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At The London Transgender Clinic, we commit to ensuring you understand the cost of your treatment plan and ensure we will not introduce any hidden costs.
Due to the individualised service we provide, we cannot provide you with an exact price until you have a consultation to discuss your goals , however, we have provided you with a guide price so you can begin to plan your finances.
When a formal quotation is provided, it will include everything from the treatment, our supportive aftercare, and the hospital stay where required.
We also offer Finance options so you can spread the cost of your treatment. Find out more on our Finance page.
Please be aware that guide prices are subject to change. For a guaranteed fee, please book a consultation.
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How Much Does Transgender Surgery Cost in 2024?
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Navigating the journey of gender transition involves not just emotional and physical aspects but also financial planning. If you're feeling anxious about affording transgender surgery , we've got your back. This article goes over what you might have to pay in 2024, how insurance can help, and where to get extra financial support. We're here to help make sense of it all.
Quick overview:
- Average top surgery cost: $3,000-$10,000.
- Average bottom surgery cost: $6,400-$25,000.
- Average facial surgery cost: $1,000-$50,000.
- Average voice surgery cost: $5,000-$9,000.
- The US and the UK offer transgender surgeries on the pricier spectrum: $10,150-$75,000.
- Thailand offers more affordable options: $3,500-$22,000.
- Turkey is known for its cost-effective healthcare, and transgender surgeries are no exception: $5,000 to $15,000.
Table of Contents
How much is transgender surgery worldwide, how much is gender reassignment surgery by type, what factors affect the cost of transgender surgery, what is covered by transgender surgery cost, does insurance cover gender reassignment surgery, how to pay for transgender surgery, tips for minimizing transgender surgery costs.
- Best Countries for Gender Reassignment Surgery
The cost of transgender surgery can vary widely from one country to another due to factors such as the cost of living, healthcare system structure, and the demand for such surgeries.
Here's a comparative look at the average costs of the most common types of transgender surgery across several countries:
🤩An astounding 99.7% of trans individuals report satisfaction with their gender-affirming surgery . In comparison, the average regret rate for more common surgeries is 14.4%.
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- Dr. Baris Nuhoglu provides a wide range of operations.
- AquaHealth Clinic serves 50 patients annually, primarily from Europe and the Commonwealth.
- Included Services: 5* hotel, transfer airport-hotel-clinic-airport.
- Stay Info: 2 days stay in the patient room, 10 days stay in the hotel, included in the price.
- Technique: Premium MTF Vaginoplasty
- Dr. Pichet Rodchareon Md is a board-certified plastic surgeon specializing in a wide range of gender-affirming surgeries.
- Bangkok Plastic Surgery has performed over 3,000 procedures with remarkable patient satisfaction and functional results.
- Included Services: General anesthesia, medications, post-op medications, consultation with an anesthesiologist, consultation with a surgeon, hospitalization, transfer airport-hotel-clinic-airport.
- Stay Info: 4 days stay in the hospital, 14 days stay in the hotel, both included in the price.
- Dr. Tanongsak Panyayvirulroj is a renowned plastic surgeon specializing in sex reassignment surgery.
- Asia Cosmetic Hospital holds prestigious Joint Commission International (JCI) accreditation for maintaining high patient care standards.
- Included Services: Hotel, General anesthesia, Preoperative tests, Medications, Follow-up examination, Post-op medications, Neck pillow, Language assistance, Consultation with a surgeon, Follow-up visit, Consultation with a cardiologist, 4* Hotel, Transfer airport-hotel-clinic-airport.
- Stay Info: 7 Days stay in the hospital, 14 Days stay in the hotel, included in the price.
- Technique: Peritoneal Pull-Through Vaginoplasty (PPV)
- Saran Wannachamras is certified by the Medical Council of Thailand in medical practice expertise.
- Wansiri Hospital has a dedicated team specializing in advanced sex reassignment surgeries.
- Included Services: Language assistance, personalized beauty advice, multiple consultations, general anesthesia, post-op medications, preoperative tests, chest X-ray, hospitalization, hotel stay, airport transfers.
- Stay Info: 10 days in the hospital, 11 days in the hotel, included in the price.
- Dr. Park Young Kyu is a distinguished plastic surgeon recognized for his academic accomplishments and substantial contributions to plastic surgery.
- SAERO Plastic Surgery serves patients from Europe Commonwealth, Asia, the USA, Canada, and Australia.
- Included services: Apartment, transfer is not included.
- Stay info: 0 days stay in the hospital, 8 days stay in the hotel, included in the price.
Gender reassignment surgery encompasses a range of procedures aimed at aligning individuals’ physical appearance with their gender identity. The cost of these surgeries can vary widely, from $2,000 for a simple procedure to $134,000 for complex, multi-stage surgeries. The average cost of gender reassignment surgery is between $3,000 and $50,000.
This table gives a rough outline of gender reassignment surgery costs according to the type of procedure:
Below, we delve into details of each surgical procedure that might influence the gender-affirming surgery cost.
Female-to-male (FTM) top surgery cost
Female-to-male (FTM) top surgery removes breast tissue and gives the chest a more masculine appearance. On average, the cost of this gender reassignment surgery is between $3,000 and $10,000.
There are several techniques for FTM top surgery:
- Double incision procedure with nipple grafts is usually more expensive due to its complexity. This top surgery procedure is suitable for trans people with larger amounts of breast tissue. It involves two horizontal incisions across the chest to remove tissue and excess skin, with nipples repositioned as grafts.
- Periareolar & Keyhole top surgeries are generally less expensive (by up to $2,000) due to their less invasive nature and reduced surgical time. These options are optimal for those with a smaller chest size. They involve tissue removal through a small incision around or near the areolas, resulting in minimal scarring.
- The buttonhole technique removes more tissue through one cut than keyhole or periareolar methods while trying to preserve the nipple's look and feel. Buttonhole surgery is excellent for people with smaller chests who value their nipple sensation. Price-wise, it falls between the cost of periareolar/keyhole and double incision procedures.
Male-to-female (MTF) top surgery cost
MTF top surgery, or breast augmentation, involves the placement of breast implants to create female-contoured breasts. The cost ranges from $5,000 to $10,000 and depends on the desired size, type of implant, and the surgical approach.
Find out more about about top surgery costs here .
Female-to-male (FTM) bottom surgery cost
FTM bottom surgery includes procedures aimed at constructing male genitalia and removing female reproductive organs. On average, FTM genital gender reassignment surgery cost is between $6,400 and $25,000 .
There are several types of FTM bottom surgery, varying in goals and complexity:
- Hysterectomy: $9,500 - $22,500. Removal of the uterus.
- Oophorectomy: $11,500 - $18,500. Removal of the ovaries.
- Vaginectomy: $6,500 - $7,500. Removal of the vagina.
- Metoidioplasty : $6,000 - $30,000. Creates a phallus from the clitoral tissue, which has been enlarged through hormone therapy. Less complex than phalloplasty, which influences its lower cost range.
- Phalloplasty: $20,000 - $50,000. Constructs a penis using tissue grafted from other parts of the body, such as the forearm or thigh. The high complexity, longer surgery time, and the need for multiple stages contribute to its higher cost.
💰Due to its invasive nature, the cost of FTM surgery can be significantly higher than that of MTF procedures. It often involves skin grafts to construct a functioning organ where there wasn't one before, as opposed to repurposing existing tissue in MTF surgeries.
Male-to-female (MTF) bottom surgery cost
MTF bottom surgery refers to procedures that create female genitalia and remove male reproductive organs. The average MTF genital sex reassignment surgery cost is around $25,000 .
- Orchiectomy: $2,000-$8,000. The surgical removal of testicles. A relatively straightforward procedure, hence the lower cost.
- Vaginoplasty/ Vulvoplasty : $10,000-$30,000. The complexity of creating functional genitalia with aesthetic considerations explains the higher price range.
Vaginoplasty vs. Vulvoplasty. Vaginoplasty constructs a vagina and vulva using penile and scrotal tissue. Vulvoplasty, or zero-depth vaginoplasty, is less invasive, focusing solely on the creation of external genitalia without constructing a vaginal canal.
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Facial reconstruction cost
- Facial feminization surgery (FFS) : $20,000 to $50,000. A series of surgery procedures that alter masculine facial features to a more feminine appearance. The wide range of potential procedures (jaw shaving, rhinoplasty, brow lift, tracheal shave , etc.) and the complexity of facial surgery contribute to the high cost.
- Facial masculinization surgery (FMS) : $1,000 and $20,000. Involves enhancing masculine features, such as jaw augmentation or Adam’s apple enhancement. This type of FTM surgery is less common since testosterone therapy often provides sufficient masculinization of facial features.
Looking for more details on FFS costs? This article has got you covered!
Voice surgery cost
This gender-affirming procedure alters a patient's voice pitch and resonance to align with their gender identity more closely.
- Voice feminization surgery (VFS) modifies the vocal cords to produce a higher pitch, typically sought by transgender people aiming for a more feminine-sounding voice.
- Voice masculinization surgery (VMS) , while less common than VFS, is a procedure aimed at deepening the voice to make it sound more typically masculine.
Surgery costs start at approximately $5,000 and can go up to $9,000 or more.
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🤔Want to learn more about what to expect from gender-affirming surgeries? Read our Sex Reassignment Surgery Guide .
- Type of surgery. The specific procedure you're undergoing is one of the biggest cost determinants. Complex, multi-stage surgeries like phalloplasty or vaginoplasty tend to be more expensive than top surgeries or minor cosmetic procedures.
- Number of surgeries. Patients can combine surgeries, for example, have an orchiectomy at the same time as a phalloplasty. There are also instances where revision surgeries are necessary to refine initial results. Each additional stage or procedure increases the complexity, time, and resources needed.
- Surgeon’s expertise. Surgeons who are highly specialized and experienced in transgender surgeries typically charge more for their services.
- Geographic location. Sex reassignment surgery cost can vary depending on where it is performed. Countries with a higher cost of living or places where transgender surgeries are more in demand might have higher surgery costs.
- Hospital or surgery center fees. The facility where your surgery takes place can also impact the cost. Private clinics may have different pricing structures than public hospitals, and additional fees for anesthesia, operating room use, and post-operative care can add up.
