Dr. Lilian Tran Gien – Obstetrician and Gynecologist (OBGYN) | Toronto, ON

As a skilled Obstetrician and Gynecologist (OBGYN), Dr. Lilian Tran Gien offers a full spectrum of services from routine gynecological exams to managing complex obstetrical cases, prioritizing patient well-being and informed choice. Practicing at a clinic and/or hospital setting in Toronto, ON, she offers accessible and high-quality care to the community. Her practice adheres strictly to the standards and guidelines set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring safe and ethical medical care. Providing comprehensive care across the full scope of Obstetrics and Gynecology, including routine and complex conditions, Dr. Gien serves women of all ages, including prenatal and postnatal patients, supporting their health through every stage of life.

Dr. Gien graduated with a Medical Degree from Schulich School of Medicine and Dentistry in 2001 in Canada. She has been practicing as a specialist in Obstetrician and Gynecologist (OBGYN) for over 18 years, since 2006. She is certified as a RCPSC Specialist, reflecting her advanced training and expertise in women’s reproductive health, pregnancy, and childbirth. Her extensive experience enables her to provide expert diagnosis, treatment, and surgical management for a wide range of gynecological and obstetrical conditions.

Dedicated to patient-centered care, Dr. Gien emphasizes shared decision-making and evidence-based practice. She is committed to offering personalized treatment plans that respect each woman’s unique health needs and preferences. Fluent in English, she communicates clearly and compassionately, ensuring her patients are well-informed and comfortable. Her commitment to women’s health in Toronto is reflected in her compassionate approach and professional integrity, aiming to empower women to make informed choices about their reproductive health at every stage of life.

Dr. Lilian Gien provides care for a wide spectrum of women's health issues, including:

Pelvic Floor and Urinary Disorders

• Recurrent Urinary Tract Infections (UTIs): Frequent infections of the urinary system, requiring investigation for underlying causes and preventative strategies.
• Fecal Incontinence (Accidental Bowel Leakage): The inability to control bowel movements, leading to unexpected leakage of stool from the rectum.
• Urinary Incontinence (Stress, Urge, Mixed, Overflow): The involuntary loss of urine, which can occur with physical exertion (stress), a sudden, strong urge (urge), a combination, or due to bladder overfilling.

Infertility and Reproductive Health

• Uterine Factors Affecting Fertility (e.g., Septum, Asherman's Syndrome): Structural abnormalities or conditions of the uterus that can interfere with implantation or pregnancy maintenance.
• Ovulatory Dysfunction (e.g., Anovulation, Oligo-ovulation): Problems with ovulation (the release of an egg from the ovary), such as infrequent or absent ovulation, a common cause of infertility.
• Female Infertility Evaluation & Initial Management: Comprehensive assessment to identify potential causes of difficulty conceiving in women and initiation of basic treatments.

Gynecologic Cancers and Precancerous Conditions

• Vaginal Intraepithelial Neoplasia (VAIN) & Vaginal Cancer: Precancerous changes (VAIN) or rare cancers affecting the vagina.
• Vulvar Intraepithelial Neoplasia (VIN) & Vulvar Cancer: Precancerous changes (VIN) or malignant tumors affecting the external female genitalia (vulva).
• Endometrial Hyperplasia & Uterine (Endometrial) Cancer: Precancerous thickening of the uterine lining (endometrial hyperplasia) or cancer that begins in the lining of the uterus (endometrium).

This list highlights some common conditions managed within Obstetrics and Gynecology and is not exhaustive. For personalized advice regarding your specific health concerns, please schedule a consultation with Dr. Lilian Gien or your primary care physician for a comprehensive evaluation and appropriate referral if needed.

• Labor and Delivery Management (Vaginal & Cesarean): Professional medical care and support during labor and childbirth, including management of vaginal deliveries, assisted vaginal deliveries (forceps/vacuum if needed), and planned or emergency Cesarean sections (C-sections).
• Comprehensive Prenatal Care & Risk Assessment: Regular check-ups, monitoring, and guidance throughout pregnancy to ensure maternal and fetal well-being, including initial risk assessment, ultrasound referrals, genetic screening discussions, and prenatal testing.
• Pelvic Pain Evaluation & Chronic Pelvic Pain Management: Comprehensive assessment and multidisciplinary treatment strategies for acute and chronic pelvic pain, identifying potential causes such as endometriosis, fibroids, or PID.
• Diagnostic & Operative Hysteroscopy: Procedure using a thin, lighted scope to examine the inside of the uterus and perform minor surgical treatments such as polyp removal, fibroid resection, or septum correction.
• Surgical Management of Pelvic Organ Prolapse (e.g., Colporrhaphy, Sacrocolpopexy): Reconstructive surgical procedures to correct the descent of pelvic organs like the bladder, uterus, or rectum, often utilizing native tissue repair or mesh augmentation.
• External Cephalic Version (ECV) for Breech Presentation: Procedure to attempt to turn a breech baby to a head-down position before labor, if appropriate.
• Menopause & Perimenopause Symptom Management: Personalized guidance and treatment options for symptoms associated with menopause, including hot flashes, vaginal dryness, sleep issues, and discussion of hormone replacement therapy (HRT) and non-hormonal alternatives.

