How much does male to female (MTF) surgery cost in 2022?

Read along to find detailed cost information regarding various MTF surgeries and cost comparisons between different countries.

By Priyanka Dutta Deb

Updated on 25th, Jan'23

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Sex reassignment surgery for gender dysphoria and transgender body dysmorphia, is a procedure that enables an individual to transition to their self-identified gender. The transition process starts with progesterone, testosterone or estrogen HRT or hormone therapy. A male-to-female reassignment surgery involves transitioning people assigned male at birth (AMAB), into transwomen. The surgery involves a ‘top’ surgery, ‘bottom’ surgery, and facial feminization surgery.

According to data from the social justice department, gender reassignment surgeries are on the rise in various parts of the globe.

Do you know?

Even Robotic surgery is an effective alternative to penile inversion in most cases and vaginoplasty in transgender cases.

Robotic surgery is a revolutionary advancement in surgery;

It is performed by using very small tools attached to a robotic arm.


Now you must be thinking what the need for hormone therapy in male to female surgery. Let's read along to know in detail. 

In hormone therapy, female hormones such as estrogen and progesterone are injected into the male body. The female hormone helps to create a more feminine look. Anti-androgens are used for this therapy because males produce more androgens than females.

Male to female transgender hormone therapy costs you around $30 per month. And a therapist's visit can cost you about $100.  

Let's read ahead to what male to female gender reassignment surgery costs.

What does MTF top surgery cost?

The first surgical procedure in the male to female gender reassignment surgery is breast augmentation and implants surgery. Through plastic surgery, you can easily get your desired breast size through this method.

Insertion and implants are the two components of breast augmentation surgery. The price may vary depending on the hospital and surgeon. 

The MTF Breast augmentation surgery cost is given below: 

Cost of insertionCost of implant 
$ 1030 to $ 1550$386 to $1030

What is the male to female (MtF) bottom surgery cost?

We have listed all the MtF bottom surgery costs to help you know better.

1. Penectomy Surgery: Penectomy is a gender-reassigning surgery that involves removing the penis. Transwomen who no longer wish to keep their penis can opt for this.

 Penectomy surgery cost

Things to Know

$ 1100 to $ 1225


2. MTF orchiectomy surgery: An orchiectomy is an operation in which one or both testicles are surgically removed. While transitioning from male to female, transgender women may opt for an orchiectomy. 

The MTF orchiectomy cost is around:

Bilateral surgery cost

Unilateral surgery cost


$ 405

3. Vulvoplasty: Vulvoplasty is a lower-body surgery that involves the creation of the vulva and the removal of the penis, scrotum, and testes.

Vulvoplasty cost

Things to Know

$ 384 to $ 449


4. Zero depth (MtF) bottom surgery cost: In zero-depth vaginoplasty, the tissues of the penis and scrotum are rearranged to generate a vulva and a functioning urethra. The medical team will not develop a vaginal canal during a zero-depth vaginoplasty.

The cost of a zero-depth MtF surgery is $ 513 to $ 641.

5. MTF Vaginoplasty: During vaginoplasty surgery, a surgeon uses skin and tissue from the penis to build both an outer and inner vagina. Your surgeon will employ a skin graft to build a new vaginal canal during most vaginoplasty. 

MtF vaginoplasty cost

Things to Know

$ 10,000 to $ 30,000

  • Surgery takes approximately 4-5 hours
  • Longer recovery process, 12 to 18 months

6. MTF Hip Widening Surgery: In this surgery, implants or autologous fat(own body fat) transfers are used to add or remove volume in the hips and buttocks. This surgery aims to get rid of extra fat or add fat to your hips and leave a smooth curved line.

MTF Hip Widening Surgery Cost

Things to know

$ 8000 to $ 11,000
  • Surgery takes time approximately 1.5 - 2 hours
  • Recovery time is approximately 6 to 8 weeks.

What is included in facial feminization surgery and its cost?

Face feminization surgery, often known as FFS. It is a cosmetic surgery that transforms male facial traits into feminine features. Facial feminization surgery is a set of surgeries aimed at repairing, reshaping, and rebuilding facial traits. It can include lip and cheekbone augmentation, relocating the hairline to create a smaller forehead, contouring and resizing the jaw and chin, and so on.

The total Male to Female Feminization surgery cost may go up from $9,000 to $ 12,000. 

1. Tracheal shave: A tracheal shave is a facial feminization surgery involving shaving the trachea. It's utilized by trans women and non-binary trans people who want to make their faces look more feminine.

It is commonly known as "Adam's apple reduction surgery." The cost of a tracheal shave is around $ 640.

2. Cheek Implantation Surgery: Cheek implants are commonly known as cheek augmentation. It is used to make the cheeks fuller and more feminine or enhance the cheekbones. 

The cost of cheek augmentation is $ 897 to $ 1026.

3. Chin Feminization Surgery: Chin feminization surgery is also known as chin enlargement surgery. It helps to enhance the features of the chin and jawline, making them more feminine in structure and wide in appearance. 

Chin feminization surgery is between $ 1034 to $ 1550.

4. Jawline Feminization Surgery: Jawline feminization surgery is a part of facial feminization surgery. It restructures the jaw to suit the face better. It adjusts the outer jaw and is surgically proportioned to give a more feminine shape. 

Jawline feminization costs range from $ 1034 to $ 1550

5. Forehead Feminization Surgery: Forehead surgery is also known as hairline lowering surgery. It is a part of feminization surgery. In this procedure, the height of the hairline is reduced by removing the extra skin on the forehead.


Forehead feminization costs range from $4000 to $ 15000. 

6. Voice Feminization Surgery: The technique of changing a person's voice to a high-pitched tone is known as vocal feminization. It is done to have a more feminine appeal.

The cost of voice feminization is around $1,026 onwards.

You must be looking for the cost of male-to-female sex reassignment surgery in different countries. Let's read ahead.

Factors affecting the cost of male to female surgery

The number of surgical procedures performed for gender reassignment is on the rise. With the surge in cases, the male-to-female surgery cost is also becoming more affordable and nominal in Asian countries compared to other nations. However, a few factors still affect the total cost of surgery.

  • Lack of insurance coverage from major companies
  • Pre and post-operative charges
  • Pre-operative counseling charges (if required)
  • Hormonal Therapy charges
  • Hospital charges
  • Doctor’s fee for all the different treatments
  • Higher costs or prices for cosmetic surgery procedures such as facial feminization surgery.


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1.) How long does a male to female transition take?
Some of the transitions may take less than a month and some can take even years. It mostly depends on the mental and physical health of the person and what kind of treatment you are involved in.

2.) How long does it take to grow breasts on estrogen?

The estimated time is 2 to 6 months to grow breasts through estrogen. It also depends on factors like fatty tissue levels, body genetics, etc.

3.) How long does it take to recover from male to female surgery?

It takes an average of 2 to 8 weeks to recover from male to female transition surgery. However, penectomy and vaginoplasty are major surgeries that need more care and usually take longer to recover.


About Author


Priyanka Dutta Deb

Team Member of Clinicspots

Diligent working professional with about 5 yrs of multidisciplinary work experience: academic coordination, academic advisory and recruitment. Experienced in highly dynamic work environment.

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