When you're looking into the cost of transgender surgery, it's essential to know what you're paying for. These costs aren't just for the surgery itself; they cover a range of necessary steps and services that ensure your transition is safe and successful. These usually include:
- imaging tests;
- blood tests;
- prescription medications;
- surgeon’s fee;
- hospital fee;
- general anesthesia fees.
Sometimes, surgeries require additional procedures for optimal final results, like urethral lengthening and erectile device installation alongside phalloplasty.
All-inclusive packages
Clinics in Turkey and Thailand offer all-inclusive packages for transgender surgery. They can simplify your financial planning by covering all the essentials at one price.
Aside from the services usually covered by the cost, they may offer:
- customized plans with a combination of procedures that best fit your needs;
- accommodation;
- post-surgery support;
- translation services;
- leisure activities for your recovery period.
Request a Custom Treatment Plan
Health insurance plans usually cover treatments deemed medically necessary for gender dysphoria. Gender dysphoria is a condition where there's a disconnect between the sex assigned at birth and the gender someone identifies with. These treatments can include hormones, surgeries, or counseling. They aim to align one's gender identity with their appearance and anatomy.
However, coverage and specific requirements can vary depending on where you live, who you work for, and the details of your health insurance plan.
Determining your plan’s coverage and limitations
To get a clear picture of what your health plan covers, start with your member booklet. You should have received this document upon enrolling in your policy or joining your company's employee plan. It outlines the treatments included and the evidence you need to provide to qualify for coverage.
📋Common requirements for coverage include:
- One or two recommendation letters from a mental health professional.
- Evidence of hormone therapy for at least a year before surgery.
- Being at least 18 years old.
For prior authorization, you will need to provide your insurance company with documentation proving the medical necessity of the treatment. Failing to secure pre-approval might result in claim denial, even for surgery covered by the plan.
While genital and chest surgeries are usually classified as medically necessary, facial feminization/masculinization surgeries often fall under the cosmetic category for insurance companies. They rarely cover these and other procedures not deemed essential, like voice surgery. Coverage for these surgeries can be especially limited in states with less support for transgender rights.
Additional Costs
While your insurance company might cover the surgery itself, there are still additional costs to consider:
- Home assistance. If you're recovering solo, you might need to hire help at home.
- Travel and accommodation. Traveling for surgery? Factor in your flights and hotel stays.
- Psychiatric care. Essential for obtaining a referral letter for surgery, therapy sessions can cost between $65 and $250.
- Time off work. Expect to take six weeks off for bottom surgery recovery and around two weeks for top surgery.
- Recovery aids. After bottom surgery, items like a shower stool, waterproof bed sheets, cheap underwear, and sanitary towels can add up. Depending on the exact procedure, top surgery necessities may include a mastectomy pillow, chest binder, and loose-fitting clothes.
Budgeting for transgender surgery can be daunting, but there are several options available to help manage the costs:
- Payment plans. Healthcare providers and hospitals can offer payment plans, allowing you to spread the cost of surgery over time. Bookimed also enables patients to comfortably pay for the surgery in interest-free installments.
- Personal loans. You can take out a personal loan for a lump sum to cover medical expenses, ranging from $1,000 to $100,000. Your borrowing capacity and interest rates will depend on your credit score and income.
- Credit cards. Credit cards can give you access to a credit line for medical bills, which you pay off over time.
- Medical credit cards. Specifically for medical expenses, cards like CareCredit offer no-interest plans for a set period, but watch out for retroactive interest if the balance isn't cleared in time.
- Home equity. If you own your home, you might consider a home equity loan or line of credit (HELOC), which can offer lower interest rates. However, your home becomes collateral, posing a risk if you cannot keep up with repayments.
Grants for transgender surgery
Several nonprofits offer grants to help cover the partial or total cost of the gender confirmation surgery, providing financial aid that doesn't need to be repaid. Eligibility and requirements vary, but demonstrating some personal savings toward the surgery can strengthen your application. Here are a few organizations offering such support:
- Jim Collins Foundation ;
- Point of Pride ;
- The Loft LGBTQ+ Community Center ;
- Genderbands .
As you plan how to finance your surgery, keep these strategies in mind to keep costs down:
- Go through your insurance plan with a fine-tooth comb, and don’t be afraid to ask your provider questions. Dealing with insurance paperwork can be tiring, but the significant savings will be worth it.
- Use a health savings account (HSA) or a flexible spending account (FSA) to save for medical expenses, including gender-affirming surgeries.
- Try crowdfunding. Platforms like GoFundMe or Fundly can help raise funds for your surgery.
- Seek support from friends and family. They may offer more flexible and less costly loans to support your transition.
- Be mindful of interest rates to avoid paying more in the long run.
Best Countries for Gender Reassignment Surgery: How Much Is a Sex Change in Thailand and Turkey?
In the quest for gender affirmation, the search for excellence and affordability in surgical care leads patients to the global stage. Thailand and Turkey attract patients from all over the world with their remarkable medical expertise, welcoming culture, and affordable gender reassignment surgery cost.
🛕Thailand: The global leader in gender-affirming care
- Sex change capital of the world. Thailand isn't just famous for its beaches; it's a top medical tourism destination, welcoming over 2 million international patients a year. In particular, it is the №1 choice for gender-affirming surgery overseas.
- Expert surgeons. Thailand's surgeons are some of the best in the business, with decades of experience and innovation under their belts. For nearly half a century, starting with Dr. Preecha Tiewtranon's pioneering work in 1975, Thailand has led advancements in sex reassignment surgery (SRS).
- Innovative techniques. From the latest surgical techniques to state-of-the-art hospital facilities, Thailand is all about providing superior care. Thai doctors are known for developing groundbreaking surgical methods in SRS, including non-penile inversion vaginoplasty and peritoneal vaginoplasty.
- Affordable cost. Surgeries here can be 3 times cheaper than in Western countries, making it a desirable option for those without insurance or seeking a more budget-friendly solution.
- Hospitality. Known for its exceptional hospitality, Thailand's medical community extends a warm welcome to international patients. This is an excellent opportunity to combine a life-changing event with an enjoyable recovery vacation.
- Trans acceptance. With one of the most visible transgender communities in the world, Thailand offers an environment of understanding and respect. Bangkok is known for its inclusivity, where it’s common to encounter kathoeys (transgender women). The country also hosts Miss International Queen, the world's largest transgender beauty pageant. This cultural acceptance is mirrored in the compassionate care provided in Thailand’s gender confirmation clinics.
- Travel distance. For patients traveling from far away, the distance can add significant travel and accommodation costs to the overall budget.
- Cultural and language barriers. While medical staff often speak English, navigating a new culture and language can be challenging for some patients.
💸How much does gender reassignment surgery cost in Thailand?
Among Bookimed's partner clinics in Thailand, the costs range from around $4,500 for top surgery to $20,000 for bottom surgery .
📸See the results of sex reassignment surgery done in Thailand for yourself! Click on the offer below to check out the examples of before-and-after photos :
🕌Turkey: Top medical tourism destination
- Internationally recognized healthcare. Turkey's medical tourism industry is booming, with over 1 million visitors annually. The country's medical facilities use the latest technologies and meet international standards.
- Affordability. Turkey's low cost of living and operational expenses, as well as its aim of attracting more medical tourists, mean that patients can save up to 50-70% on transgender surgery costs compared to the US or Europe.
- Comprehensive packages. Striving to secure Turkey’s place as the global leader in medical tourism, Turkish clinics offer all-inclusive packages for international patients. They cover the surgery, hospital stay, and sometimes even accommodation and transfers.
- Surgeon expertise. Turkish surgeons, often trained internationally, bring a high level of skill and innovation to gender-affirming surgeries. They are affiliated with global associations like the International Society of Aesthetic Plastic Surgery (ISAPS) and the World Professional Association for Transgender Health (WPATH), ensuring top-quality care.
- Government support. Turkey's government backs its medical tourism sector with incentives for healthcare providers and directly oversees that treatments meet the highest standards of care.
- Prime location. Turkey's convenient position makes it especially appealing to patients from Europe, Asia, and the Middle East. It's a place where East meets West, packed with history and beautiful spots that can make your recovery feel more like a mini-vacation. Istanbul's status as the world's most visited city is no accident, with its ancient landmarks and vibrant life drawing people from across the globe.
- Cultural and legal climate. Despite the progressive nature of Turkey's gender clinics, the broader acceptance and legal recognition of transgender rights in Turkey can be inconsistent.
💸How much does transgender surgery cost in Turkey?
In Turkey, costs start at about $3,500 for voice or top surgery. Bookimed's Turkish partner clinics offer all-inclusive bottom surgery packages, with costs varying between $10,000 and $13,000.
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📸Check out before-and-after photos of transgender surgeries performed by leading surgeons in Turkey:
- Since sex reassignment surgery encompasses a vast number of procedures varying in complexity, costs vary widely, with the average price range being $3,000-$50,000.
- Top surgery procedures cost between $3,000 and $10,000 , while bottom surgery averages between $6,400 and $25,000 .
- Facial surgeries might cost between $1,000 and $50,000 depending on the type and number of procedures, while voice modification costs range from $5,000 to $9,000 .
- In the US and the UK , top and bottom surgeries can cost up to $20,000 and $75,000 , respectively. In contrast, Thailand and Turkey offer more affordable rates, with top surgery costing about $3,500-$7,600 and bottom surgery priced at $5,000-$22,000 .
- Most insurance companies cover gender-affirming procedures deemed medically necessary. However, specific requirements such as hormone therapy duration and letters of readiness apply.
- Additional out-of-pocket expenses may be necessary for recovery aids, travel, and potential income loss during the recovery process.
- Patients may ease their financial burden by using payment plans, personal and medical credit cards, home equity loans, health accounts, crowdfunding, and grants from supportive organizations.
Related Articles
- Sex Reassignment Surgery Guide: Everything You Need to Know from Preparation to Recovery
- How Much Does Male-to-Female (MTF) Surgery Cost in 2024?
- How Much Does Female-to-Male (FTM) Surgery Cost in 2024?
- How Much Does Top Surgery Cost in 2024?
- How Much Does Facial Feminization Surgery Cost in 2024?
- How Much Does Voice Feminization Surgery Cost in 2024?
