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Gender Reassignment Surgery Cost (MTF & FTM)

Explore the rising demand for gender reassignment surgery worldwide. Learn about the various procedures and their detailed costs in this comprehensive article.

  • Transgender Surgery

By Priyanka Dutta Deb

6th June '22

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Gender reassignment surgery cost varies depending on the type of transition. 

  • For male to female (MTF) transition, the cost ranges from $2438 to $6095 and 
  • For female to male (FTM) transition, the cost falls between $4876 and $9752.

When considering the cost of gender reassignment surgery, it's important to note that these figures encompass the surgical expenses alone. Additional costs, such as:

  • pre-operative consultations
  • post-operative care
  • hospitalization may also be involved

For a precise cost estimate that aligns with your specific needs, it is highly recommended that you consult reliable healthcare providers or clinics.

MTF$2438- $6095 
FTM $4876-$9752

Begin with clarity. Contact us for detailed cost insights now.

There are two broad types of gender reassignment surgery: top surgery and bottom surgery. The top surgery is performed for both people assigned female at birth (AFAB) and assigned male at birth (AMAB). 

  • Male to female or non-binary (MTF/N): This procedure entails using saline or silicone implants to boost chest size and form for a more feminine or female appearance. Male-to-female top surgery is done under general anesthesia.
  • Female to male or non-binary (FTM/N): During FTM top surgery, breast tissue is removed and the chest is shaped to give the patient a flat, masculine, or male appearance. Following this, a nipple graft is planted to give a complete look.

Before we discuss each service's cost, let's take a quick look at overall transgender surgery costs in different countries.

Cost Comparison of Gender Reassignment Surgery

You must be curious to know the gender change surgery cost of different surgical procedures. Let's read.

What is the Cost of Male-to-Female Top Surgery?

Breast augmentation or augmentation mammoplasty is another name for MTF and MTN top surgery. 

The MTF/N top surgery or breast augmentation surgery cost in India is around USD 1290 to USD 1940. The surgeon's expertise and experience are two of the most critical aspects that affect the cost.

Cost of Male-to-Female Top Surgery

For the duration of the surgery, you will be put under general anesthesia. Your surgeon may choose different breast augmentation methods depending on your desired chest size, implant kind, and incision site. The average time for MTF and MTN top surgery is 1 to 2 hours.

The insertion cost and the implant cost are the two components of the surgery cost.

  • The cost of insertion is $1040 to $1550.
  • The cost of the implant is $386 to $1030 (depending on the manufacturer).

Navigating your options? Contact us today for more information on cost!

What is the cost of female-to-male top surgery?

An FTM or FTN top surgery procedure takes from 1.5 to 4 hours. Various treatments are performed to get a more flat, masculine, or male-looking chest. Double incision, periareolar, and keyhole are the most popular procedures used by surgeons. 

The FTM top surgery cost ranges around USD 3870.

Female-to-male top surgery

Surgery Name


Double incision top surgery with nipple graftsThe cost of double incision with nipple grafts is around USD 3000 – 5000 (additional charges for anesthesia).
Periareolar top surgeryThe cost ranges from USD 2000 – to USD 2500.
Keyhole top surgerycosts around USD 2000 – USD 2500 per procedure.

Now that we have already discussed top surgery costs, let's take a look at how much mtf bottom surgery costs.

AFAB and AMAB people can undergo bottom surgery as part of their gender confirmation process. Bottom surgery involves transforming or reconstructing the bottom or genitalia. This involves Vaginoplasty, penile transplant, phalloplasty, and metoidioplasty.

What is the cost of male-to-female bottom surgery?

Vaginoplasty surgery is the major procedure performed in bottom surgery. There are three main options under Vaginoplasty. Penile inversion, non-penile inversion Vaginoplasty, and recto-sigmoid or colon graft.

The clitoris is moulded from the head/tip of the penis in all three surgical approaches. The Vaginoplasty cost is around USD 3870 to USD 4520.

Surgery Name


Penile inversionPenile inversion surgery costs between USD 3230 and USD 4520.
Recto-sigmoid vaginoplastyRecto-sigmoid vaginoplasty costs between USD 3870 and USD 5160
Scrotectomy surgeryThis will usually be part of the whole treatment but its individual cost will be around 258-387 USD
PenectomyCosts between USD 1100 to USD 1230
VulvoplastyThe average Vulvoplasty cost is around USD 4000 to USD 20,000

Now, let's look at female to male bottom surgery cost.

What is the Cost of Female-to-Male Bottom Surgery?

This procedure involves the removal of the female organs in the lower region and reassigning them to male sexual parts. It includes removing the uterus, vaginal remodeling, labia reconstruction, metoidioplasty, and phalloplasty.

