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CostHelper > Health & Personal Care  > General Surgery & Neurosurgery > Sex Reassignment Surgery

Sex Reassignment Surgery Cost


How Much Does Sex Reassignment Surgery Cost?

 
average costWith Insurance: If Covered, Copays and Coinsurancehigh costWithout Insurance: $40,000-$50,000 Total To $15,000-$50,000+ for Surgery Alone
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Sex reassignment surgery usually involves a series of operations that take place over several months or years. Patients can choose to have some or all of the surgeries.

Typical costs:

  • The total typical cost of a transition usually includes: expenses incurred in the year before surgery, during which hormone therapy, counseling and living full-time as the target sex are recommended; the cost of the surgery and follow-up care; and ongoing costs after the surgery, including hormone therapy for life and continued doctor visits.
  • In the year before surgery, counseling can cost $50 to $200 per session, and letters from two therapists usually are needed for surgery; the total cost of the therapy and the letters can range from under $1,000 to more than $5,000 for that year. And hormone therapy could cost $300 to $2,400 for the year, depending on which hormones are prescribed. TSRoadmap.com[1] offers a detailed financial worksheets and estimates on the all the costs of transition, and estimates that it is typical to spend a total of $40,000 to $50,000 for a mid-range transition, including surgery.
  • For patients not covered by health insurance, the typical cost of a sex reassignment surgery can range from about $15,000 for just reconstruction of the genitals to about $25,000 for operations on the genitals and chest to $50,000 or more for procedures that include operations to make facial features more masculine or feminine. Prices typically depend on the techniques used -- different techniques often are recommended based on body type and patient preference.
  • Price examples include The Philadelphia Center for Transgender Surgery, where basic male-to-female surgery that includes testicle removal, genital surgery and breast augmentation would cost a little over $30,000 while for basic female-to-male surgery that includes mastectomy, areolar reduction and genital surgery, would cost between $12,000 and $25,000 depending on the type of genital surgery chosen. Because different doctors offer different procedures, it is important to check to see exactly what is offered for a certain price.
  • Sex reassignment surgery is covered by some health insurance plans, but most have exclusions. However, employers can choose to add coverage for the surgery to their plans; Goldman Sachs offers it, as does the City of San Francisco. According to TSRoadMap.com[2] , it often is difficult to get sex reassignment surgery covered, and many companies call gender identity disorder a pre-existing condition or have exclusions.
  • For patients covered by health insurance, out-of-pocket costs would include a copay or coinsurance. According to the Human Rights Campaign[3] , which tracks transgender benefits issues, City of San Francisco employees pay 15 percent of the total cost of surgery with an in-network provider and 50 percent with an out-of-network provider, with a $75,000 lifetime maximum allowance.
Related articles: Health Insurance