- Johns Hopkins Medicine. Gender Affirmation Surgeries. https://www.hopkinsmedicine.org/health/wellness-and-prevention/gender-affirmation-surgeries
- Healthline. (2022). Everything You Need to Know About Gender Affirming Care. https://www.healthline.com/health/what-is-gender-affirming-care
- The Journal of Law, Medicine & Ethics. (2022). Utilization and Costs of Gender-Affirming Care in a Commercially Insured Transgender Population. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9679590/
- Medical News Today. (2022). Which insurance companies cover gender affirmation surgery and how to apply. https://www.medicalnewstoday.com/articles/insurance-companies-that-cover-gender-reassignment-surgery
- Investopedia. (2023). Does Insurance Cover Gender-Affirming Care? https://www.investopedia.com/paying-for-transgender-surgeries-5184794
- Bloomberg. (2015). How Thailand Became a Global Gender-Change Destination. https://www.bloomberg.com/news/features/2015-10-26/how-thailand-became-a-global-gender-change-destination
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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
Did you know?
In 2024 , there is a high demand for gender-affirming surgeries. Recent data shows a 25% increase in interest in 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 from a t op plastic surgeon ? Don't hesitate.
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 are the initial steps 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 depending on the chosen hospital and surgeon.
The MTF Breast augmentation surgery cost is given below:
What is the male-to-female (MtF) bottom surgery cost?
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:
What is included in facial feminization surgery, and what is its cost?
Facial Feminization Surgery (FFS) is a transformative cosmetic procedure that 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 male-to-female feminization surgery cost may go up from $9,000 to $12,000.
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!
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
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 counselling 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.
Penectomy Cost
The cost of a penectomy varies by location and procedure type. In the U.S., it ranges from $9,000 to $12,000 for a partial penectomy, while combined procedures in the UK cost around £15,000, and gender-affirming surgeries in India range from $20,000 to $35,000.
Your well-being is our priority - call us to book your appointment today
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 insurance coverage and financing options can greatly aid in managing these expenses.
- Insurance Coverage: Review your policy for coverage of gender-affirming surgeries.
- Medicaid and Medicare: Some states offer coverage through these programs.
- Out-of-Pocket Costs: Plan for co-payments, deductibles, and uncovered services.
- Financing Options: Explore personal loans, medical financing, and crowdfunding.
- Consultation with Experts: Seek guidance from experienced healthcare providers.
1.) How long does a male-to-female transition take? Some transitions may take less than a month, and some can even take 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 to grow breasts through estrogen is 2 to 6 months. 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.
Health Tips, Health Care and Fitness Tips, Health News | TheHealthSite.com
National Center for Biotechnology Information (nih.gov)
https://my.clevelandclinic.org/health/treatments/21526-gender-affirmation-confirmation-or-sex-reassignment-surgery
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5994261/
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Question and Answers
I am 36 year old married man, i want to breast like a woman breast with out any surgery. if any possibility of this please give me some advice that how it's done..
There are non-surgical options to consider. Methods involving hormones that cause breast development, such as the administration of estrogen or the use of progesterone, could be effective. The use of the hormonal valve of these aids is advised only medically and not as a means for self-reliance since it can have side effects on health. I advise you to get in touch with a healthcare professional for a consultation so they can give you the right advice and direction considering your health condition and also investigate the effectiveness of the treatment.
Answered on 12th Dec '24
Dr. Vinod Vij
Hi, I would like to have FTM hormons and surgery on a vety good level and results, how much in New Delhi
Female | 50
In case you are thinking about using the FTM hormones and having surgery to get a perfect result in New Delhi, it should be pointed out that this practice is a part of transitioning from female to male people. Gender dysphoria is generally expressed through the person's feeling that the gender identity that the person was born with is inappropriate and does not agree with the person's innate gender. Hormone therapy and surgery can help reunite gender and sex. Make sure to approach a specialized doctor in New Delhi who has the necessary experience in providing these treatments for the best outcomes.
Answered on 4th Dec '24
Can it possible 23 age female can change herself into male by surgery and have male part
Female | 23
Biologically a female aged 23 cannot be totally changed to a male by surgery. The fact remains that sex is defined by chromosomes. On the other hand, some transgender individuals might refer to surgeries in this area to alter their looks. Whoever is struggling with the gender issue, should get the consultation of a counselor who focuses on the theme of gender identity to reflect and discuss their feelings and the possibilities of their solution.
I am 27 years I am trans female had a surgery from mtf and now want to have reversal surgery ftm now is it possible in india to have a surgery
You want to know if there's an option for surgery to change from a trans female to a trans male in India. These surgeries are legal in India, but it is important to first talk to a plastic surgeon who is experienced in gender-affirming surgeries. They will look at your particular case, go over your reasons for reversal surgery with you, and help you with the process.
Answered on 3rd Dec '24
48! yaşında bir erkeğim trans birey olarak kadın olmak istiyorum Hormon tedavisi istiyorum. Hangi ilaçlardan başlamalıyım
For someone who is 48 years old and seeking to transition from male to female, it's important to consult with an endocrinologist before starting any hormone therapy. They will guide you on the appropriate medications and dosages based on your specific needs.
Answered on 2nd Aug '24
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Private care
There are several private gender services which charge fees but which may have significantly shorter waiting lists than the NHS. You may wish to use these services while on the waiting list for an NHS service. It can overwhelming trying to choose which gender service to be referred to, but you can find useful tips on how to choose on our Choosing a Gender Service page .
An important note
This list is for information and should not be considered an endorsement of any particular practitioner(s) or clinic. Similarly, absence from the list does not imply that we would not endorse a particular practitioner or clinic. We cannot check the quality or safety of services on this page, it is your responsibility to do so before choosing a private provider.
All of the clinics on this list accept self-referrals.
Note that while some services will see patients younger than 18 for an assessment, not all will offer hormone therapy. You may wish to contact services to find out if they are willing to prescribe to under 18s before paying money to a service.
Other private services
Whilst they do not have clinicians who can prescribe hormones or refer you for surgery, Gender Health Care offer help, advice and support from registered health professionals with personal and professional experience of non-conforming gender identities. They provide services to people of all ages including offering specialist advice, administering injections, and taking blood samples.
Gender GP is based outside of the UK, but they provide services for trans patients internationally. This includes hormone prescribing and counselling.
Surgeons offering both private and NHS services
You can find a complete list of UK surgeons who can be accessed via the NHS on the NGICNS website . Many of these surgeons will see patients “privately” also – that is, where the patient pays for the surgery themselves, rather than it being paid for by the NHS.
Private-only surgery teams in the UK
A small number of UK surgeons offering gender surgeries will only take private patients. We are aware of the following surgery teams in the UK:
- Multiple surgery types are performed by the The Hamlet Clinic , and Pall Mall Medical , Ardeshir Vahidi
- Chest surgery is performed by Miles Berry and Dai Davies , Mohsen El Gammal , Mysore Chandrashekar , Guy Sterne , and Ionnis Ntanos (a choice of UK or Greece).
- Feminising genital surgery is performed by Christian Seipp (including orchidectomy)
- Facial surgery is performed by Nik Maini , Brian Musgrove , and Moorthy Halsnad
There are many other private surgery teams based outside of the UK. You might want to have surgery abroad for many reasons, such as access to techniques not available from UK surgeons, lower cost of surgery in other countries, or wanting surgery from a specific surgeon who does not operate in the UK. However, there are a number of potential disadvantages to surgery abroad that are also worth considering carefully. There is information to help you make these decisions on the UK Government website and on the NHS website .
Take a look at the Travelling abroad for surgery page for some more information on the experience of having surgery abroad.
Costs for private services vary significantly. Appointments with private clinicians tend to cost £250-500, and you are likely to be asked to attend:
- at least one or two initial assessment appointments (or more if under 18)
- an appointment with an endocrinologist to be prescribed hormones
- periodic followup appointments with the endocrinologist
You may also need to pay prescription costs, costs for blood tests, and costs for injection supplies, depending on whether your GP agrees to a shared care agreement with the private clinic.
Appointment costs
Most private gender services list information about fees on their websites.
- GenderCare fees
- The Gender Hormone Clinic fees
- Gender Identity South West fees
- Harley Street Gender Clinic fees
- London Transgender Clinic fees
- Dr Lenihan fees
- YourGP fees
You can find a helpful summary of the costs of using private services that has been put together by community members in this Reddit thread .
Prescription costs
If you are using private gender services to obtain medications, the service will normally ask your GP to write you NHS prescriptions. Your GP may or may not agree to do this – it is up to them. Guidance on shared care that you may wish to give to your GP to help them make this decision has been produced by NHS England and NHS Wales .
If your GP agrees to prescribe on the NHS, the cost of your medication is the same as any other NHS prescription. You do not have to pay the full cost of medication you are prescribed on the NHS. You are not asked to pay anything at all in Northern Ireland , Scotland and Wales . In England, people are asked to pay a small charge for each item on their prescriptions. There are ways you can reduce or avoid this cost, which you can read about on the NHS website .
If your GP does not agree to prescribe on the NHS, the private service can write you private prescriptions, which you will have to pay the full cost of yourself. Typical prices for commonly used medications (as of February 2022) are:
- testosterone gel : around £50 for a two month supply
- testosterone injections : around £5-6 every 2-4 weeks for Sustanon, £100 for three months for Nebido
- oestrogen gel : around £10 for a 2-8 weeks supply
- oestrogen patches : around £10 for a 2-4 weeks supply
- oestrogen pills : around £10 for a 1-4 weeks supply
- GnRH agonists : around £250-300 for a 3 month supply
The private service may sometimes charge you an additional fee for writing the private prescription.
If you are taking a medication that is injected, you will also need injection supplies. You can find information about how to obtain these supplies cheaply and easily on genderkit.org.uk ‘s self-injection page .
If your GP does not agree to perform blood testing for you, you will also need to arrange for this, which may cost you additional money. You can find out more about arranging blood testing on our hormones and blood testing page .
Fees will vary depending on the team and on your particular surgical requirements. Some private surgery providers will include their fees on their website, and others you’ll need to e-mail to ask. Always ask what is and isn’t included in the quoted fee, and what (if anything) you would need to pay extra for if you experience a complication.
When calculating the cost of private surgery, remember to factor in travel and accommodation costs (for pre-surgical and post surgical appointments as well as for your surgical date), any medication or supplies you will need to buy to aid your recovery.
There are other factors apart from costs that you may want to consider when choosing a private service. You can read more about things to consider on our Choosing a Gender Service page .
