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Meet Our Team


John P. Brosious, MD

Executive Director and Co-Founder for NGAHP

Dr. John Brosious is the founder of the gender surgery program at UNLV, and co-founder of NGAHP.  After graduating from Indiana University School of Medicine, he completed his plastic surgery residency at the University of Nevada.  His passion in gender affirming care began years ago while in practice in Pittsburgh, Pennsylvania.  After returning to Nevada in 2016, he quickly realized the need to streamline gender-affirming healthcare in Nevada.  Working with the gender expansive community is currently the focus of his practice, in addition to complex reconstruction for trauma, burn, and cancer patients.  His hobbies include fitness, traveling, and tattoos. 

Axenya Kachen, MPH

Executive Director and Co-Founder for NGAHP

Axenya Kachen is a current medical student at University of Nevada, Reno Medical School. They graduated from the University of California, Berkeley in 2017 in Integrative Biology and Gender & Women’s Studies. They then earned a Masters in Public Health at the University of Nevada, Las Vegas in 2019, focusing on biostatistics and environmental health. Axenya has published research in various fields including public health, gender studies, and marketing, and they recently co-authored publications in the Journal of Physical Activity and Health, Journal of Community Health, Transgender Health, and AIDS Care. Kachen is a co-founder of the Nevada Gender Affirming Healthcare Project (NGAHP). Axenya is passionate about health equity and is excited to become a gender affirming healthcare provider. 


Dr. Brosious and Axenya at the 2021 Las Vegas TransPride Center opening. (Both are COVID19 vaccinated and masks were worn immediately before and after this picture was taken)

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