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How much does male to female (MTF) surgery cost in 2024?

Explore the interactive cost guide below for detailed pricing information on a range of MTF surgeries and compare costs in different countries.

  • Transgender Surgery

By Priyanka Dutta Deb

20th June '22

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Did you know? 

In 2023, there is a high demand for gender-affirming surgeries. Recent data shows a 25% increase in interest for MTF surgery, highlighting the changing landscape of accessible and affordable care.

Sex reassignment surgery is a procedure enabling individuals to transition to their self-identified gender, typically involving hormone therapy. Male-to-female (MTF) reassignment surgery includes 'top' and 'bottom' surgeries, as well as facial feminization. In some places, like India, it's on the rise due to affordable costs, with an average MTF surgery cost of $2438 to $6095.

Looking to gather information about the costs associated with personalized treatments? Don't hesitate. Talk to us today.

You might be wondering why hormone therapy is necessary in male to female surgery. Read on to discover all the details.

In hormone therapy, female hormones like estrogen and progesterone are injected into male bodies to foster a more feminine appearance. Anti-androgens are incorporated due to higher male androgen production. Male-to-female transgender hormone therapy costs approximately $30 per month, with therapist visits averaging around $100.

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

What does MTF top surgery cost?

Breast augmentation and implant surgery is the initial step in the male to female gender reassignment process. Through this transformative procedure, one can effortlessly obtain the desired breast size. This method encompasses both the insertion and placement of implants, ensuring a comprehensive augmentation. The cost for this procedure may fluctuate in accordance with the chosen 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?

male to female surgery

The cost of male-to-female (MtF) bottom surgery, a vital step in the journey of gender affirmation, can vary depending on several factors. These factors may include the specific type of surgery chosen, the geographic location of the surgical facility, and individual healthcare providers' fees. 

Here, we provide an overview of the estimated costs for common MtF bottom surgeries:

Surgery TypeProcedure ExplanationEstimated Cost RangeRecovery Time
Penectomy Surgery- Removal of the penis$ 1100 to $ 1225Varies
MTF Orchiectomy Surgery- Removal of the testesBilateral surgery $1,010 &
Unilateral surgery $405
2-4 weeks
Vulvoplasty- Creation of external genitalia with vulvar features$ 384 to $ 4494-6 weeks
Zero Depth (MtF) Surgery- Creation of external genitalia without vaginal canal$ 513 to $ 6413-6 weeks
MTF Vaginoplasty- Creation of a vaginal canal and labia$20,000 - $35,0006-8 weeks
MTF Hip Widening Surgery- Augmentation of hip width through liposuction and fat transfer$10,000 to $15,000.2-4 weeks
Labiaplasty- Refinement of the labia minora$4000-$60002-4 weeks
Clitoroplasty- Creation of a clitoral structure$3,000 - $6,0002-4 weeks
Peritoneal Pull-Through- Use of peritoneal lining to create a vaginal canal$15,000 - $25,0006-8 weeks

What is included in facial feminization surgery and its cost?

facial feminization

Facial Feminization Surgery (FFS), a transformative cosmetic procedure, aims to soften and reshape male facial characteristics into more feminine features. This comprehensive surgery involves a series of procedures, including lip and cheekbone augmentation, hairline adjustment to reduce forehead size, and sculpting of the jaw and chin. The goal is to harmonize and enhance facial traits for a more feminine appearance.

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

Surgery TypeProcedure ExplanationEstimated Cost Range
Tracheal Shave- Shaving the trachea to reduce the "Adam's apple" appearance; commonly referred to as "Adam's apple reduction surgery."$640
Cheek Implantation Surgery- Cheek implants to enhance cheek fullness and femininity, creating a fuller and more feminine look.$897 - $1,026
Chin Feminization Surgery- Chin enlargement to create a more feminine chin and jawline, enhancing the facial structure to be more feminine.$1,034 - $1,550
Jawline Feminization Surgery- Restructuring the jaw to achieve a more feminine shape, a part of facial feminization surgery for a softer jawline.$1,034 - $1,550
Forehead Feminization Surgery- Reducing hairline height by removing extra skin on the forehead, lowering the hairline for a more feminine appearance.$4000 to $ 12000
 Voice Feminization Surgery-Altering the voice to a higher pitch for a more feminine appeal.$1,026 Onwards

Do you know

Robotic surgery is an effective alternative to traditional penile inversion and Vaginoplasty in transgender cases. It utilizes small tools on a robotic arm, marking a revolutionary advancement in surgery.