You can find useful tips for deciding which surgery team to use on the Umbrella Cymru website .
You can find more information about private hospitals in the UK by searching on the Private Healthcare Information Network website .
Errors or omissions
Is there something missing from this page? Have you spotted something that isn’t correct? E-mail [email protected] to let us know.
Does something look familiar?
This page is based on information originally posted on genderkit.org.uk with permission.
A disclaimer: TransActual do not provide medical, health, or legal advice. The content of this page is intended for information purposes only. It is not a substitute for medical advice, diagnosis or treatment from a medical professional. It is not a substitute for advice from a legal professional. We strongly suggest you consult a healthcare professional or legal professional for specific advice about your situation. TransActual do not advocate or recommend the purchase of any specific product and we do not endorse or guarantee the credentials or appropriateness of any health care provider, any product or any provider of legal services.
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Membership and Pricing
Say goodbye to long waiting lists! As a GenderGP member, you could get access to the gender-affirming care and private prescriptions in just a few weeks.
GenderGP Membership
Enjoy all the benefits of being a member today:
£195 one-time set-up fee, £30 , monthly
Top benefits
Your journey with gendergp, set up fee £195.00.
Where Do I Start?
Begin by filling out the form found: here . This form collects your details to create a personalised Transition Pack. At the end of the form, you can pay the Set-up Fee and set up your monthly membership subscription.
Monthly Membership £30.00
Become a member
You’ve already taken the first step with GenderGP. Now, you can become a member by subscribing here . The membership is renewed every 28 days.
Book your consultation £65.00
Have your consent session
To create your Transition Pack , you’ll have a private consultation with one of our partner wellbeing advisors. During this session, they will develop a report detailing your needs and provide us with the relevant information needed to create your personalised Transition Pack.
Book the consultation here
Begin your pathway to transition
Start or get support on your journey with GenderGP to a new and improved you! Still not convinced? Click to hear from real people , who are on their journey supported by GenderGP right
Get your Treatment Recommendation
We will work with you to formulate the information for your Transition Pack:
- Have your first consultation
- Provide your blood tests results or book a new blood test.
- Complete the form and provide more information about you and your goals.
You will need your Transition Pack in order to support your healthcare providers and your journey. Remember this also unlocks access to prescription referrals for gender-affirming medications.
Get your Blood Tests
Certain HRT treatments require regular blood tests, with some, like testosterone, needing tests every three months , while others may be every six months.
Testosterone £59.00 Estradiol £59.00 Full Blood Count £79.00 Liver Function £59.00 Kidney Function £69.00 Lipids £59.00 Diabetes (HbA1c) £59.00 FSH & LH £69.00 FBC + Liver + Kidney + Lipids + Diabetes £189.00 Testosterone + Estradiol + Liver Function £119.00 Testosterone + Estradiol + Full Blood Count £139.00 Testosterone + Estradiol £89.00
Power Up Your Journey with a Transition Pack
Now you have provided all the necessary information we will send your personalised Transition Pack straight to you. You can use this as your guide to your transition and your healthcare providers can use this information to inform prescription choices for you where required. This also unlocks your referral to independent prescribers.
Receive follow-up counselling £30.00
At this stage of your treatment, a follow-up consultation is likely needed to continue your progress. Ongoing monitoring is crucial to your treatment’s success. You can schedule your follow-up consultation here .
Ready to start your gender journey? Empower your gender transition with expert support
Online consultations, consultations.
At GenderGP, we partner with a network of specialists and experienced advisors, to provide consultations and tailored sessions based on your needs.
As a result, we are able to offer services via our partners including:
Doctor Information Gathering Session: £160
An Information Gathering Session (IGS) is a vital component of our commitment to providing access to positive recommendations for gender-affirming care.
Doctor Follow up Session: £80
A session with an experienced Doctor to discuss your progress so far and to help you make any decisions or adjustments to your care plan.
Observation Injection Session: £40
Have a nurse present to observe when administering your injection medication.
Gender-Affirming Voice Coaching Session: £145
Receive a personalised voice assessment and tailored exercises from a speech pathologist specialised in working with the trans and queer community. Plus, a workbook for at-home practice to support you in achieving your voice goals.
Counselling: £80
Engage in detailed sessions with counsellors skilled in discrimination and identity issues.
Injection Training Session: £60
A formal training session with a nurse to teach you how to safely administer your injection medication.
Doctor Consultation: £160/45min - £80/20min
Consult with experienced clinicians about your health, gender-affirming healthcare, and medical queries in a dedicated session with a qualified Doctor. This session can result in a bespoke prescription.
Nurse Consultation: £100/45min - £50/20min
Consult with experienced clinicians about your health, gender-affirming healthcare, and medical queries in a dedicated session with a qualified Nurse. This session can result in a bespoke letter.
Consultations for Letters
To facilitate your transition, you may require letters of recommendation. These can be provided during individual sessions, tailored to the specific nature of the service you need.
Gender Marker Session - Electronic Signature: £55
Get your Gender Marker Change letter now, written by an HCPC-accredited clinician, by booking a Gender Marker session. The letter is available to members and non-members as a result of the session.
Gender Marker Session - Hand-Signed Letter: £75
Fertility referral session: £110.
This session is to provide a referral letter for storing your gametes (eggs or sperm) and helping you make informed decisions on preserving reproductive options.
Formal Diagnosis Session: £185
If you need a 'Formal Diagnosis' of Gender Incongruence for any reason, consider scheduling a session to acquire this diagnosis. Note this can't be used for receiving a Gender Marker Letter.
Surgery Referral Session: £185
If you are preparing for surgery and in need of a referral letter, our experienced team is ready to support and guide you through every step of this crucial process.
Support from our advisors
Chat with fedora £50.
Have a 1:1 sit down with Fedora where you can ask questions and freely discuss your journey.
Health Advisor Session £7.99
Our advisors have extensive experience in the trans community, either personally or professionally.
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How Much Does FTM Top Surgery Cost in the UK?
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Table of Contents
What Does FTM Top Surgery Cost in the UK?
The journey towards aligning your physical self with your gender identity is deeply personal and can significantly impact your quality of life. For those assigned female at birth who identify as male, FTM top surgery represents a pivotal step in this journey. The financial aspect of this transformative surgery is a crucial consideration, encompassing a range of factors tailored to your unique requirements, the surgical techniques employed, and the proficiency of your surgeon.
RELATED: Gender Affirmation Surgery
At Centre for Surgery, the cost of FTM top surgery begins at £9,500. It’s important to understand that the total investment in your gender affirmation surgery may fluctuate based on your specific circumstances. An in-depth breakdown of costs will be provided during your initial consultation, ensuring transparency and helping you make an informed decision.
Gender dysphoria presents challenges that are as diverse as they are personal. For many, hormone therapy might not be the right course of action, making surgical intervention a more fitting choice. This guide delves into the nuances of FTM top surgery costs, addressing common inquiries and shedding light on what to expect throughout the process.
Our clinic is a beacon of hope and transformation for the transgender community, staffed by surgeons who not only possess exceptional skills but also empathy and understanding towards the needs of their patients. These professionals are affiliated with the World Professional Association for Transgender Health (WPATH), highlighting our commitment to maintaining the highest standards of care. Having facilitated numerous FTM top surgeries for patients from London and beyond, our team prides itself on delivering outcomes that resonate with our patients’ identities, offering them a renewed sense of self and well-being.
RELATED: FTM Top Surgery FAQs
We invite you to connect with the Centre for Surgery to arrange a private consultation at our Baker Street clinic. Embarking on this journey with us means taking a significant step towards aligning your body with your true self, in an environment that respects and supports your unique path to gender affirmation.
FTM Top Surgery: Techniques, Integration, Costs, Fees and Prices
Transitioning to affirm one’s gender identity is a profound journey, with top surgery serving as a key milestone for many trans men and gender-diverse individuals assigned female at birth. This surgical procedure is not one-size-fits-all; it encompasses various techniques meticulously designed to craft a more masculine chest, tailored to each individual’s body and needs. Here, we delve into the nuances of different FTM top surgery methods, their combination with liposuction for optimal chest contouring, and an overview of associated costs, providing a holistic perspective on this transformative journey.
Double Incision with Nipple Graft (Buttonhole Incision)
The double incision with nipple graft , often recommended for those with a larger chest size (C-cup or larger), involves creating two horizontal incisions along the lower edge of the pectoral muscles. This method is instrumental in removing excess skin and breast tissue, resulting in a flatter, more traditionally masculine chest appearance. The nipples and areolas are carefully repositioned higher on the chest and resized to enhance the masculine aesthetic, with attention to detail ensuring minimal scarring around the areola.
This technique is notably the most prevalent form of FTM top surgery, largely due to its effectiveness in addressing significant breast tissue and achieving a distinctly masculine chest contour.
Top Surgery Combined with Liposuction
To refine the results of the double mastectomy, top surgery can be seamlessly integrated with liposuction . This combination is pivotal for removing any remaining excess fat, thereby fine-tuning the chest’s definition and minimizing imperfections such as indentations. The strategic removal of fat complements the mastectomy results, ensuring a smooth, defined chest that aligns with the individual’s gender identity.
Keyhole Incision
The keyhole incision technique is best suited for individuals with smaller breast sizes (A-B cup) and minimal to no skin laxity. Through a discreet incision around the lower half of the areola, this method allows for the removal of breast tissue while leaving minimal scarring. The keyhole incision is highly regarded for its subtlety and effectiveness, particularly in cases where extensive skin removal is not necessary.
Periareolar Incision
For trans men with smaller amounts of breast tissue (A/B cup) and no skin laxity, the periareolar incision offers a viable surgical option. This technique involves dual incisions around the areola to facilitate the removal of breast tissue, potentially supplemented by liposuction to eliminate any excess fat. The surgical approach focuses on achieving a smaller, more masculine chest with minimal scarring, enhancing the overall aesthetic with proportionate nipples and areolas.
Inverted T Incision: Addressing Larger Breasts and Skin Laxity
The inverted T technique is tailored for individuals with significantly large breasts and notable skin laxity. While it shares similarities with the widely used double incision method, the inverted T includes an additional vertical incision. This extra cut is crucial for smoothing and properly draping the skin over the newly contoured chest, ensuring a natural appearance despite the potential for more visible scarring. The incorporation of liposuction as part of this procedure enhances the chest’s final shape, adding definition and aligning the results more closely with the individual’s gender identity.
