Surgery is becoming more available for transgender people as a growing number of academic centers and hospitals offer the procedure and insurance companies provide coverage.

Stacey Parsons, a 45-year-old from Kent, Ohio, had genital surgery in August at Cleveland Clinic, which last year launched a transgender-surgery-and-medicine program. For years the procedure was unattainable for Ms. Parsons because it costs upward of $20,000 and was rarely covered by insurance.

Other medical centers also have begun offering transgender surgeries, including Boston Medical Center, Oregon Health & Science University in Portland and Mount Sinai Hospital in New York City. Baltimoreโ€™s Johns Hopkins Hospital, which had one of the first such centers in the 1960s, is in the process of re-establishing a transgender program and will begin accepting patients by early next year. Previously, patients wanting transgender surgeries had to seek them out through private-practice plastic surgeons or in countries such as Thailand.