What should be included:
  • For female-to-male patients, the most common surgeries are: elective bilateral mastectomy, which includes removing tissue and fat and sometimes grafting skin to make a more male-like nipple; metoidioplasty, which involves removing skin and extending the clitoris, usually already enlarged by prescribed hormones, to create a penis, and sometimes lengthening the urinary tract if the patient wants to be able to urinate while standing; or phalloplasty, an alternative to metoidioplasty that involves taking skin from the forearm to create a penis and using skin from the labia to create a scrotum; at least six months after a phallosplasty, testicular and penile implants can be inserted.
  • For male-to-female patients, the most common surgeries are: breast augmentation; elective bilateral orchiectomy, the removal of both testicles through an incision in the scrotum, which reduces the male hormones in the body and allows the patient to reduce doses of prescribed hormones; a tracheal shave, which involves carving away cartilage from the Adam's apple to make it less prominent; and vaginoplasty, using skin and tissue from the penis to create a vagina, clitoris, clitoral hood and labia.
  • LGBHealthChannel.com[4] offers an overview of common female-to-male and male-to-female operations.
Additional costs:
  • Hormone therapy can cost $25 to $200 per month, depending on which hormones are prescribed. The LGBHealthChannel.com has an overview of transgender hormone therapy. Usually, an experienced mental health professional must diagnose gender identity disorder in order for hormones to be prescribed.
  • If psychotherapy is required, it can cost $50 to $200 per session for patients not covered by insurance.
  • Male-to-female patients will need to have laser hair removal or electrolysis around their genitals before surgery to prevent hair from growing in the vagina after surgery. Some also choose to have hair removal done on the face. According to TSRoadmap.com[5] , this can cost at least $2,000 and often costs more.
  • For male-to-female patients, aftercare can be very involved, and requires dilating the vaginal opening with a stent.
  • Before or after undergoing surgery, many patients work with voice and movement coaches to help them adjust to living as the new sex. These coaches can cost $30 an hour or more.
  • After surgery, it sometimes is necessary to consult a lawyer or pay fees in order to change the sex on official documents such as the birth certificate, driver's license and passport.
Discounts:
  • Some surgeons offer discounts for a package of multiple surgeries.
Shopping for sex reassignment surgery:
  • Surgeons who perform sex reassignment surgery usually are gynecologists or plastic surgeons. There are only a handful of surgeons specializing in sex reassignment surgery in the United States, and many patients get referrals from other patients or transgender support groups. Or, Becky Allison, M.D., a gay, lesbian and transgender advocate, offers a list of doctors[6] who perform sex reassignment surgery and a list of therapists[7] who deal with transgender issues.
  • Doctors typically follow the recommendations of the Harry Benjamin International Gender Dysphoria Association[8] standards of care for gender identity disorders, which state that before undergoing sex reassignment surgery, an individual should: be 18, or the legal age of consent in their home country; have had one year of continuous hormone therapy, except for patients who cannot do so for medical reasons; one year of living successfully and continuously as a member of the new sex; psychotherapy during that year, if recommended by the patient's mental health professional; and have knowledge of the cost, risks, hospitalization requirements, necessary aftercare for the surgery; and know of competent surgeons who can perform it.
  • Most sex reassignment surgeries are major operations, and risks involved may include pain, swelling, serious complications from anesthesia that could include death, and the need to return for further surgery.
Material on this page is for informational purposes only and should not be construed as medical advice. Always consult your physician or pharmacist regarding medications or medical procedures.
 
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What People Are Paying - Recent Comments