Fishmouth Incision: Prioritising Nipple Sensation
Diverging from more traditional incisions, the fishmouth technique employs a horizontal incision across the chest and around the areolas. This method is distinguished by its ability to retain more nipple sensation post-surgery, an advantage particularly valuable for those concerned about the loss of sensation following nipple grafting. Despite creating a different scar pattern compared to other techniques, the fishmouth incision is noteworthy for its focus on preserving sensory experience, albeit not commonly performed by all surgeons due to its unconventional nature.
Medical Tattooing for Areolas: An Artful Solution
In instances where nipple grafting is not successful, or when nipples are intentionally not retained, medical tattooing emerges as a sophisticated alternative. This process involves the intricate implantation of pigment into the skin to simulate the appearance of nipples and areolas, offering a visually compelling solution. Medical tattooing can significantly enhance the chest’s aesthetic, providing a sense of completeness and normalcy for individuals who may not have viable nipples post-surgery.
RELATED: FTM Top Surgery Before & After Photos
Other Expenses Associated with FTM Top Surgery
Undergoing Female to Male (FTM) top surgery is a transformative journey, both emotionally and physically. However, beyond the surgical procedure itself, there are several associated costs that prospective patients need to consider as part of their planning process. Understanding these ancillary expenses is essential for a well-prepared and stress-free experience.
FTM Top Surgery Consultation: The First Step Towards Transformation
The journey begins with an initial consultation, a critical step in determining your suitability for FTM top surgery. This meeting provides a platform for a confidential dialogue with an experienced FTM surgery specialist. It’s an opportunity to ask pertinent questions, understand the intricacies of the procedure, and receive tailored advice, ensuring you can make a well-informed decision. The cost of this consultation is typically deducted from the final surgery cost if you decide to proceed, adding value to this preliminary stage.
RELATED: How to Prepare for FTM Chest Surgery
In addition to the consultation, there may be a need for specific medical tests to assess your readiness for the surgery. These tests, aimed at ensuring the best surgical outcomes, may introduce additional costs. As an LGBTQ-friendly clinic committed to the highest standards of privacy, we ensure that all medical testing is conducted with the utmost confidentiality, providing peace of mind regarding your privacy.
Navigating Travel and Accommodation: Ensuring Comfort and Convenience
For many, the path to undergoing FTM top surgery involves travel, sometimes from significant distances, to consult with top surgery specialists. This necessitates careful consideration of travel and accommodation logistics, particularly in the immediate postoperative period. Accommodation close to our Baker Street clinic is advisable, especially for the first 24 hours post-surgery, to ensure accessibility to medical care if needed.
Budgeting for travel and accommodation involves accounting for various modes of transportation, whether it be trains, taxis, or other means. Additionally, the presence of a supportive friend or family member is crucial for your journey back home after the surgery. Alternatively, our clinic offers a chaperone service for those who require assistance, adding another layer to the financial planning for your surgery.
Plastic Surgeon’s Fees: Investing in Expertise
The expertise of your plastic surgeon is one of the most significant factors in the success of your FTM top surgery. Opting for a highly experienced and specialised surgeon, like those at Centre for Surgery, means investing in a professional who is deeply knowledgeable about gender-affirming surgeries. While surgeons of such caliber may command higher fees, their expertise often justifies the investment, providing peace of mind that you are in capable hands. At Centre for Surgery, the quoted price includes the surgeon’s fees, ensuring transparency and preventing any unexpected costs from arising.
Medications and Prescriptions: Managing Pain and Preventing Complications
Post-operative care often involves medications to manage pain and prevent complications. While the cost of these prescriptions is not included in the total cost of your FTM top surgery, they are generally affordable. These medications are vital for a comfortable recovery period and are prescribed with your well-being in mind, ensuring that you can focus on healing with minimal discomfort.
Post-Surgical Garments: Essential for Recovery
The use of compression garments post-surgery is pivotal in minimising swelling and supporting the healing process. At Centre for Surgery, we recognise the importance of these garments in your recovery journey. Thus, we offer them at discounted rates to our patients. These specially designed garments not only aid in reducing inflammation but also help contour the chest to the desired masculine shape, playing a significant role in achieving the optimal surgical outcome.
Factoring in Time Off Work: Balancing Recovery and Responsibilities
Recovery from FTM top surgery varies among individuals, but generally, it requires taking time off from work. At the Centre for Surgery, the recommended recovery timeline suggests 1-2 weeks away from work for most patients. However, for those whose job responsibilities might exert stress on the surgical sites, a longer leave of 4-6 weeks may be necessary. This aspect of recovery planning is vital not only for ensuring a smooth and safe healing process but also for managing financial expectations during your time away from work.
Follow-Up Appointments: Ensuring Healing and Success
Recovery from FTM top surgery is a process that requires careful monitoring. To this end, Centre for Surgery schedules at least three follow-up appointments. These sessions are crucial for assessing your recovery progress, ensuring that incision sites are healing properly, and addressing any concerns you may have. Importantly, there is no additional charge for these follow-up appointments, emphasizing our commitment to your successful recovery. However, it’s important to consider the potential travel and accommodation costs associated with attending these appointments, as they can add to your overall budget.
RELATED: Can Breasts Grow Back After FTM/N Top Surgery?
Can I Get FTM Top Surgery on the NHS?
For many individuals seeking to align their physical appearance with their gender identity, Female to Male (FTM) top surgery is a critical step in the journey of gender transition. In the United Kingdom, the National Health Service (NHS) recognises the importance of gender-affirming surgeries, including FTM top surgery, for those diagnosed with gender dysphoria. This acknowledgement is a beacon of hope for many, offering a pathway to receiving essential treatment without the burden of private medical costs. Here, we delve into the NHS’s provision for FTM top surgery, shedding light on eligibility, waiting times, and what this means for individuals seeking gender-affirming care.
NHS Coverage for Gender Dysphoria
The NHS offers coverage for FTM top surgery to patients who have been officially diagnosed with gender dysphoria. This diagnosis is a significant step, as it opens the door to accessing a range of gender-affirming treatments available under the NHS. The inclusion of FTM top surgery within NHS services underscores the health system’s commitment to supporting the transgender community, acknowledging the procedure’s role in alleviating the distress associated with gender dysphoria.
Waiting Lists and Accessibility
While the availability of FTM top surgery under the NHS is a considerable advantage, it’s essential to be aware of the challenges related to accessibility. One of the most significant hurdles is the lengthy waiting lists. Due to high demand and limited resources, patients may find themselves facing months or even years of waiting before they can undergo the surgery. This extended wait can be a source of considerable stress and anxiety, impacting the overall well-being of individuals eager to progress with their transition.
Considering Your Options
Given the prolonged waiting times associated with NHS-provided FTM top surgery, some individuals may explore alternative routes to expedite their transition process. One option is seeking treatment through private medical facilities such as Centre for Surgery in London, where surgeries can be scheduled much sooner. However, this route involves higher costs, which may not be feasible for everyone. It’s important for those considering this path to carefully weigh the financial implications against the urgency of their need for surgery.
Financing Options for FTM Top Surgery in the UK
Embarking on the transformative journey of female-to-male (FTM) top surgery is a significant step for many individuals seeking to align their physical appearance with their gender identity. However, the financial aspect of this surgery can pose a challenge for some. In the UK, there are several avenues available for financing FTM top surgery, each offering different benefits and considerations. Understanding these options can empower individuals to make informed decisions best suited to their circumstances and financial situation.
Financing Through Specialised Partners
One viable option for managing the costs of FTM top surgery is through financing plans. Centre for Surgery collaborates with Chrysalis Finance, a specialist financing partner, to offer patients a flexible way to cover the cost of their surgery. These financing options can significantly ease the financial burden by spreading the cost over multiple instalments. This approach allows individuals to proceed with their surgery without the immediate pressure of a lump sum payment, making the process more accessible for many.
RELATED: Your Financing Options
Before opting for financing, it’s essential to carefully consider the terms and conditions, including interest rates and repayment periods, to ensure that the plan aligns with your financial capabilities and long-term budgeting plans.
Paying Out of Pocket
For those who prefer a more straightforward approach to financing their surgery, paying out of pocket using personal savings is another common method. While this option requires upfront payment, it eliminates the need for loans or financing agreements, thereby avoiding interest charges and the potential for long-term financial commitments. Paying out of pocket provides a sense of financial closure post-surgery, allowing individuals to focus on their recovery and transition without the added stress of future payments.
It’s important to realistically assess your financial situation and savings before choosing this option, as the costs of FTM top surgery can be substantial.
Utilising Crowdfunding Platforms
Crowdfunding has emerged as a novel and increasingly popular method to finance gender-affirming surgeries, including FTM top surgery. Platforms such as GoFundMe allow individuals to share their stories and raise funds from friends, family, and supportive communities worldwide. This method not only helps alleviate the financial burden of surgery but also fosters a sense of community and support for the individual’s transition journey.
Achieve Gender Affirmation Through FTM Top Surgery With Centre for Surgery
Embarking on the journey of gender affirmation is a significant step in aligning your physical appearance with your gender identity. At Centre for Surgery, we understand the profound impact this transformation can have on your life. Our dedicated team of experienced plastic surgeons specialises in FTM top surgery, offering personalised care tailored to meet your unique needs and aspirations. Here’s why choosing Centre for Surgery for your FTM top surgery in the UK is a decision that can profoundly enhance your confidence and satisfaction with your physique.
Why Choose Centre for Surgery?
At Centre for Surgery, we pride ourselves on our patient-centred approach, state-of-the-art facilities, and a deep commitment to providing compassionate, expert care. Our surgeons are not only skilled in the latest surgical techniques but also deeply understand the emotional and psychological aspects of gender-affirming surgery.
Patient Testimonials:
- Alex’s Journey: “My experience at Centre for Surgery was nothing short of incredible. From the first consultation, I felt heard, respected, and in safe hands. The results of my FTM top surgery have exceeded my expectations, giving me a new lease on life and confidence I never knew I could have.”
- Jordan’s Story: “Choosing Centre for Surgery for my top surgery was the best decision I’ve made. The care and support I received from everyone at the clinic were phenomenal. The surgery has been a critical step in my transition, and I’m thrilled with the results.”
