Online Registration

Genital Gender Affirming Surgery Didactic and Hands-On Course
November 12 & 14, 2023, San Diego, CA

Before you start your registration, please note:

You are required to complete all steps to register.
You can return to a previous step to make changes.
It is not possible to save or return to an incomplete registration.

Personal details

First name*

Middle name

Last name*

Field of work*

Degree

Organization*

Department

Function*

Social

Twitter username

Address

Mailing address

Institute

Home

Address*

Country*

State

Zip code*

City*

Delegate e-mail*

Secondary e-mail

Telephone*

Special needs / remarks:

Attendee category

Please select your attendee category

Members
	Medical Student**
	Resident*
	US Military Physician
	US Military Other Health Professional

Non-Members
	Medical Student**
	Resident*
	US Military Physician
	US Military Other Health Professional

* A letter of the chairman of the department is compulsory.
** A copy of your valid student ID card or a letter from your institution (on their letterhead) verifying your status should be sent to the SMSNA Executive Office at meeting@smsna.org

Genital Gender Affirming Surgery Didactic and Hands-On CourseNovember 12 & 14, 2023, San Diego, CA

Genital Gender Affirming Surgery Didactic and Hands-On Course
November 12 & 14, 2023, San Diego, CA