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Surgical Complications: what happens when things don’t go according to plan
Complications are one of the topics I get asked about, directly or indirectly, more than almost anything else, and I think it's a subject that doesn't get nearly enough airtime. Recently we covered the topic on the Top Surgery Podcast and, given I was deep in thought on the subject, I thought I would extend it to a blog post too, laying out the realities clearly and honestly. What is a complication? In a surgical context, a complication is generally defined as an unwanted eve

Ioannis Ntanos
3 days ago5 min read


Focusing on the future - An update to the community
Two years ago, I wrote to you about a new chapter, my decision to build a practice in Athens, so that I could offer the care you deserve at a cost that felt fair. What followed has exceeded everything I hoped for, and that is entirely because of you. The response from the community both in Greece, in the UK, and further afield has been overwhelming. The demand for timely, compassionate, gender affirming care in Athens has grown steadily, and I have found in Greece the team, t

Ioannis Ntanos
Mar 22 min read


BMI and Top Surgery: Understanding the Clinical Framework
I was recently contacted by a prospective patient asking about BMI (Body Mass Index) cutoffs for top surgery. This is an important question that deserves a transparent and thorough explanation. What is BMI and why does it matter? BMI is a screening tool used by healthcare professionals to estimate body composition using height and weight. While it has well-documented limitations (it doesn't account for muscle mass, fat distribution, or individual health variations) it remains

Ioannis Ntanos
Jan 93 min read


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