- Taylor’s Reflection: “The professionalism and empathy shown by the Centre for Surgery team were outstanding. My journey of gender affirmation has been supported every step of the way, leading to a successful surgery that has transformed how I see myself and how I live my life.”
Book Your Consultation
Ready to take the next step in your gender affirmation journey? Contact Centre for Surgery today to book your consultation. Our team is ready to guide you through the process, answering any questions you might have and providing detailed information about what to expect.
Contact Details:
- Phone: 0207 993 4849
- Email: [email protected]
- Address: 95-97 Baker Street, London W1U 6RN
For more detailed information about our clinic and the services we offer:
- About Us: Centre for Surgery – About Us
- Finance Options: 0% APR with Chrysalis Finance
- Plastic Surgery Blog: Centre for Surgery Blog
- Clinic FAQs: Frequently Asked Questions
- Baker Street Clinic: Our Baker Street Clinic
Choosing Centre for Surgery for your FTM top surgery means entrusting your care to one of the UK’s leading plastic surgery clinics, renowned for our expertise in gender-affirming procedures. Let us be part of your transformative journey towards embracing your true self with confidence and pride.
Start your journey with us today
If you have a question about a treatment, or you would like to find out more about how we can help you, call us on 0207 993 4849 or fill in the form below and one of our patient care coordinators will contact you to book a consultation with a specialist practitioner
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Open to all.
At The Private Clinic, we are proud to serve our transgender and non-binary patients with our range of industry-leading aesthetic surgical treatments. We have a wealth of experience in offering the very best treatments thanks to the knowledge of our qualified doctors, nurses and surgeons and our supportive and empowering approach to patient care.
As a diverse organisation, our clinicians work with non-binary and transgender patients on a regular basis to help every individual reach their goals. We offer a trustful and empathetic service to patients undergoing gender reassignment, while supporting their aesthetic needs with our exemplary treatments across each stage of their gender transition journey.
Our Priority is always you
Using our advanced surgical and non-surgical techniques, and our cutting-edge technologies, we offer you a safe environment to achieve life-changing cosmetic and surgical results. We see over 15,000 new patients every year and perform over 10,000 procedures, with one of the highest – if not the highest – patient satisfaction rates in the sector. We have a 9.4, 5 star-rating on Trustpilot, and 96% of our patients would recommend us to their friends and family.
Diverse Treatments from Leading Clinicians
As a multi-award-winning cosmetic clinic, we can offer a range of cosmetic enhancement treatments to help you feel fully empowered and confident in your gender identity. We offer male to female breast augmentation surgery, blepharoplasty procedures and a full range of associated cosmetic enhancement treatments like laser hair removal, so you can transition in a way that fully embraces and exceeds your personal expectations.
Our trained clinicians have a reputation for clinical excellence, with direct experience of transgender reconstructive plastic surgeries and treatments. We also offer our full range of non-invasive procedures that are designed to maximise your beauty goals.
Book a consultation with one of our friendly clinicians today to discuss your treatment needs with them.
Gender Surgery
Mtf top surgery.
We offer Transgender breast augmentation surgery with Consultant Plastic Surgeon, Mr Dario Rochira . The procedure involves using breast implants to increase and enhance the size and shape of the chest to create a more feminine apperance. Mr Dario Rochira is very experiencied in working with trans patients to help them acheive the best results and reach their body goals. Find out more about Breast Augmentation surgery here.
Transgender Hair Transplant Surgery
Transgender Hair Transplant surgery is available with Hair Transplant Surgeon, Mr Luca De Fazio . The procedure uses the FUE Hair Transplant technique to help alter the appearance of the hairline to create a more masculine, or feminine apperance. More volume and thickness can also be added to areas on the scalp that are thinning. Mr Luca De Fazio is very experienced in this type of procedure and work carefully with his patients to ensure that the procedure is tailored to their needs whether they’re transitioning from MTF or FTM. Find out more about Hair Transplant procedures here.
Dermal Fillers for Feminisation or Masculinisation
Feminisation or Masculinisation with Dermal Fillers is an advanced technique that Aesthetics Doctor, Dr Hanson specalises in. He can use dermal filler to reshape the lips, jawline, cheeks, under eye area and much more. He takes a tailored approach to this type of procedure and will work with his patients to help them acheive their goals. Find out more about Dermal Fillers here .
Laser Hair Removal
Laser Hair Removal is a popular procedure for patients who are transitioning from male to female. We can perform laser hair removal to reduce hair growth on the face, arms, neck, abdomen, back, bikini and legs. You will have a in-depth consultation with our expert laser team before starting your procedure which includes a free patch test to ensure you are suitable for treatment. Our experts will then work with you to help you get the best results. Find out more about Laser Hair Removal here.
Patient Testimonials
Aurelie is a 38-year-old transgender woman who completed a course of 20 Laser Hair Removal treatments with us at our London clinic. Aurelie made the decision to transition to a woman and not having to shave her facial hair was an important personal goal. Discover her life-changing story in her video.
Throughout her treatment journey, she was welcomed and supported by our expert-led team. The treatment has given her newfound confidence in her physical appearance while helping her to progress with her transition in a positive way.
To find out more about our range of treatments, book a bespoke consultation with us , or call our treatment experts on 0203 3256555 . We look forward to welcoming you.
Our Clinics
- Cosmetic Surgery
Cadogan Clinic is a leading specialist cosmetic surgery clinic based in the heart of London. We’re home to the leading specialists in Breast Augmentation, Liposuction, and a comprehensive range of face, breast and body treatments.
Breast Surgery
Cadogan Clinic offers a full range of cosmetic breast surgery to help make the changes you want to your breasts under the guidance of the best surgeons in the UK.
- Breast Enlargement
- Breast Reduction
- Breast Lift
- Natural Breast Enlargement
- Breast Implant Replacement
- Breast Reconstruction
- Nipple Reduction
Body Surgery
Cadogan Clinic offers a range of cosmetic surgery to help make the changes you want to your body under the guidance of the very best surgeons in the UK.
- Brazilian Butt Lift (BBL)
- Liposuction
- Mummy Makeover
- Laser Liposuction
- Vaser Liposuction
- Buttock Lift
- Calf Augmentation
- Cellulite Treatment
- Extended Tummy Tuck
- Hernia Surgery
- 360 Liposuction
- Scar Revision
- Umbilicoplasty
Cosmetic Gynaecology
Cadogan Clinic provides a wide range of cosmetic gynaecological surgery procedures performed by a multi-disciplinary team of the best surgeons in the UK.
- Labiaplasty
- Gynaecological Fat Transfer
- Vaginal Rejuvenation
- Vaginal Tightening
Facial Surgery
Cadogan Clinic offers a wide range of facial cosmetic surgery procedures to help you make the changes you want, under the guidance of the very best surgeons.
- Rhinoplasty
- Mini Facelift
- Eyelid Surgery
- Chin Liposuction
- Alar Base Reduction
- Chin Augmentation
- Buccal Fat Removal
- Deep Plane Facelift
- Earlobe Repair
- Forehead Reduction
- Micro Facelift
- Nose Tip Rhinoplasty
- Septoplasty
- Septorhinoplasty
- Fat Transfer
Fat transfer, also referred to as fat grafting and lipofilling, has become widely accepted as the optimal means of soft-tissue filling in all areas of the body, including the face, breasts, hands and buttocks
- Fat Transfer to Face
- Fat Transfer to Body
- Fat Transfer to Breasts
Cadogan Clinic provides both female and male cosmetic surgery. Almost all of our procedures are suitable for men as well as women.
- Abdominoplasty for Men
- Blepharoplasty for Men
- Face Lift for Men
- Hair Transplant
- Liposuction for Men
- Male Breast Reduction
- Otoplasty for Men
- Rhinoplasty for Men
- Abdominal Etching
- BBL for Men
Gender Surgery
Gender dysphoria is a term used to describe how an individual feels a strong sense of disassociation between their gender identity and biological sex.
Facial Feminisation Surgery
- FTM Top Surgery
MTF Top Surgery
Non-Binary Surgery
Dermatology
Cadogan Clinic is a leading dermatology clinic based in the heart of London. We’re home to some of the leading acne, eczema and rosacea specialists, and are experts in the mole and skin cancer diagnosis and removal process.
General Dermatology
Skin is incredibly important to your health and your appearance. The Cadogan Clinic has one of the largest and experienced teams of consultant dermatologists.
- Acne Treatments
- Bacterial Skin Infections
- Excess Hair Growth
- Hair Loss Treatment
- Hyperhidrosis (Excessive Sweating)
- Milia Removal
- Paediatric Dermatology
- Pigmentation
- Skin Allergies
- Skin Health MOT
- Vaginal Dermatology
- Verruca Removal
- Viral Skin Infections
Mole & Skin Cancer
We are all becoming increasingly aware of the risks posed by sun damage to the skin, as well as the need to protect our skin in day-to-day life.
- Mole Removal
- Cryotherapy
- Mohs Surgery
- Cyst Removal
- Skin Cancers and Melanomas
- Skin Lumps (Warts, Moles, Skin Tags)
- Lipoma Removal
Skin Rejuvenation
At the Cadogan Clinic, we offer a comprehensive range of non-surgical cosmetic treatments, to refresh and rejuvenate your appearance.
- Microneedling Dermapen
- Varicose Veins
- Scar Treatment
- Non-Surgical Eyelid Reduction
Injectables
Cadogan Clinic is a leading non-surgical cosmetic clinic based in the heart of London. We’re home to some of the leading injectables and dermal filler specialists, and are experts in the anti-ageing process.
There are many factors which contribute to ageing skin and when deciding on a treatment solution, these are important to consider.
- Anti-Wrinkle Injections
- Cheek Fillers
- Dermal Fillers
- Lip Fillers
- Non-Surgical Rhinoplasty
- Tear Trough Filler
- 8 Point Facelift
- Dissolving Filler
- Hand Rejuvenation
- Jawline Filler
- Non-Surgical Facelift
- Temple Filler
- Cheek Concerns
- Eye Concerns
- Filler Complications
- Forehead Concerns
- Lower Face Concerns
- Nose and Mouth Concerns
- Skin Concerns
All Services
We are experts in a wide range of Andrology treatments, in both elective and medical conditions.
