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Your anatomy doesn't match who you are. Every mirror, every bathroom, every intimate moment reminds you. You've researched vaginoplasty for years. You know the techniques: penile inversion, peritoneal pull-through, colon graft. You know the costs at home: $50,000-$80,000 in the US, or long waiting lists elsewhere.
Thailand offers what your home country can't: surgeons performing 200+ vaginoplasties annually (versus 20-30 for most Western surgeons), advanced techniques like PPV not widely available elsewhere, costs of $12,000-$25,000 all-inclusive, and JCI-accredited hospitals where your surgery happens in weeks, not months.
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, unless otherwise indicated.
How it works: Surgeon uses penile skin to create vaginal canal (inverts it), scrotal skin for labia, glans (head of penis) for clitoris. Most common technique globally.
Depth: 5-6 inches typical (varies by original anatomy).
Sensation: Clitoris retains full erogenous sensation. Most patients achieve orgasm post-healing.
Lubrication: Minimal natural lubrication, lubricant required for intercourse.
Maintenance: Lifelong dilation required to prevent narrowing. First 3 months: 3-4 times daily. After 12 months: 2-3 times weekly.
Best for: Patients with adequate penile skin (uncircumcised or minimal circumcision), seeking proven technique, comfortable with dilation routine, wanting lowest cost option.
Recovery: 4-6 weeks before travel clearance, 3 months before sexual activity, 6 months for full healing.
How it works: Combines penile inversion for vaginal entrance with peritoneal tissue (abdominal cavity lining) for vaginal canal. Performed laparoscopically through 4 tiny abdominal incisions.
Depth: 6-7 inches, elastic tissue.
Sensation: Full clitoral sensation, vaginal canal has nerve endings (unlike penile inversion).
Lubrication: Self-lubricating tissue—no artificial lubricant needed for intercourse.
Maintenance: Minimal dilation long-term (2-3 times monthly after first year). Tissue doesn't narrow as aggressively as skin.
Scarring: Virtually invisible. Four tiny abdominal scars (look like freckles, fade after 12 months). Genital scars hidden in labial folds.
Best for: Patients wanting self-lubrication, those with limited penile tissue from circumcision, seeking "upgrade" from previous penile inversion, willing to pay premium for advanced technique.
Recovery: 5-6 weeks (slightly longer due to abdominal component), 3 months before sexual activity.
Why it's advanced: Peritoneal tissue is closest match to biological vaginal lining. Elastic, moisture-producing, pH-balanced. Kamol Hospital is world leader in this technique—Dr. Kamol developed the approach for transgender patients (adapted from MRKH syndrome treatment).
How it works: Uses 7-9 inch sigmoid colon segment to create vaginal canal. Colon is detached, blood supply maintained, pulled through and sutured to create neovagina.
Two approaches:
Depth: 7-9 inches—deepest of all techniques.
Lubrication: Self-lubricating intestinal tissue. Natural moisture, no lubricant needed.
Maintenance: Minimal dilation (2-3 times monthly long-term). Tissue rarely narrows.
Best for: Patients with very limited penile tissue, those seeking maximum depth, revision patients whose penile inversion lost depth, those wanting "upgrade" from previous surgery.
Recovery: 6-7 weeks (longest recovery due to bowel surgery component). Bowel rest first 3-5 days (clear liquids only). 3-4 months before sexual activity.
Considerations: Requires bowel preparation before surgery. Rare risk of intestinal complications (under 2% at Kamol). Some patients report mild odor (manageable with pH-balanced wash).
How it works: Creates vulva appearance (labia, clitoris) without vaginal canal. For patients not planning penetrative intercourse.
Best for: Non-binary patients, those prioritizing genital appearance over penetrative function, patients with health conditions making full vaginoplasty risky.
Recovery: 2-3 weeks (shortest recovery, no dilation required).
We have an extensive network of partner hospitals and clinics to cover a variety of medical procedures. Every partner is accredited and then vetted by our team. For this procedure we recommend Kamol Cosmetic Hospital and Yanhee International Hospital as they specialize in this procedure.
Dr. Kamol Pansritum, M.D.
5,000+ SRS surgeries since 1997. Double board-certified (General Surgery, Plastic Surgery). Pioneered PPV technique in Thailand. Performs 200+ vaginoplasties annually.
Training: Khonkaen University (M.D. 1986), Chulalongkorn University (Plastic Surgery diploma 1997). Member of World Professional Association for Transgender Health (WPATH), International Society of Plastic and Reconstructive Surgery.
Specialization: All vaginoplasty techniques (penile inversion, PPV, colon), revision vaginoplasty, aesthetic refinement (labiaplasty, clitoral hood reduction).
Dr. Theerapong Poonyakariyagorn, M.D.
3,000+ SRS surgeries. Extensive international training. Board-certified, WPATH member. Known for reliable results, attentive post-op care.
Dr. Suthat Pattanaporn, M.D.
2,500+ gender-affirming procedures. Double board-certified. Specializes in natural aesthetic outcomes.
