telepsychiatry private practice in 2020.  He received his M.D. from Yale University and trained in psychiatry at the UCLA Neuropsychiatric Institute. In addition to having much experience treating patients with a wide range of concerns, including depression, bipolar disorder, PTSD, panic disorder, generalized anxiety disorder, schizophrenia, schizoaffective disorder, OCD, ADHD, and substance use disorders, he has taught medical students and trained psychiatric residents on providing this care, with an emphasis on evidence based treatments, but also a holistic approach to wellness beyond medication, and cultural humility in patient care. Dr. Karasic (he/him/his) created and led transgender health programs, and provided care for people with HIV and other medical illnesses, and has done research on treatment of depression.  He authored many articles and book chapters, and edited the book, Sexual and Gender Diagnoses of the Diagnostic and Statistical Manual (DSM): He is a Distinguished Fellow of the American Psychiatric Association, current Chair of the APA Workgroup on Gender Dysphoria, a past president of the Association of LGBTQ+ Psychiatrists, and recipient of the 2012 UCSF Chancellor’s Leadership Award for LGBT Health. (G65105, 1987).