- Adult Circumcision
- Erectile Dysfunction
- Frenuloplasty
- Male Fertility
- Penile Implants
- Peyronie's Disease
- Premature Ejaculation
Gynaecology
- Coil Insertion / Removal
- Hysterectomy
- Hysteroscopy
- Myomectomy (Fibroid Removal)
- Ovarian Cystectomy
- Perineum and Pelvic Floor Repair
- Prolapse Surgery
- Polyp Removal
Hand Surgery
We are experts in a wide range of hand problems, in both elective and traumatic conditions.
- Carpal Tunnel Treatment
- Dupuytren's Contracture Surgery
- Hydrocortisone Injections
- Ganglion Hand Cysts
- Trigger Finger Surgery
Cosmetic foot surgery can help by firstly eliminating the sources of chronic pain or deformity and secondly, reshaping the feet for aesthetic appeal, often resulting in smaller, slimmer feet with a reduced shoe size.
- Bunion Removal
- Cinderella Foot Surgery
- Corn Removal
- Toe Shortening & Straightening
Recovery & Aftercare
Before & After
- Blepharoplasty
- Breast Augmentation
Cost & Finance
- Skin Treatments
- Breast Implant Removal
- Nipple Surgery
- Top Surgery
We were founded in 2004 by world renowned plastic surgeon Mr Bryan Mayou, best known for his pioneering work in the area of liposuction, lasers and microvascular surgery. We continue to collaborate with pioneers in our field.
- Our History
- Our Specialists
- Outcomes and Safety Data
- Patient Journey
- Surgical Aftercare
- Ask the Expert
0207 901 8500
Best Clinic UK - Aesthetics Awards 2024 & Aesthetic Medicine Awards 2024
at Cadogan Clinic, London’s Leading Cosmetic Surgery Specialists.
We have invited only the very best consultants to practice at our specialist clinic.
Our state-of the-art award winning facilities are located right in the heart of London.
Best Clinic London 2024
We were awarded Best Clinic London at the industry-leading 2024 Aesthetics Awards.
CQC ‘Outstanding’
Our Leadership is rated ‘Outstanding’ by the independent healthcare regulator in England.
20 Years of Safety
We’ve enjoyed a spotless safety track record over 20 years at the top of our field.
96% Excellence Rating
We support 30,000 patient appointments each year, 96% of which were rated 5*.
Medically Reviewed 19 February 2024, by Mr. Bryan Mayou (GMC: 1414396) - founder of the Cadogan Clinic and one of the world's leading plastic surgeons
What is FTM Top Surgery?
FTM top surgery (or female to male top surgery) is a surgical procedure, carried out for transgender men to create a flatter, more masculine-looking chest. Many patients find this gender-affirming procedure extremely liberating.
This involves removing the breasts in a procedure known as a mastectomy and any excess skin and fat around the breast area before repositioning the nipples and areolas. There are a number of different surgical methods your surgeon may choose from depending on the size of the breasts and the elasticity of the skin. As leading top surgery UK surgical providers, we understand the trust that is placed in our care for these life-changing procedures. Every patient enquiry is treated with the respect you deserve.
London FTM top surgery is a permanent alternative to chest binding, which can cause problems such as skin irritation and breathing difficulties when carried out long term.
FTM Top Surgery At a glance
Surgery Time
Time off work
Hospital Stay
Reasonable Mobility
Bras & Garments
Full Recovery
Why do people have FTM top surgery?
Female to male top surgery is used to create a natural-looking male chest. Top surgery helps to address gender dysphoria, a condition that causes great distress and stems from a feeling of disconnect between a person’s biological sex and gender identity.
Gender reassignment helps to treat gender dysphoria as well as alleviating other mental health conditions that are associated with this diagnosis, such as depression and anxiety. FTM top surgery will help to increase your confidence and self-esteem and have a positive impact on your quality of life. The aim of this and any gender affirming surgery is to help you feel at ease with your identity and to allow you to present in the way you feel comfortable.
Who is suitable?
Our specialist gender reassignment surgeons will meet you for a one to one consultation to assess your suitability for surgery. Your surgeon will examine your chest in order to decide which the best method of London top surgery would be for you.
They will discuss your expectations of surgery and ensure you understand the individual results that are possible from your procedure. They will also assess your general physical and mental health to make sure you are suitable for a general anaesthetic procedure, this may include your weight, and any medical and mental conditions you have. You must be over 18 to have this procedure, and your surgeon may request referrals from other gender reassignment specialists you are already working with to be able to go ahead with your surgery. Your patient advisor will be able to help you with getting these referrals if you don’t already have them.
Words from our clients:
"I was extremely satisfied with the care and treatment I received at the Cadogan Clinic. My surgeon was friendly and informative and explained the procedure fully. My procedure went very well and with the excellent care of the nursing staff, I made a speedy and full recovery. Would recommend to anyone."
"At the beginning before the operation the nurse taking care of me made me feel so comfortable. The surgeon and anesthetist helped me feel so calm. Fantastic before and after treatment"
"The girls on the reception at the clinic were very pleasant and professional. The nurse who took out my stitches after my surgery was just lovely and took me through step by step what she was doing and she also recommended a great cream to use to help with healing."
“I was treated with care and provided with thorough knowledge about the procedure I was undertaking. My surgeon was very methodical (a perfectionist) and I felt I received A class treatment."
"Outstanding experience from the first appointment to being discharged. Very professional, friendly and a fantastic outcome."
"Reception staff very welcoming and efficient. Both nurses who I dealt with were fantastic, and the whole team (anaesthetist, surgeon etc) were friendly but professional, and really put my mind at ease. That I was able to stay later than I perhaps needed after my surgery to fit in with my husbands schedule was greatly appreciated."
The cost of FTM Top Surgery UK
Enquire for our competitive FTM top surgery UK prices with Cadogan Clinic in Chelsea, London.
Included in this treatment
Up to two 60 minute consultations with a leading specialist plastic surgeon at our award-winning premises in Chelsea
Your procedure carried out at London’s leading specialist cosmetic surgery centre of excellence
24/7 on call nurse assistance
Dedicated Patient Co-ordinator, as a personal point of contact through your journey with Cadogan
A pre-operative medical assessment to ensure you are fit for surgery
Comprehensive post-operative aftercare courtesy of our specialist cosmetic nurses
The main types of female to male top surgery
Female to Male Top Surgery in London is a surgical procedure that is performed under general anaesthetic which takes 3-4 hours to complete. The exact time of your procedure will depend on the amount of breast tissue which needs to be removed and the method of surgery your surgeon recommends for your procedure. It is not dissimilar to a mastectomy.
There are 3 main 'types' of tops surgery: the double incision, the periareolar, and the keyhole.
Double incision top surgery
This is the most common method used in FTM top surgery. Your surgeon will remove your areolas and nipples and make them smaller. They will then make long incisions to remove the breast tissue, known as a mastectomy before using liposuction to remove any excess fat. Finally, any excess skin is removed so the incision can be closed leaving a flat chest. Your surgeon will use special sutures to create a flat line and prevent any puckering around the incision sites.
Periareolar top surgery
Periareolar Top Surgery is suited to patients with smaller chests, and is also known as a Donut Procedure. Two circular incisions are made, one inside the other, around the border of the areola. The breast tissue is then removed and liposuction is used to remove any excess fat. The edges of the larger incision are then pulled together, resizing the areola.
Keyhole top surgery
This particular method of FTM top surgery is only suited for patients with very small chests and tight skin. A small incision is made along the bottom half of the areola, leaving it partially attached to the body. Similar to periareolar top surgery, the breast tissue is removed and liposuction carried out to remove any excess fat, if required. The nipples will be resized and the incision closed.
FTM Top Surgery Surgeons
We have invited a selection of the country's very best consultants to join us at the Cadogan Clinic so that you can be sure that whatever the nature of your treatment, you will be seeing one of the top practitioners in the country.
Mohsen El Gammal
What to expect
Below you will find some key information to help you prepare for surgery and make necessary arrangements to ensure you have the support you need and that everything runs smoothly on the day.
01. The Consultation
You will meet your specialist gender reassignment surgeon for up to two consultations at our award-winning Chelsea based clinic to discuss FTM Top Surgery and your hopes for surgery. Your surgeon will discuss your medical history and the steps you have taken in your transition so far. They may ask to review 1-2 referral letters from other gender specialists you have previously worked with. This is to ensure that you are at the right point in your transition to undergo top surgery.
We recommend writing any questions you have for your surgeon down, while you are preparing for your consultation. This will allow you to get the most out of your consultation and allow you to walk away feeling confident and fully prepared.
Your surgeon will also carry out a general health and wellness check, take your measurements and take photos for your medical records. This will help them to put together your surgical plan in as much detail as possible.
Following your consultation, your surgeon will send your completed surgical plan to your patient advisor. Your advisor will explain the plan and the procedure your surgeon has suggested for you, as well the pricing and your surgeon’s available dates for surgery. You will then have a compulsory two week cooling off period to consider the options that have been given to you and whether you would like to go ahead with surgery.
02. Leading up to Procedure
If you decide to proceed with FTM Top Surgery, there are certain steps your surgeon will ask you to follow in preparation for surgery:
- You will receive two questionnaires, one about your medical and one about your psychological health. Once completed, your surgeon and anaesthetist will review these to confirm you are ready for surgery.
- If you smoke or vape, your surgeon will ask you to give up six weeks before your procedure. This will significantly improve your healing and recovery process.
- You will also be asked to cut down on drinking alcohol in the weeks running up to your surgery. You shouldn’t drink any alcohol in the 48 hours before your procedure.
- In the 7 days running up your procedure you will be asked to not to take any anti-inflammatory medications such as ibuprofen and aspirin, as well as herbal supplements as these may increase your chances of bleeding in your surgery.
- You must ask a friend or family member to come and collect you following your procedure. They must be able to either accompany you in a taxi or drive you in a private car before staying with you overnight.
- In the 6 hours before you arrive at the clinic, you cannot consume any solid food, juice or milk (including tea or coffee). You can have sips of clear liquids (water, or black tea and coffee) up to 2 hours before you arrive at the clinic
03. On the day
Your arrival time will be an hour before your surgery is due to begin. The nurses will prepare you for surgery by taking your blood pressure, height and weight and asking you to change into a surgical gown and compression socks. Your surgeon and anaesthetist will come to greet you and answer any questions. Your surgeon will then make any markings they need to carry out your procedure.
