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Thailand has become a leading destination for FTM bottom surgery, with JCI-accredited hospitals offering both phalloplasty and metoidioplasty at costs 60-80% lower than Western countries. Surgeons like Dr. Kamol Pansritum perform over 100 gender-affirming surgeries annually with specialized microsurgery teams, and trans men from the US, UK, and Australia choose Bangkok for this high-volume experience and immediate availability.
Phalloplasty costs $30,000-$45,000 for all stages in Thailand compared to $75,000-$150,000 in the US, while metoidioplasty costs $8,000-$12,000. Surgery dates are available within weeks at hospitals dedicated to transgender care, without the multi-year wait times common in Western healthcare systems.
Please note that the prices provided are estimations and may vary based on various factors. Additionally, these prices do not include flights or accommodation.
All prices are in USD.
What it is: Creates penis using tissue from forearm (RFF) or thigh (ALT). Constructs shaft, urethra, scrotum. Average length 4-6 inches. Requires erectile implant for penetrative sex.
Stage 1 (6-8 hour surgery): Phallus construction, urethral lengthening, vaginectomy (optional), scrotoplasty with testicular implants. Hospital stay 7-10 days. Recovery 3-4 months before Stage 2.
Stage 2 (6-12 months later): Urethral connection to bladder, glansplasty (shaping head of penis), minor revisions. Hospital stay 5-7 days. Recovery 3-6 months.
Stage 3 (12-18 months after Stage 1): Erectile implant placement for penetrative sex. Outpatient or 1-night stay. Recovery 6-8 weeks.
Best for: Trans men wanting larger size, penetrative sex capability, urination standing, don't mind multiple stages and donor site scarring (forearm or thigh).
Sensation: Nerve hookup during Stage 1 allows sensation development over 12-24 months. Most patients achieve orgasm post-healing (88.5% in studies). Erogenous sensation concentrated where clitoris is buried under shaft.
Donor site scarring: RFF (forearm): visible scar covered with skin graft, typically 6-8 inches. ALT (thigh): scar on outer thigh, easier to hide with clothing.
What it is: Releases testosterone-enlarged clitoris from ligaments to create small penis (2-3 inches average). Retains full clitoral sensitivity. Single surgery, less invasive.
What's included: Clitoral release and lengthening, urethral lengthening (optional - allows standing urination), vaginectomy (optional), scrotoplasty with testicular implants.
Best for: Trans men wanting genital masculinization, standing urination, full erogenous sensation, avoiding donor site scars, comfortable with smaller size (not adequate for penetrative sex without additional augmentation).
Sensation: Full clitoral sensitivity retained - often enhanced due to better exposure. Orgasm capability 90%+ (higher than phalloplasty because clitoris remains intact).
Size: Depends on testosterone-induced growth. Most patients 1.5-3 inches. Not adequate length for typical penetrative intercourse, though some patients report successful intimacy with specific positioning.
Recovery: 2-3 weeks hospital/hotel stay. 2-3 months before sexual activity. 6 months full healing.
Dr. Kamol Pansritum, M.D.
Thousand gender-affirming procedures since 1997 including hundreds of phalloplasties and metoidioplasties. Double board-certified (General Surgery, Plastic Surgery). Regularly performs FTM bottom surgery.
Training: Khonkaen University (M.D. 1986), Chulalongkorn University (Plastic Surgery 1997). Member of WPATH, International Society of Plastic and Reconstructive Surgery.
Phalloplasty techniques offered:
Metoidioplasty: Full release with optional urethral lengthening, vaginectomy, scrotoplasty.
Surgeons: Dr. Theerapong and surgical team with FTM experience, though Yanhee primarily known for MTF procedures.
Procedures offered: Metoidioplasty, hysterectomy, top surgery. Limited phalloplasty availability (refer complex cases to Kamol).
Pricing: Metoidioplasty $8,000-$10,000, Hysterectomy $2,800-$3,500.
Note: For complex multi-stage phalloplasty, Kamol Hospital is the primary recommendation due to Dr. Kamol's extensive FTM bottom surgery experience.
Virtual consultation through Konkai. Submit photos (chest for surgical planning, genital area, donor site assessment), testosterone timeline (minimum 12 months required), psychiatric evaluation, medical history. We can help you gather and prepare this documentation.
Requirements:
Preparation:
Week 1: Arrive in Bangkok, adjust to climate and time zone. Pre-op consultations with surgeon, anesthesiologist, urologist. Blood work, chest X-ray, EKG. Donor site marking (forearm or thigh).
Week 2: Surgery day. Operating time 6-8 hours. What happens: tissue harvested from donor site (forearm or thigh), blood vessels and nerves preserved, phallus sculpted and positioned, urethral tube created, clitoris buried under shaft for sensation, vaginectomy if desired, scrotum created with testicular implants, donor site covered with skin graft.
Post-op: ICU first 24 hours (monitoring blood flow to new tissue), then private room. Urinary catheter for 2-3 weeks. Pain managed with IV medications first 48 hours, then oral. Limited mobility first week.
Week 2-4: Hospital stay 7-10 days depending on healing. Daily wound checks on phallus and donor site. Catheter care training. Light walking encouraged after day 5. Discharged to hotel when pain controlled, urinating (via catheter), walking independently.
Hotel recovery 2-3 weeks. Daily or every-other-day follow-up appointments. Donor site dressing changes. Swelling assessment. Catheter removed week 3-4 once urethral connection heals.
Flying home: Minimum 4 weeks post-op. Donor site needs time to heal, risk of blood clots on long flights while recovering from major surgery.
