Sex Reassignment Surgery in Thailand

Sex Reassignment Surgery (also known as Gender Affirmation or Confirmation Surgery) refers to a range of surgical procedures designed to align an individual’s physical body with their gender identity.

For transgender women (male-to-female), this typically includes orchiectomy, penectomy, creation of a neovagina (vaginoplasty/vulvoplasty), and labiaplasty.

For transgender men (female-to-male), procedures may include mastectomy (top surgery), hysterectomy, oophorectomy, metoidioplasty or phalloplasty, and scrotoplasty

Cost of Gender Reassignment Surgery

The cost of gender reassignment surgery in Thailand can vary depending on the specific procedures performed, the surgeon's fee, and other factors such as the type of anesthesia and the hospital or clinic.

On average, the cost of gender reassignment surgery in Thailand is significantly lower than in other countries, making it a cost-effective option for those seeking transition.

Male to Female (MTF)

MTF surgery includes various procedures such as vaginoplasty, breast augmentation, and facial feminization surgery, tailored to the individual's needs and goals.

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Female to Male (FTM)

FTM surgery can involve mastectomy, hysterectomy, and phalloplasty or metoidioplasty, among others, focusing on masculinizing the body.

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It's important to note that these costs are estimates and can vary depending on the surgeon's experience, the complexity of the procedures, the type of anesthesia used, and the chosen facility. Additionally, other expenses such as pre-operative tests, post-operative care, medication, and accommodation should also be considered.

To obtain an accurate and personalized quote for your facial feminization surgery, it is recommended to schedule a consultation with our team. We will be able to provide you with detailed information regarding the costs and help you plan your surgery journey accordingly.

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Eligibility & Pre-Operative Requirements

Before qualifying for SRS, international patients are assessed according to established global standards. Most Thai clinics and hospitals follow the World Professional Association for Transgender Health’s (WPATH) Standards of Care, which require:

• A formal diagnosis of gender dysphoria from a licensed mental health professional (either from your home country or we can assist you in Thailand to receive this)
• Completion of at least 12 months of consistent gender-affirming hormone therapy
• Lived full-time in one’s gender identity for a minimum of one year
• Ability to provide comprehensive medical history and lab results

For minors (typically under 20), court-validated consent or parental authorization is required, along with professional psychological oversight.

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Before the surgery

Who makes the ideal candidate?

• ‍‍You are 20 years or older. Those between age 18 and 20 can also undergo gender reassignment surgery but need permission from their guardian
• You have undergone a psychiatric assessment that supports your desire to change gender and/or are 100% sure you want to do the procedure.
• You have been on hormone replacement therapy (HRT) for a significant period before surgery to align their physical appearance more closely with their gender identity
• You are aware of any legalities around doing this procedure both in Thailand as well as you're home country, such as changing your name or gender in official government records

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How to prepare for the surgery?
In the months leading up to the surgery, it is best to focus on optimizing your health as this will make recovering from the surgery easier and decrease the possibility of complications. Eat healthy, exercise regularly and get enough rest. We also strongly urge candidates who smoke regularly to stop, as smoking can cause problems with your blood circulation which can cause complications after the surgery.

Before the surgery, the doctor will do a physical evaluation as well as discuss your physical and mental wellbeing, existing medical conditions, allergies or any medication that you are currently using.

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The SRS Procedures

Male-to-Female (MTF) Surgery

MTF surgery transforms atypical genital anatomy into a functional neovagina. Common options include:

• Scrotal or penile inversion vaginoplasty—using existing genital tissue to form a vaginal canal.
• Intestinal or peritoneal flap vaginoplasty—used when insufficient penile tissue is available‍.
• Sensate clitoroplasty and labiaplasty—creating aesthetic and sensate external structures.
• Related procedures cover orchiectomy, penectomy, facial feminization, breast augmentation, tracheal shave, and voice feminization.

Female-to-Male (FTM) Surgery

Includes a tailored range of interventions such as:

• Top surgery (mastectomy) to masculinize the chest
• Hysterectomy and oophorectomy to remove internal reproductive organs
• Metoidioplasty or phalloplasty to create male genitalia, along with scrotoplasty

Some clinics may also offer uterus transplantation or vaginectomy, based on individual needs.

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After the surgery

After the surgery, you'll be admitted to the hospital to monitor your recovery progress and for any complications that might arise from the surgery. Generally, after a gender reassignment surgery, patients will spent around 14 nights in the hospital but it depends on which procedures were performed during the surgery. For single procedure surgeries like Penile - Peritoneal Vaginoplasty (PPV), the length of hospital admission can be as little as 7 days.

To protect the surgical site, you need to sleep with your legs separated during the first 5-7 days after the operation. After about a week, you can slowly start walking again. It is common to experience pain and discomfort during this period, your doctors will manage this by prescribing painkillers.

It is recommended to stay in Thailand for multiple weeks after the procedure before flying home to ensure you are fit enough to fly home.

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Why Choose Thailand for Gender Reassignment Surgery?

• Quality of Care: Thai hospitals and clinics specializing in GRS are known for their high standards of care. They utilize the latest surgical techniques and adhere to international healthcare standards, such as JCI accreditation, ensuring patients receive top-notch medical care.
• ‍Cost-Effectiveness: One of the primary reasons many opt for Thailand is the cost. Despite the high quality of service, procedures in Thailand can be significantly less expensive than in Western countries, without compromising on the outcome.‍
• Unmatched surgical expertise: Thailand has some of the world's most skilled and experienced GRS surgeons in the world. Many have trained internationally and are well-versed in the latest surgical techniques, contributing to the country's reputation as a leader in the field.‍
• Hospitality and Privacy: The Thai culture is known for its hospitality, and this extends into its healthcare system. Clinics offer a welcoming environment where privacy and discretion are paramount, ensuring patients feel secure throughout their journey.

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Travel Planning & Recovery Timeline

To ensure proper recovery and a smooth journey:

• Consultation & Diagnostics (Day 1–3): On-arrival pre-op checks, medical clearance, and logistics finalized
• Surgery (Day 4–5): Depending on procedure complexity, hospital stay ranges from 3–7 days
• Initial Recovery (Day 5–21): Rest, medications, first follow-up with surgeon
• Advanced Care (Week 3–4): Second follow-up, suture removal, travel clearance for return home
• Long-Term Monitoring: Regular follow-up at 3, 6, & 12 months to monitor healing, hormone balance, and overall well-being. Though this can be done in your home country or via tele-medicine as well.

Total recommended stay: 4–6 weeks, depending on procedure type and complexity.

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Ready to Plan Your Journey?

If you're considering sex reassignment surgery, here’s how to begin:

1. 🔹 Request a personalized quote including clinic selection, surgeon options, procedure timeline, and cost details
2. 🔹 Coordinate your travel path: we'll assist with flights, accommodation bookings, local transport, and insurance
3. 🔹 Enjoy comprehensive care from your arrival through recovery, ensuring comfort, safety, and support

Take the first step toward aligning your physical self with your true identity. Request a quote today for detailed guidance on your sex reassignment surgery journey in Thailand.