When you are taken into theatre, your anaesthetist will administer your general anaesthetic. All procedures at Cadogan Clinic are performed using TIVA (Total Intravenous Anaesthesia) as it has a faster initial recovery time and less risk of post-operative nausea and vomiting.
Once your surgery is finished, you will be taken to our recovery ward, where you will wake up from the anaesthetic and a nurse will check your vital health signs. Once you are awake and comfortable, you will be taken into our ambulatory ward to have something to eat and drink. When you are ready, a nurse will talk you through any medication and aftercare you will need once you leave. You will then get changed and your chaperone will come to collect you.
04. Treatment Recovery
For your Top Surgery recovery and aftercare , we recommend you follow all advice provided by your surgical team to achieve the best results.
In the first few days following surgery, you will likely experience some pain, bruising and swelling, this is completely normal and will calm down within the first 2 weeks. Most patients are mobile within 2-3 days and can bathe normally after this time. Your surgeon will ask you to wear a compression vest for up to 8 weeks post-surgery to preserve your results and to reduce the swelling. They may also ask you to sleep on your back for the first few weeks of recovery to prevent any pressure being placed on your chest.
One week after your surgery you see our nurses so they can assess your incisions and make sure you are healing well. They will explain how to look after and change your dressings from this point onwards and will answer any questions you have about your aftercare.
Six weeks after your surgery you will see your surgeon so they can discuss your results and recovery. After this point, if you have any questions or concerns you will still be able to contact our nurses or your patient advisor who will be able to organise for you to speak with your surgeon if necessary.
The Patient Journey. A breakdown of what you can expect on your journey with us
We are deeply invested in ensuring that every step of your surgical journey with us is as informative and reassuring to you as it can be. This article outlines what you can expect at each stage of the journey
Frequently Asked Questions
What are the benefits of FTM surgery?
FTM surgery helps to alleviate gender dysphoria by bringing a person’s body in line with their gender identity. Most people who have top surgery will find that they have an improved self-image once the operation is completed and the body has had a chance to heal. By helping trans men to feel happier and more connected with their bodies, this usually has an overwhelmingly positive impact on all areas of their life. FTM surgery helps to restore confidence and improves mental health, alleviating the symptoms of depression and anxiety.
This newfound confidence can help in the workplace, in social situations and aid with forming romantic relationships.
Top surgery results in a more masculine-looking chest, replacing female characteristics. Our surgeons at the Cadogan Clinics are experts in their field and have the knowledge and skills to help you to reach your body goals.
What type of surgeon is best for FTM top surgery?
The best surgeon to perform top surgery is an aesthetic surgeon who has specific training in gender-affirming surgeries.
Here at the Cadogan Clinic, all of our surgeons are world-class experts in their field. This expertise means that our surgeons are highly sought after to perform female to male surgery in London.
What kind of scarring can I expect following top surgery?
You should expect a degree of scarring following any type of top surgery. Scarring from surgical incision looks like a thin, raised line on top of the skin. As it heals, it will darken and flatten.
The size, length and exact location of these scars in FTM top surgery depends on the surgical technique used. The keyhole and periareolar methods of top surgery are less invasive than double incision top surgery. As a result, this generally results in less scarring.
The good news is that any scarring will gradually fade, but the speed of this varies from person to person. Three months after surgery you can start to use bio oil on your scars to help lessen their appearance. You should avoid smoking, tanning, excessive scrubbing and scratching the area during the healing process as these can make scarring worse.
Some people have a condition called keloid that causes excessive tissue growth in the wound area. Keloid scars are thicker and more noticeable than regular scars. In the unlikely event that you acquire an infection of the wound, this can also make scars thicker and it takes longer for them to go.
The Cadogan Clinic provides every patient with access to one of London’s most advanced scar minimisation programmes, led by our scar prevention team here at the clinic.
What kind of results can I expect following top surgery?
After the post-surgery swelling subsides, you should expect to have a flatter, contoured, more masculine-looking chest. There may be some scarring, depending on which technique is used in your top surgery. You may also find that you experience a reduction or loss of nipple sensation, depending on which surgical technique is used during the operation.
Once you have recovered from your operation, you can begin to enjoy a new body which helps to heal the feeling of disconnect caused by gender dysphoria. You should notice an overall boost in your mental health and wellbeing, as well as a boost in self-confidence.
Is top surgery painful?
You can expect some discomfort for around four or five days after your FTM top surgery. In the event that you do experience any mild to moderate pain or discomfort, this can be controlled with over-the-counter painkillers. The chest area will be swollen and on average this will take two to three weeks to subside. However you may find the area is still swollen for anywhere up to six months after surgery.
As part of your treatment with the Cadogan Clinic, you will have access to 24/7 on-call nurse assistance for the duration of your recovery.
Can I get top surgery on the NHS?
Yes, it is possible to get FTM top surgery on the NHS if you meet the criteria. However the NHS waiting list for female to male gender reassignment is very long.
If you choose the Cadogan Clinic for your FTM top surgery, there are no waiting times and you will get your treatment sooner.
Can you reverse top surgery?
Top surgery is permanent. Your breasts will not grow back after the operation and any reconstructive surgery will not return your chest to the way it looked before. It is therefore of paramount importance that you are 100 percent certain about your goals before taking such major steps to change your body. You must also have realistic expectations about what FTM top surgery can achieve. Book an appointment with one of our expert surgeons here at the Cadogan Clinic who will run through the options with you.
Can I breastfeed after top surgery?
If the milk ducts are removed during top surgery, then you will not be able to breastfeed or chestfeed. If some of these milk-producing ducts are left behind, then it may be possible.
If you are taking testosterone as part of your treatment, then this may affect the production of the hormone needed for lactation.
It is important to note that many factors can affect a person’s ability to breastfeed or chestfeed. A person who has all their milk ducts and is not taking hormones may still find they do not produce enough milk. Formula milk is a perfectly healthy and safe way to feed a baby.
Is top surgery the same as mastectomy?
A mastectomy (breast removal) is just part of FTM top surgery. Liposuction is also used to remove excess fatty tissue to create an improved contour and the nipples will also be repositioned to a more natural-looking position.
Depending on the results of your FTM top surgery, the surgeon may feel that further procedures are necessary. This may include more liposuction, dog-ear surgery to remove puckered skin at the end of the scar line, and possible nipple reconstruction if required.
Words from Our Founder
Mr. Bryan Mayou
FTM Top Surgery is a hugely transformative procedure that aligns a patient's physical appearance with gender identity, offering positive benefits to transgender individuals. By removing breast tissue and reshaping the chest, we achieve a more masculine image, alleviating symptoms of gender dysphoria and enhancing self-confidence. This procedure is not just about cosmetic changes; it's about empowering individuals to live comfortably in their bodies. FTM Top Surgery plays a vital role in the journey towards gender affirmation and self-acceptance.
A state of the art, award winning clinic.
Founded in 2004 by world renowned plastic surgeon Mr Bryan Mayou, we now work with over 100 leading consultants and successfully treat over 20,000 patients each year. We have been winning industry awards since inception.
Best in Class Facilities
All of our treatments take place at our beautiful boutique premises in Chelsea. We have six consulting rooms and five operating rooms, as well as a dedicated pre and post-operative suite, and a full team of specialist nursing staff.
A Strong Tradition of Innovation
We were founded in 2004 by world renown plastic surgeon Mr Bryan Mayou, best known for his pioneering work in the area of liposuction, lasers and microvascular surgery. We continue to collaborate with pioneers in our field.
At Home in Sloane Street, London
We are proud that our state of the art award-winning clinic is located in one of the best neighbourhoods in the country
Clinics Nationwide
We offer surgical consultations in London, Birmingham, Chelmsford and Bristol, and attract international patients from all corners of the globe such as as the USA, the Middle East and Europe.
Get in touch
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The Risks of FTM Top Surgery
Before proceeding with FTM Top Surgery, it is vital to be aware of the potential risks and complications that can occur during any surgical procedure. Your surgeon will discuss these risks with you and explain how they may impact your procedure.
- Hematoma - This is the build up of blood beneath the skin and will require treatment from your surgeon
- Seroma - This is the formation of a lump under the skin caused by buildup of fluid around the incision sites. This will require treatment from your surgeon.
- Poor wound healing - Healing complications or infection can affect the incision sites
- Asymmetry - Occasionally, your chest may appear uneven - this can sometimes be a temporary part of healing, but may be long term and require further intervention.
- Excessive bleeding
- Allergic reaction to general anaesthetic
- Infection at the surgical site
- Deep vein thrombosis (blood clot in a vein)
Occasionally, a revision surgery is required in the event of a complication or unwanted outcome. This can arise due to factors out of your surgeon’s control. All of Cadogan Clinic’s gender specialist surgeons are highly qualified consultants who have performed FTM Top Surgery many times.
Related Treatments
We believe in the delivery of excellent outcomes and results, and exceptional levels of service. Our outcomes are natural and long-lasting, and we remain the premier choice for cosmetic surgery treatments in the UK.
Related Reading
9th Oct 2024
Top Surgery Recovery and Aftercare
Aesthetic Medicine 2024
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Aesthetic Awards
Best Clinic, London
Aesthetic Medicine
Highly Commended
MyFaceMyBody
Best Plastic Surgery Clinic, UK
MyFaceMyBody Awards
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Surgery; Initial Consultation (Face to Face) £350: Follow up (existing patient) £175: Private Prescription: £59: Facial Feminisation; Brow Lift: Starts from: £8,000 Cheek Enhancement
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Sep 30, 2024 · When considering gender reassignment surgery cost, it is important to understand what is included in any price you have been quoted. This will show you the standards of patient care and outcomes you can expect. When exploring cost of Top Surgery UK, it is essential to consider: The Quality and Experience of Your Surgeon. Top Surgery is ...
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How much does transgender surgery cost UK? We offer a range of cosmetic enhancement treatments which includes male to female breast augmentation surgery, blepharoplasty procedures and a full range of associated gender reassignment treatments to help you feel fully empowered and confident in your gender identity.
Top surgery helps to address gender dysphoria, a condition that causes great distress and stems from a feeling of disconnect between a person’s biological sex and gender identity. Gender reassignment helps to treat gender dysphoria as well as alleviating other mental health conditions that are associated with this diagnosis, such as ...