Recovery at home. Donor site scar matures (stays red/raised 6-12 months before fading). Phallus sensation develops gradually as nerves regenerate. Physical therapy for donor site if needed (especially forearm RFF - can affect wrist mobility if not managed).
Interim care: Local physician monitors healing. Telemedicine with Thai surgeon at 3 and 6 months (often included in package). Report any issues: poor wound healing, infection, loss of sensation, urethral stricture.
6-12 months after Stage 1. Similar arrival/prep process. Surgery 3-5 hours: connecting neo-urethra to bladder, glansplasty (shaping penis head), labia minora reduction if needed, minor aesthetic revisions.
Hospital stay 5-7 days. Catheter 2-3 weeks. Hotel recovery 2-3 weeks. Flying home week 4-5.
Complication watch: Urethral fistula (leak between urethra and skin) occurs in 15-30% of cases - usually minor, fixable with outpatient procedure. Stricture (narrowing) less common but requires dilation or surgical revision.
12-18 months after Stage 1. Final stage for patients wanting penetrative sex capability. Surgery 2-3 hours: erectile device implanted (inflatable pump in scrotum, cylinders in phallus). Allows on-demand rigidity.
Outpatient or 1-night hospital stay. Recovery 6-8 weeks (no sexual activity during healing). Learn pump operation before leaving Thailand.
Alternative: Some patients skip this stage if not pursuing penetrative intercourse. Phallus still functions for urination and appearance without implant.
Total Stage 1: $16,700-$18,920
Total all 3 stages: $30,000-$45,000 (surgery costs $26,000-$33,000 + travel/accommodation for 3 trips)
You save $30,000-$100,000+ compared to US costs of $75,000-$150,000 for complete phalloplasty.
Total: $13,850-$15,640
Compare to US metoidioplasty $20,000-$30,000 - you save $6,000-$15,000.
Medical tourism for gender-affirming surgery involves: comparing surgeons you've never met, understanding technique differences that affect your entire future, navigating WPATH requirements across countries, managing 6-week stay in foreign city during vulnerable recovery.
We provide free personalized quotes from Thai hospitals specialized in the procedure, showing costs for all stages, what's included, realistic timeline expectations.
We coordinate your multi-stage journey: Schedule Stage 1, book return trip for Stage 2 (6-12 months later), arrange Stage 3 if desired. Hotel recommendations for each trip. Communicate with hospital between stages if questions arise.
Support during each Thailand visit. English-speaking team via WhatsApp or email. Valued highly by those traveling to Thailand alone for extra peace of mind.
Honest guidance, not sales pressure. We do not push you towards certain hospitals, surgeons or procedures. We provide the information for you to make an informed choice and assist with scheduling and coordinating your travel and care.
Pre-vetted facilities chosen by our team that meet our rigorous standards for quality and safety
Kamol Hospital is a word leading cosmetic hospital, specializing in gender reassignment and facial surgery. Led by Dr. Kamol, who has performed more than 5000 sex reassignment surgeries since 1997, making him one of the most experienced surgeons working in the world in for this surgery. Located in the center of Bangkok and JCI-accredited since 2015.
Yanhee International Hospital was opened in 1994 and is best known for its expertise cosmetic procedures and sexual reassignment surgery. Out of all foreign patients that visit this hospital, 72% receive cosmetic care. The hospital has several accreditations - such as JCI - and is popular among foreigners not only for cosmetic purposes, but general health purposes as well.
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Stage 1: 4-5 weeks in Thailand (7-10 days hospital, rest hotel recovery). 3-4 months at home before Stage 2 (light work possible after 6-8 weeks, strenuous activity after 3 months). Stage 2: 4-5 weeks in Thailand, 2-3 months recovery at home. Stage 3: 6-8 weeks total recovery. Complete process 12-18 months start to finish, though many patients space stages further apart based on work/life schedules.
Some surgeons allow this, others prefer separate procedures. Hysterectomy or FTM top surgery before phalloplasty reduces overall surgery count (one less trip to Thailand). Risk: combining major surgeries increases operating time and complication risk. Discuss with surgeon during consultation - decision based on your health, BMI, surgical plan.
Phalloplasty if: You want larger size (4-6 inches), penetrative sex capability, don't mind multiple stages and donor site scar, willing to wait 12-24 months for sensation development. Metoidioplasty if: You prioritize sensation over size, want single surgery, avoid donor site scarring, comfortable with 2-3 inch result, testosterone gave you good clitoral growth (1+ inches). Consult with surgeon - they assess your anatomy and goals to recommend best option.
Most patients travel solo successfully, especially for Stage 2 and 3 (less invasive than Stage 1). Stage 1 is major surgery - having companion helps with early mobility, emotional support during 4-week recovery. Hospitals have nursing care and English-speaking coordinators available, but physical assistance first week post-op is genuinely helpful if you can arrange it, even if only for the first 1-2 weeks after the surgery.
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I made the decision to undergo cosmetic surgery in Bangkok, Thailand due to the high prices in Australia, Unsure about choosing the right hospital and doctors in Thailand, my friend suggested Konkai Medical Tourism Agency, they guided me through everything and their professional team, with strong medical connections in Thailand, made the process smooth.
The surgery went well, and I’m very happy with the results.
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They helped us with translating in Laos; they organised a taxi driver who was waiting for us at arrival and drove us to the hospital, where they organised a scan for me. I only needed to show my passport and an email when I arrived. I was already in the system for the appointment.
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Konkai Health was always responding fast and helpful if I came up with questions. And the actual surgery had a good outcome also. Now I just ended my last check-up, and I am very delighted how everything went."
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