Cosmetic Services – Gender Affirmation

Female to Male Surgery

Female to Male Gender Affirmation Surgery (Sex Reassignment Surgery) includes a range of surgical procedures that alter anatomical characteristics to provide physical traits more comfortable to the transgender male identity and functioning. Our comprehensive guide will walk you through everything you need to know about the procedure, from initial consultation to post-operative care.

What is Female to Male Gender Affirmation Surgery?

Surgical modification of the female primary and secondary sexual anatomy into masculine features is a series of procedures that can take about a year or more to complete.  Biological females diagnosed with Gender Identity Disorder may be eligible for this surgery upon submission of required supporting documents (see Special Requirements section).

Female to Male Sex Reassignment

There are three stages in the female to male sex change surgery separated by 3-6 months interval.

FEMALE TO MALE SURGERY – STAGE 1

Mastectomy

A surgical procedure that removes breast tissue to achieve a masculine chest contour.  The surgical technique will depend on the volume of breast tissue and skin to be excised.

Total Abdominal Hysterectomy with Salpingo-Oophorectomy (TAHBSO)

 A surgical procedure that removes the internal reproductive organs namely, uterus, fallopian tubes, and ovaries.

FEMALE TO MALE SURGERY – STAGE 2

Vaginectomy and Urethral Lengthening

Surgery that obliterates the vaginal cavity and lengthens the urethra in preparation for incorporation into the new penis in the third stage.  This gives the patient the ability to urinate effectively in a standing position.

Urethral prefabrication

Preparation of a new penile graft in the forearm with an embedded catheter which will serve as a functional intra-penile urethra after the third stage

FEMALE TO MALE SURGERY – STAGE 3

Total Phalloplasty

The forearm penile graft prepared during the second stage surgery is transferred to the genital area.  Nerves and blood vessels are conserved so the penis has sensation.  The new penis is expected to function as a male excretory organ for urine.  With the aid of an erectile prosthetic device, it can also achieve penetration during sexual intercourse.

During this procedure, the labia majora are converted into scrotal sacs.  The patient may opt to have prosthetic testes inserted in the scrotal sacs in a future surgery.

FEMALE TO MALE – SPECIAL REQUIREMENTS

You need to be of legal age, and in good health and must submit the following requirements before your pre-surgical assessment for SRS-FTM

Letter of recommendation from two psychiatrists (one from a psychiatrist in the patient’s own locality and two from our psychiatrists) stating the following:

  • Diagnosis of a female with Gender Identity Disorder
  • Declaration of successful real-life experience as a male for at least 1 year
  • Certified psychiatrists issue this letter to individuals who meet the criteria of the Harry Benjamin International Gender Dysphoria Association

The medical certificate with details of male hormone therapy

  • Hormone intake must be prescribed and monitored by a licensed physician
  • Hormones have been taken for 1 year

PRICE AND PACKAGES

Procedure

Hospital Stay

Price (THB)

Stage 1: Mastectomy 

2 Nights

111,000

Stage 1: Mastectomy Inverted – T Scar

2 Nights

131,000

Stage 1: Add to Mastectomy if body weight > 70 Kg

---

25,500

STAGE 1 – Nipple Graft

--

22,500

STAGE 1 – Mastectomy – Inframammary Approach

2 Nights

131,000

STAGE 1 – TAHBSO (traditional)

4 Nights

96,000

STAGE 1 – Laparoscopically Assisted Vaginal Hysterectomy – LAVH

2 Nights

131,000

STAGE 2 – Vaginectomy + Urethral Lengthening

6 Nights

181,000

STAGE 2 – Vaginectomy after Laparoscopically Assisted Vaginal Hysterectomy – LAVH

6 Nights

201,000

STAGE 2 – Urethral Prefabrication (Forearm)

1 Night

85,000

STAGE 3 – Total Phalloplasty

14 Nights

371,000

STAGE 3 – Coronoplasty

2 Nights

96,000

STAGE 4 – Penile Prosthesis (the price of the implant not included)

3 Nights

99,000

STAGE 4 – Scrotal Prosthesis (the price of the implant not included)

2 Nights

96,000

Take the first step and reach out to us for a complimentary virtual consultation. Our virtual consultants and surgeons will provide personalized recommendations based on your unique needs. Every client is different, and we tailor each procedure to match your individual requirements.

AVAILABLE DOCTORS - STAGE 1

AVAILABLE DOCTORS - STAGE 2 & 3

Frequently Asked Questions

What are the potential risks associated with Female to Male Gender Affirmation Surgery?

Like any surgical procedure, Female to Male Gender Affirmation Surgery carries certain risks, including bleeding, infection, scarring, changes in nipple sensation, and the possibility of unsatisfactory aesthetic results. It is important to discuss these risks with your surgeon before undergoing the procedure.

Will I be conscious during Female to Male Gender Affirmation Surgery?

No, Female to Male Gender Affirmation Surgery is typically performed under general anesthesia, so you will be unconscious and unaware of the surgery while it is taking place.

How should I prepare for Female to Male Gender Affirmation Surgery?

Your surgeon will provide you with specific instructions for preparing for surgery, which may include stopping certain medications, avoiding smoking, and fasting before the procedure. It is important to follow these instructions closely to ensure the best possible outcome.

What is the recovery period like after Female to Male Gender Affirmation Surgery?

The recovery period after Female to Male Gender Affirmation Surgery varies from person to person but generally involves some discomfort, swelling, and bruising. You may need to wear a compression garment to support your chest as it heals. It is important to follow your surgeon’s post-operative care instructions to promote healing and minimize complications.

What are the long-term results of Female to Male Gender Affirmation Surgery?

Female to Male Gender Affirmation Surgery can have life-changing effects, helping transgender men or individuals assigned female at birth to feel more comfortable and confident in their bodies. The long-term results include a more masculine chest contour and improved overall body image.