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Help
Amount: $0.00 total
Posted by: Zandor in Odessa, MO.Posted: June 22nd, 2017 08:06AM
Medical Center: NoneInsurance: 0
I'm a 14 year old boy who doesn't know how to make my mom take me seriously on the fact that I'm supposed to be a girl. I've been trying since I was 4 but she just shrugs it off. What do I do? I don't want to be stuck as a male all my lif.
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Help
Amount: $0.00 total
Posted by: a user in INTERLAKEN, NY.Posted: June 1st, 2017 03:06PM
I've always wanted to be a female (I am currently a male), and just seeing how much it would cost me I would still love to get it done. But I want a good doctor that isn't even more pricey.
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Seriously Considering F to M Reassignment Surgery Plus a Name Change
Amount: $0.00 total
Posted by: Reeghan W. [Saving Up to Become 'Finnian Burke' or 'Danny Ember'] in Ocala, FL.Posted: May 11th, 2017 12:05AM
Medical Center: ?Insurance: None (As far as I know)
[Continued]
Now, as even the most recent years appear to be passing me by, I realize that anytime I've seen something gay and cute, my mind has already imagined something similar involving my own self. Really, I'll shamelessly admit that I like it. I want to become a guy. Seriously, I do. It's just that... as I look into things like this, the costs and additional costs for activities and meet-ups I'm required to partake in beforehand for evaluation are terrifying. Even with the costs and everything laid out, I also begin to panic when I see these additional costs for meet-ups and evaluations in general. Like my original mindset, I begin to get finicky when I can't figure out what I'm supposed to do first. Obviously I know that the actual surgeries ate last and vastly more expensive than all of the rest, but that's about all I actually know. I'm sad and worried that I won't get the money I need, especially since my family would much rather watch me drop dead than get a sex change.
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Seriously Considering F to M Reassignment Surgery Plus a Name Change
Amount: $0.00 total
Posted by: Reeghan W. [Saving Up to Become 'Finnian Burke' or 'Danny Ember'] in Ocala, FL.Posted: May 11th, 2017 12:05AM
Medical Center: ?Insurance: None (As far as I know)
[Continued]
Now, as even the most recent years appear to be passing me by, I realize that anytime I've seen something gay and cute, my mind has already imagined something similar involving my own self. Really, I'll shamelessly admit that I like it. I want to become a guy. Seriously, I do. It's just that... as I look into things like this, the costs and additional costs for activities and meet-ups I'm required to partake in beforehand for evaluation are terrifying. Even with the costs and everything laid out, I also begin to panic when I see these additional costs for meet-ups and evaluations in general. Like my original mindset, I begin to get finicky when I can't figure out what I'm supposed to do first. Obviously I know that the actual surgeries ate last and vastly more expensive than all of the rest, but that's about all I actually know. I'm sad and worried that I won't get the money I need, especially since my family would much rather watch me drop dead than get a sex change.
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Seriously Considering F to M Reassignment Surgery Plus a Name Change
Amount: $0.00 total
Posted by: Reeghan W. [Saving Up to Become 'Finnian Burke' or 'Danny Ember'] in Ocala, FL.Posted: May 11th, 2017 12:05AM
Medical Center: ?Insurance: None (As far as I know)
Alright, so as of now I am on my way to becoming a 14 year old girl, and that really doesn't suit my fancy. I've spent the last two and a half years contemplating my identity and I've come to the conclusion that I am destined to be a gay male. Now those of you who are reading this might be thinking, 'Oh, well this girl's really young and doesn't know anything. She probably is just confused. If anything, wouldn't that mean she's merely a straight female?' and all of this is incorrect. I cannot stand straight anything anymore, at this point. Seeing a guy and a girl kiss makes me feel sick, much less, seeing them have sex. It just... disgusts me, somehow. 'Well, why aren't you just a lesbian then?' Because that is what I currently am, at this point in time. Like, I find yuri (girl on girl) stuff quite stimulating, but just... Yaoi (guy on guy) and gay fluff and giggles makes my heart flutter. I love it. Since I was a kid, I've always wondered what it was like to be a guy. [Continuing]
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mtf
Amount: $0.00 total
Posted by: Coolbod in Long Beach, CA.Posted: April 26th, 2017 12:04PM
Medical Center: Insurance: kaiser and VA
I have just started over the counter hrt and I feel free for the first time! I feel good.Im older and had the most macho man life a man could have. Problem is that I felt and loved everything about women. except that baby thing. Now it feels as though the weight of the world is off my shoulders and I am gonna b me!
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Female to Male Surgery Needed
Amount: $0.00 total
Posted by: RobinTheSecondB/cSomeoneHasThisHandle in Johnson City, NY.Posted: April 22nd, 2017 09:04PM
Medical Center: NoneInsurance: None