Virtual consultation through Konkai. Submit photos (genital anatomy, full body), medical history, HRT timeline, psychiatric evaluation. Surgeons assess which technique best suits your anatomy and provide a personalized cost indication.
Genital hair removal: CRITICAL. Penile inversion and scrotal graft techniques require complete hair removal from areas used for vaginal canal. Electrolysis only (laser doesn't work on genital skin long-term). Start 6-12 months before surgery. PPV and colon techniques require less extensive removal.
Requirements:
Stop before surgery:
Day 1: Arrive in Bangkok, adjust to the climate and time zone.
Day 2-3: Pre-op consultations. Surgeon reviews anatomy, confirms technique choice, marks surgical sites. Blood work, chest X-ray, EKG. Anesthesia consultation. Sign consent forms.
Day 4: Pre-surgery prep. Bowel preparation if doing colon vaginoplasty (clear liquids, laxatives). Nothing by mouth after midnight.
Day 5: Surgery Day
Operating time: 4-6 hours (penile inversion), 6-8 hours (PPV/colon).
What happens:
Hospital Stay: 7-14 days depending on technique and healing progress.
Daily routine:
Discharged from hospital once urinating independently, pain controlled with oral meds, walking comfortably, dilation technique learned.
Hotel stay near hospital. Daily or every-other-day follow-up appointments for wound checks, dilation supervision, swelling assessment.
Pain/discomfort: Manageable with prescribed medications. Most patients rate post-op pain 4-6 out of 10. Dilation causes pressure/stretching sensation, not sharp pain if done correctly.
Activities:
Swelling/bruising: Peaks day 3-4 post-op, improves weekly. Genital area looks swollen and bruised—this is normal. Ice packs help. Final aesthetic appearance visible 6-12 months after swelling fully resolves.
Follow-up appointments: Suture removal (day 14-21 for external sutures—internal sutures dissolve). Surgeon assesses healing, approves travel. Final dilation instructions for home.
Flying home: Minimum 4 weeks post-op, preferably 5-6 weeks. Flying earlier risks DVT (blood clots), increased swelling from cabin pressure, limited mobility during healing phase.
Total: $18,200-$21,980
You save $28,000-$58,000 compared to US surgery-only costs of $50,000-$80,000.
Total: $32,120-$35,920
Still $14,000-$44,000 less than US surgery alone.
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.
Free personalized quotes from your preferred surgeon. Get an accurate cost indication, recommendation on which surgery techniques are the best option and get any questions answered.
Complete journey coordination at no extra cost: Virtual consultations, surgery scheduling and hotel recommendations near hospitals. See us as a local friend who helps you through it all.
Support during your stay. English-speaking team available via WhatsApp, phone and email.
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
Yanhee International Hospital is a 400-bed multi-specialty hospital in Bangkok established in 1984, treating over 2,000 outpatients daily from 162 countries. JCI-accredited since 2011 with ISO certification since 2000, Yanhee specializes in cosmetic and plastic surgery with 72% of international patients seeking aesthetic procedures. The hospital operates 95 outpatient examination rooms, 12 major and 30 minor operating rooms with 150 full-time doctors and 1,500 healthcare professionals.
Kamol Cosmetic Hospital is a 5,200-square-meter specialty hospital in Bangkok dedicated entirely to gender-affirming and aesthetic surgery. Founded in 2002 by Dr. Kamol Pansritum, who has performed over 5,000 gender confirmation surgeries since 1997, the hospital performs over 2,000 gender-affirming procedures annually. JCI-accredited since 2015, Kamol Hospital features 8 operating rooms, 30 recovery rooms, and on-site luxury recovery apartments for international patients.
More information
Find our ranking for the best hospitals by city and category to find the best hospital for your procedure.
By city
Minimum 4 weeks for any vaginoplasty technique, preferably 5-6 weeks. This includes 7-14 days hospital stay plus hotel recovery near the hospital for daily follow-ups, wound checks, and dilation training. Flying earlier risks blood clots, increased swelling, and complications during the critical healing phase. Your surgeon provides final travel clearance based on your individual healing progress.
Most patients travel solo successfully. Hospitals provide nursing care and Konkai staff will be an email or whatsapp message away for advice and support. Solo travel is safe and manageable. However, a companion helps with emotional support during recovery, assistance with early mobility (first week post-op), and companionship during the 6-week stay.
Yes, absolutely. During your consultation with Konkai, we discuss your preferred technique, budget, and timeline. We then recommend surgeons who specialize in your chosen approach. For example, Dr. Kamol pioneered PPV technique, while Dr. Theerapong at Yanhee has extensive experience with traditional penile inversion. We never pressure you toward specific surgeons or hospitals - the choice is entirely yours based on your research and comfort level.
Kamol Cosmetic Hospital specializes in all vaginoplasty techniques including advanced PPV and colon vaginoplasty. Dr. Kamol has performed 5,000+ procedures since 1997. They offer luxury on-site recovery apartments and comprehensive surgical teams. Yanhee International Hospital has high patient volume with experienced surgeons like Dr. Theerapong (3,000+ procedures) and offers more affordable packages with free airport transfers. Both are JCI-accredited. Your choice depends on preferred technique, budget, and recovery environment preferences.