Note: This list may provide an overview of common services in Obstetrics and Gynecology. Dr. Gien provides a wide array of diagnostic, therapeutic, and surgical options tailored to individual patient needs within women's health, pregnancy, and childbirth. Specific services offered can be confirmed by contacting the clinic.

All medical and surgical services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of Ontario (CPSO). A referral may be required for insured services.

Dr. Gien practices in a hospital and clinic setting located in the Lawrence Park neighborhood of Toronto, ON. The facility is conveniently situated near Nathan Phillips Square and Toronto City Hall, making it easily accessible by public transit, including TTC (Subway, Streetcar, Bus). The location is wheelchair accessible, ensuring barrier-free access for all patients. Parking is available at the facility, providing convenient options for those arriving by car. The practice offers a comfortable and welcoming environment, dedicated to providing high-quality women's health care in a central Toronto location.

Are services from Dr. Gien, an Obstetrician and Gynecologist, covered by Ontario Health Insurance Plan (OHIP) in ON?

Medically necessary consultations, prenatal care, delivery, gynecological surgeries, and diagnostic procedures performed by a licensed Obstetrician and Gynecologist like Dr. Gien are generally covered by Ontario Health Insurance Plan (OHIP) in ON when you have a valid referral from your family doctor or another referring physician. Some elective procedures, certain fertility treatments, or non-medically indicated services may not be covered. It's always recommended to confirm specific coverage details with Ontario Health Insurance Plan (OHIP) or the clinic.

Do I need a referral from my family doctor to see Dr. Gien, an Obstetrician and Gynecologist?

Yes, for services to be covered by your provincial health plan (Ontario Health Insurance Plan (OHIP)), a referral from your family physician or another specialist is typically required to see an Obstetrician and Gynecologist like Dr. Gien for most consultations and treatments. This ensures coordinated care. Some specific services or clinics (e.g., some sexual health or contraception clinics) might have different access pathways, but for ongoing obstetrical or gynecological care, a referral is standard. Please check with Dr. Gien's office or your referring doctor.

What can I expect during my first prenatal visit?

Your first prenatal visit with Dr. Gien is usually quite comprehensive, typically scheduled around 8-10 weeks of pregnancy. It will involve a detailed review of your medical history, your partner's medical history (if applicable), and any previous pregnancies. Dr. Gien will likely perform a physical exam, which may include a pelvic exam, confirm your pregnancy (often with an ultrasound referral), estimate your due date, and discuss important aspects of a healthy pregnancy such as nutrition, lifestyle, prenatal vitamins, and options for genetic screening and prenatal testing. You'll also have the opportunity to ask any questions you may have.

What birth control options can Dr. Gien discuss with me?

Dr. Gien can discuss a wide range of contraceptive options tailored to your individual needs and preferences. These include hormonal methods (like birth control pills, patches, vaginal rings, injections, hormonal IUDs, contraceptive implants), non-hormonal methods (like copper IUDs, condoms, diaphragms, cervical caps), and permanent sterilization methods (tubal ligation or Essure for women, vasectomy referral for men). The best option depends on your health, lifestyle, menstrual cycle characteristics, and family planning goals. Dr. Gien will help you make an informed choice.

2075 Bayview Avenue
Toronto, ON M4N 3M5

Phone: (416) 480-4378 | Fax: (416) 480-6002

The facility is wheelchair accessible.

Dr. Gien is a licensed Obstetrician and Gynecologist regulated by the College of Physicians and Surgeons of Ontario (CPSO) under the Regulated Health Professions Act, 1991 and Medicine Act, 1991 in ON. A referral from your family physician or another qualified healthcare provider is typically required for provincially insured consultations and treatments.

Verify registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Gien-Lilian-Tran/0181937-76107