Female to Male Gender Affirmation Surgery

Female to Male Gender Affirmation Surgery (Sex Reassignment Surgery) includes a range of surgical procedures that alter anatomical characters to provide physical traits more comfortable to the transgender male identity and functioning.

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 Surgery

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

Female to Male Surgery – Stage 1


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 the 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.


You need to be of legal age, 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

Frequently Asked Questions

Q1: Will I be asleep during surgery?

Answer : The anesthesiologist will administer general anesthesia to keep you asleep and pain-free during surgery.

Q2: What could go wrong?

Answer : Some risks of surgery include bleeding, adverse response to anesthesia, infection, delayed healing, asymmetry, nerve injury, unfavorable scarring, sub-optimal aesthetic result, difficulty in passage of urine after phalloplasty, and need for revision surgery.

Q3: How should I prepare myself for surgery?

Answer : To avoid complications and reduce risk factors you need to stop taking hormonal pills, herbal supplements, and medicines 2 weeks before your schedule. You need to stop smoking and drinking alcoholic beverages throughout the surgical stages of transformation.


Take the first step and contact us through our no-cost virtual consultation. During this process, we will recommend options that will work best for you. Every client is different, so our virtual consultants and surgeons tailor the procedure to match each person’s needs.


Hospital Stay

Price (THB)

Stage 1: Mastectomy 

2 Nights


Stage 1: Mastectomy Inverted – T Scar

2 Nights


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



STAGE 1 – Nipple Graft



STAGE 1 – Mastectomy – Inframammary Approach

2 Nights


STAGE 1 – TAHBSO (traditional)

4 Nights


STAGE 1 – Laparoscopically Assisted Vaginal Hysterectomy – LAVH

2 Nights


STAGE 2 – Vaginectomy + Urethral Lengthening

7 Nights


STAGE 2 – Vaginectomy after Laparoscopically Assisted Vaginal Hysterectomy – LAVH

7 Nights


STAGE 2 – Urethral Prefabrication (Forearm)

1 Night


STAGE 3 – Total Phalloplasty

14 Nights


STAGE 3 – Coronoplasty

2 Nights


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

3 Nights


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

2 Nights


Available Stage 1 Doctors

Available Stage 2 & 3 Doctors

Dr. Sukit Warathamrong

Contact Us Today!

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