Yes, commonly recommended. Popular combinations include vaginoplasty with orchiectomy, breast augmentation, or facial feminization surgery (FFS). Benefits include single anesthesia session, combined recovery period, and cost savings from shared surgical time. Total costs for vaginoplasty plus breast augmentation range $16,000-$23,000. Your surgeon evaluates if combination surgery is safe based on your health profile and procedure complexity. Some combinations add 1-2 weeks to recovery time.
Pam and Konkai Health were absolute rock stars in helping us find a fantastic surgeon for my boyfriend's hip replacement in Thailand. We had previously paid for a service to help us find a doctor and it was just throwing money away. The paid service was slow to respond and only offered us quotes for the most expensive hospitals.
Pam on the other hand was a completely free service and was always quick to reply, patient with all of our questions, and presented a variety of options in our price range. She made the entire process of finding a doctor, setting up video conferences, and scheduling the surgery extremely easy. She continued to help us even after the surgery had taken place with follow up visits and final questions we had before traveling back home. We cannot recommend her highly enough!!! We will definitely be using her again for our next surgical needs.
Many thanks to Konkai. After an online inquiry Konkai guided me to Praram9 orthopedic for a consultation on a hip injury. I had the consultation, clearly a femeral head collapse and needing the hip joint replacement. The beauty was in a half day full consultation, x-ray, ekg, blood work, chest exam ... everything needed to proceed with surgery was done.
This was so professionally and efficiently done, all questions answered, no consultants, no referrals etc., all in house, all guided around the hospital. A friendly caring class act. So I then came back to Konkai to setup for the operation, with the same orthopedic team led by Dr. Peerapong that made the assessment. I returned 2 weeks later, admitted, had the replacement operation stayed 5 days with the hospital team, and quite frankly, it was a privilege to be in their care.
Now after 10 days recovery in Bangkok i am ready to return home. Why Thailand, well in my country New Zealand, you get passed around to specialists, consultants, it all takes time, does not engender trust, and i think the profit motive is primary like the American system. Further, there are less facilities so more waiting for slots. Thailand has a care culture, and the expertise and professionalism with Konkai and Praram9 is superb. They have top quality facilities and capacity to fit your schedule.
If i ever need any major surgery, this will be my first stop. Thanks again
Outstanding. The most safe, amazing communication these past couple of months with Pam from Konkai health. I asked soooo many questions there must be around 80+ emails from me and every single one has been replied in full. Even now 2 weeks after surgery. Super professional, and the surgeon Dr Thawatchai Boonpadhanapong, at Yanhee Hospital that Pam recommended to me for a breast implant removal, were just incredible. No money deposits asked for…just pure care.
The service and systems at Yanhee were out the gate. I am so glad I travelled all that way and didn’t do it in New Zealand as I don’t think it would’ve been as good haha. I was so looked after by the amazing nurses, anaesthetist, Dr Thawatchai and my interpreter Mr Wing. It’s overwhelming looking for the right fit and if it wasn’t for Konkai Health and Pam I wouldn’t be feeling as happy as I am now 2 weeks after my surgery. I cannot thank you enough for what feels like a life transformation :)
"Whilst searching for information on getting my cataracts done, I found that most websites do not provide sufficient information. I was fortunate enough to find Konkai.Health and connect with Pam.
She and other members of Konkai go far and beyond to do everything possible to give you the best advice.
I highly recommend this company for health related matters whilst you are in Thailand. Real five star assistance."
Pam from Konkai just made the right match for my plastic surgery, not only did it make me safe time, but the chosen doctor was just exceeding my expectations! Thank you so muxh 🙏🏼
I highly recommend their expertise and thankful for having been a patient at Yanhee hospital! …
Konkai Health helped me with my search to find affordable service for my rotary cuff repair. Told them my price range and gave me options for hospitals. Helped with every step of the process from consultation with physician to surgery to after care if needed. I highly recommend if you're an expat or visiting and you need medical services reach out to this organization.
"I live in New Zealand, and my partner and I went on a holiday in Laos (Asia). I became sick and needed an emergency stomach operation. I reached out to this company, and they have been nothing but helpful.
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.
Everything went really smoothly. The company is professional and reliable, and the staff is super friendly too. I would highly recommend this company. I am grateful for the great service this company offered when I was in need."
"I can say that the whole medical journey was very pleasant. The information given before the actual start was good. The meeting and intake with the doctor was clear.
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."
Was confused as to where to get good Medical Services in Thailand. This company was very responsive and helpful.
They directed me to a very reputable local Hospital where I was treated by a Doctor with great reviews.
Also, the cost for the procedure was very reasonable and a fraction of what it would cost me in the US.
I would highly recommend this company to others. 🙏♥️🙏
I came to Thailand from America for a liposuction in last week. In a Google search, back in May, I came across Konkai Health and decided to reach out to them.For my surgery Pam, recommended Rattinan Clinic out of Bangkok. Pam was able to connect me with the clinic to set up a consultation. The process was very easy.I recommend Konkai Health and Rattinan Clinic. Both are 10/10
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