The whole procedure may cost somewhere around USD 5160 to USD 10,335

Cost of Female-to-Male Bottom Surgery

Surgery Name


HysterectomyThe average cost of hysterectomy is around USD 985.
Salpingo oophorectomy surgeryThe cost of salpingo-oophorectomy is around USD 1630 to USD 3430.
Phalloplasty surgeryThe phalloplasty surgery cost is around $1300 to $3880.
Metoidioplasty surgeryThe cost of metoidioplasty surgery is around $ 3000 to $ 10, 000. The metoidioplasty cost is around $3,000 to $10,000.
Penile implant surgeryThe penile implant surgery cost in India begins from USD 1100.
Testicular prosthesis or testicular implant surgeryThe cost of this procedure may vary from $ 500 to $ 1000.
UrethroplastyThe cost of this treatment is around USD 3490 to USD 3860.
Scrotoplasty surgeryThe scrotoplasty treatment cost around USD 3500 to USD 8000
Glansplasty surgeryThe cost of this is around 1290 USD to USD 9000. 
Labioplasty surgeryThe Labioplasty cost ranges from USD 2800 to USD 3100

To get a clearer picture of gender reassignment surgery cost, connect with us now.

What is the Cost of Facial Feminization Surgery?

Facial feminization surgery is a technique that involves changing your facial characteristics to make them appear more feminine. FFS is concerned with bone structure and nose shape. FFS is distinct for each person and can affect any part of the face or neck.

The facial feminization surgery cost is USD 1350

Cost of Facial Feminization Surgery

Surgery Name


Tracheal shaveTracheal shave cost is USD 650
Voice feminization surgeryThe cost of voice feminization surgery cost is around USD 1035 to USD 1292.
Cheek implantsThe cheek implants cost starts from USD 3669
Forehead implantsForehead implant cost is $ 26000
Chin augmentation or Chin implantChin implant cost is between USD 1100 to USD 15500. 
Jawline augmentation/ implantJawline augmentation/implant cost is USD 1100 to USD 15500. 

What is Hormonal Replacement Cost?

Hormonal replacement therapy is for both MTF/N and FTM/N transitioning.

MTF/N: The hormones for a male-to-female transition enhance the alignment of your gender identity. It helps induce physical changes in your body produced by female hormones during puberty (gender congruence). Male secondary sex traits can be avoided if feminizing hormone therapy like progesterone is initiated before male puberty. The hormonal replacement therapy cost for MTF/N is USD 12/month.

FTM/N: You'll be administered the male hormone testosterone during masculinizing hormone therapy. It suppresses your menstrual cycles and lowers oestrogen synthesis in your ovaries.  The hormonal replacement therapy cost FTM/N is USD 7/month.

To make a more informed decision, talk to us today.

Factors affecting the cost of gender reassignment surgery:

  • Hospital charges: It depends on the type of hospital you choose. Moreover, the cost also depends on whether you are admitted to a general ward or a private room.
  • Psychiatrist: If you need a psychiatrist to deal with your physical changes, your cost will impact you. A psychiatrist is recommended to understand better the complex procedures and adjustments you will need before and after your surgery.
  • Clinical Experts and Surgeons: You will discuss the specifics of your gender change surgery with your doctor. It includes an assessment of your medical health status, discussing your long-term gender confirmation goals, and evaluating which procedures may be most appropriate to assist you in your journey. You can ask for specific details such as risks, benefits, and what to expect from the surgery.
  • Medical Insurance: Your medical insurance will play an essential role in the procedure, saving you a lot of money.
  • Accommodation Charges: The accommodation charges are included for international patients.
  • Medication charges: These charges include all the medication you will receive before and after the procedure ends.
  • Pre- and Post-treatment charges: The pre-treatment charges include doctor consultation fees, diagnosis charges, etc. The post-treatment charges may include medicine costs, doctor's revisit charges, etc.

Your health is too important to ignore – schedule your appointment now.

Do Insurance Companies Cover Gender Reassignment Surgery?

Yes, insurance companies that cover gender reassignment surgery! There is no legal prohibition for that. Not all employers provide insurance coverage to unmarried or live-in partners of straight employees. But, several organizations nowadays provide medical insurance to their employees' same-sex partners, including coverage for gender-reassignment surgery.

Some independent companies have made it a goal to try and incorporate this coverage into their medical insurance for employees.

Note: This article is on the cost of gender reassignment surgery, and data about it is only for your informational purposes and is subject to change.


1. Side effects of gender reassignment surgery

  • Bleeding.
  • Infections.
  • Side effects of anesthesia.
  • Difficulty in urinating.
  • Severe complications in intestines.
  • Leakage of urine through openings.
  • Closure of vaginal opening.

2. Who typically undergoes gender reassignment surgery?

Gender reassignment surgery is typically undergone by individuals who experience gender dysphoria, a condition where an individual's gender identity does not match their assigned sex at birth. It is usually recommended as a last resort after other treatments such as therapy, hormone therapy, and social transition have been tried.

3. What are the types of gender reassignment surgery?

The two main types of gender reassignment surgery are "top surgery," which refers to surgeries that alter the chest and breast area, and "bottom surgery," which refers to surgeries that alter the genital area. Top surgery may involve a mastectomy, breast augmentation, or breast reduction. Bottom surgery may involve genital reconstruction, orchiectomy, metoidioplasty, or phalloplasty.
4. Do the costs vary for different types of gender affirmation procedures?
Yes, the cost can vary based on the specific surgeries involved, such as chest or breast augmentation, facial feminization, or genital reconstruction.


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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