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50+ Years
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Expert Plastic & Reconstructive Surgery in San Francisco
Buncke Medical Clinic has been a global leader in reconstructive surgery since 1970, pioneering advancements in microsurgery, plastic and reconstructive surgery, and hand surgery. Based in San Francisco, we serve the Bay Area community while maintaining our reputation as a top tertiary and quaternary referral center for complex reconstructive cases. Our team of internationally recognized surgeons utilizes cutting-edge techniques to restore function and appearance through procedures including microsurgery, breast reconstruction, nerve injury repair, and gender affirmation surgery.

Affiliated with California Pacific Medical Center, Stanford, and UCSF, we combine over 50 years of expertise with ongoing innovation to deliver advanced care. Founded by Dr. Harry J. Buncke, the clinic continues to train surgeons worldwide and remains at the forefront of microsurgical research and clinical excellence.
Services
Microsurgery Breast Reconstruction Gender Affirmation Surgery Nerve Reconstruction Hand Surgery Lymphatic Surgery Cancer Surgery Vascular Surgery
Details
  • Year established: 1970
Highlights and features
  • We have over 50 years of experience in microsurgical innovation.
  • Our surgeons pioneered the first microvascular transplant and toe-to-thumb procedure.
  • We utilize advanced techniques for complex reconstructive and nerve repair cases.
  • Our team is board-certified with affiliations to Stanford and UCSF.
  • We train surgeons globally through our renowned fellowship program.
What people say
World-class surgeons Advanced techniques Compassionate care Global reputation Successful complex cases
Services
Microsurgery
Microsurgery involves precise surgical techniques using specialized microscopes to repair or reconstruct small blood vessels and nerves. Our clinic specializes in complex microsurgical procedures for trauma, cancer, and congenital conditions. Patients benefit from restored function and appearance through replantation and nerve repair.
Breast Reconstruction
Breast reconstruction restores appearance after mastectomy using autologous tissue or implants. Our surgeons employ advanced techniques for optimal aesthetic outcomes. Patients receive personalized care for post-cancer recovery and lymphedema management.
Gender Affirmation Surgery
Gender affirmation surgery includes phalloplasty and vaginoplasty to align physical appearance with gender identity. Our team provides comprehensive care using microsurgical techniques. Patients benefit from specialized expertise in nerve preservation and functional outcomes.
Nerve Reconstruction
Nerve reconstruction addresses injuries through grafting or transfer techniques to restore sensation and movement. We treat traumatic and compression-related nerve damage. Patients experience improved function using processed allografts and innovative repair methods.
Hand Surgery
Hand surgery covers carpal tunnel release, trauma repair, and complex reconstructions. Our surgeons specialize in both routine and intricate hand procedures. Patients regain mobility and function through advanced microsurgical and nerve repair techniques.
People
Gregory Buncke
Director
Dr. Gregory Buncke is a board-certified plastic and microsurgeon with expertise in hand surgery. He trained at Stanford and Davies Medical Center, contributing to numerous publications. He leads the clinic's innovative surgical programs.
Rudy Buntic
Fellowship Program Director
Dr. Rudy Buntic specializes in reconstructive microsurgery and hand surgery. He completed training at Stanford and has published extensively on nerve repair and microsurgical techniques. He directs the clinic's fellowship program.
Bauback Safa
Director of Transgender Institute
Dr. Bauback Safa is a reconstructive microsurgeon with expertise in gender affirmation surgery. He trained at Stanford and Buncke Medical Clinic, focusing on phalloplasty and nerve reconstruction. He has published widely on microsurgical advancements.
Andrew Watt
Assistant Fellowship Program Director
Dr. Andrew Watt specializes in hand and microsurgery, with training from Stanford and the University of Washington. He contributes to research on gender surgery techniques and complex upper extremity reconstruction.
Walter Lin
Attending Microsurgeon
Dr. Walter Lin focuses on microsurgical reconstruction for extremities, breast, and lymphatic systems. He trained at Harvard and UCSF, advancing care for lymphedema and complex trauma cases.
Questions
What makes The Buncke Clinic unique in microsurgery?
We pioneered the first microvascular transplant and toe-to-thumb procedure, maintaining global leadership in reconstructive microsurgery for over 50 years.
Do you treat international patients?
Yes, we serve as a tertiary referral center for complex reconstructive cases from around the world.
What fellowship programs are offered?
We provide hand and microsurgery fellowships training surgeons globally in advanced reconstructive techniques.
How do you handle emergency referrals?
We accept emergency referrals for replantation, trauma, and complex reconstructive needs with 24/7 surgical availability.
What research contributions have been made?
Our surgeons have published over 100 studies on nerve repair, lymphedema, and gender surgery advancements in leading medical journals.
Are consultations available for complex cases?
Yes, we offer consultations for complex reconstructive needs with our multidisciplinary team of microsurgery experts.