Take charge of your health and your life. Contact us today!

male to female voice feminization surgery

If you're curious about the expenses of male-to-female sex reassignment surgery across various countries, let's explore further. Keep reading to find out more.

Factors affecting the cost of male to female surgery

cost comparison of male to female sex reassignment 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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Insurance and Financing for MTF Surgeries 

Insurance and Financing for MTF Surgeries Gender-affirming surgeries, such as those involved in male-to-female (MTF) transitions, often come with associated costs. Understanding your options for insurance coverage and financing can greatly aid in managing these expenses.

  1. Insurance Coverage: Review your policy for coverage of gender-affirming surgeries.
  2. Medicaid and Medicare: Some states offer coverage through these programs.
  3. Out-of-Pocket Costs: Plan for co-payments, deductibles, and uncovered services.
  4. Financing Options: Explore personal loans, medical financing, and crowdfunding.
  5. Consultation with Experts: Seek guidance from experienced healthcare providers.


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.

4.) Can I undergo MTF transition without surgery?

Yes, many individuals choose to undergo MTF hormone therapy and other non-surgical procedures to achieve their desired gender expression without surgery. It's essential to discuss your options with a healthcare provider.

5.) What is the typical duration of hormone therapy for MTF transition?

The duration of hormone therapy varies from person to person. Typically, individuals undergo hormone therapy for an extended period, often lifelong, to maintain their desired physical and emotional changes. Your healthcare provider can provide more personalized guidance.

6.) Is voice training or therapy necessary for MTF individuals?

Voice training or therapy is a valuable option for MTF individuals looking to feminize their voices. While not mandatory, many find it helpful in achieving a more feminine vocal quality. It's a personal choice based on individual goals.

7.) What mental health support is available during the MTF transition process?

Mental health support, including therapy and counseling, is highly recommended during the MTF transition. It can help individuals cope with the emotional and psychological aspects of the journey.

8.) How can I choose the right surgeon for MTF surgeries?

Selecting the right surgeon is crucial for successful MTF surgeries. Research, read reviews, and consult with multiple surgeons to find one with experience and expertise in gender-affirming procedures. It's essential to feel comfortable and confident with your chosen surgeon.

Take the first step to recovery. Get in touch with us for your treatment.


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Question and Answers

In ftm hrt, would the physical effects be noticeable? I have family that are very conservative and am just wondering whether they will be able to notice.

Male | 15

Indeed, the physical results of FTM HRT are visible but may differ depending on an individual. It is possible also to identify some physical changes such as a deepening voice, facial and body hair growths, and redistribution of the fatty mass. It is best to consult with a gender-affirming healthcare provider who specializes in trans healthcare

Answered on 29th Jan '24

Dr. Vinod Vij

Dr. Vinod Vij

Can a transgender male have a period?

Other | 43

Men who are transgenders assigned female at birth still possess uterus, and consequently continue to menstruate as normal. Hormone therapy commonly used in the gender transition brings about a significant decrease or cessation of menstrual bleeding. In order to get personalized advice regarding the management of menstrual health for those going through gender transition, a specialist in transgender medicine or endocrinology needs to be consulted.

Answered on 18th Jan '24

Dr. Vinod Vij

Dr. Vinod Vij

Female to male fmga operation cheyinchukuna valaki pillalu putte is there a possibility

Female | 20

FMGA surgery DOES NOT allow for biological pregnancy.. 

Answered on 13th Dec '23

Dr. Vinod Vij

Dr. Vinod Vij