I hate this, my friends try to understand how hard it is and how much it hurts when my professors or siblings or others call me a 'girl'. I hate that label so much, I don't like my body, quite frankly I hate it. I realized something was off with the way I felt compared to others when I was in 3rd grade. All of my friends were male because I couldn't connect to any of the girls in my class. They all acted differently than me and I was just more relatable to males. I've started saving up for my surgery and the people I'm seeing are helping as much as they can, I am a male and I want my body to be what I am because it sucks. People always ask me,'so you want to be a man?' And it drives me insane because I AM a man I'm just trapped in this bloody body, I need my body to match my mind because right now they're a mess.
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Reconstruction
Amount: $0.00 total
Posted by: Worried women in Jacksonville, FL.Posted: March 31st, 2017 08:03PM
Medical Center: Insurance: BCBS
I was born with MRKH syndrome and I have had vaginoplasty back in 1998. However, the Dr who had done the surgery decided without even asking me or discussed with me. My problem is I want to reconstruction to where it can be more deeper than only 5 inches deep. I'm married but my husband keep asking me why my vagina is not deeper and felt like something is blocking. I want to know how much is cost for such surgery. Appreciate your answer.
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Need help
Amount: $0.00 total
Posted by: Bobbie Marie Stevens in Cicero, IL.Posted: March 10th, 2017 10:03AM
Medical Center: Any that will help meInsurance: Medicaid
Ever since I was a little boy, I always new that something was wrong. I'd dress up in my sister's clothing. I liked being around girls not boys. I'd like girl games etc. I Hurd that some states that Medicaid would pay for the reassignment surgery and breast augmentation. But I don't know what to do,how to go about it. I don't live in a state that covers the surgery. I don't know if I need to live there for a period of time or if I can just go there and have it done. I need someone's help. I'm only on disability and that's not going to get the LIFE I should of had the day I was born. I also was born with a cleft lip and pallet. Witch made my life 1,000,000 times worse. Please help me. I don't know what to do anymore.
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Female to male
Amount: $0.00 total
Posted by: Tara N Facio in Rogers, AR.Posted: February 26th, 2017 06:02AM
Medical Center: NoneInsurance: None
I have been scared to do surgery. I don't feel comfortable in my body I try not to look at myself in the mirror. I can't stand myself. I need to feel comfortable. I have never done any therapy or any hormones shots or pills or anything I don't know where to go I live in Arkansas and here they look down on you for that. I need help to get started.
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I need a Male to Female Reassignment
Amount: $0.00 total
Posted by: Keira in Franklin, PA.Posted: February 10th, 2017 03:02PM
Medical Center: Insurance: None
My Insurance will not cover it, though I am hopeful that I can get the surgery I need and be happy in life again I already have the mindset of a woman but I need to find someone that will do this surgery in the franklin area and hoping payment arrangements. I wish I could say I was happy as I am but I have all my life wanted to be woman.
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Female To Male
Amount: $0.00 total
Posted by: Jaiden in Fresno, CA.Posted: January 31st, 2017 11:01AM
Medical Center: NoneInsurance: Anthem Blue Cross
I'm tired of this shit. I'm tired of people laughing at me, and whispering things behind my back. I'm tired of waking up and seeing my horrible body. I'd get counseling, but we can't afford it. I'd get therapy too, but we don't have the money for that either. And with Trump being our president now, he might try and raise the cost of changing your sex or making it illegal to change your documents. And it already costs enough as it is. I can't even take testosterone. I really need a mustache or a beard. And, I know there's worse places to be when you're transgender, but where I am isn't very good either. I'm scared that I might get raped or killed by simply being myself. I've attempted suicide and I'm starting to think about cutting myself again, and I've been clean for maybe 3 months now. I just want to be a male. Its not fair that I have to constantly be anxious, because I'm scared that someone might point out something and then I'll be fucked.I really need help.
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MtoF
Amount: $15,000.00 total
Posted by: LISA Anderson in Montreal, Other.Posted: December 7th, 2016 04:12AM
Medical Center: Clinique di Surgerie Montreal QuebecInsurance: None
I had mine in 1995 by Dr Menard. He, his staff and facility were amazing. I was 26 when I had surgery. I wish it could have been sooner. I was already living in the correct gender for 8 years and had been on hormone therapy for 2 years. I was very feminine looking already so I didn't need breast implants or facial feminizing,
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I need help please. Im very confused...
Amount: $0.00 total
Posted by: Kaloa Wilson in CEDAR CITY, UT.Posted: November 13th, 2016 12:11AM
I am a almost 13 year old female. I have always felt like a male. I am a gender fluid, to help me cope with my self. When i see myself i always wished i was a male, i hate seeing the breasts on my chest. I feel odd and off...I was saving up for a surgery for when I do get older, but seeing the expenses. I'm not sure me and my family can afford it even with insurance.
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Need help
Amount: $0.00 total
Posted by: Tyishia in Flint, MI.Posted: November 10th, 2016 10:11AM
Medical Center: NoneInsurance: None
Hello my name is tyishia and i am currently a female seeking for major help to become the man that i know i can be i have been doing alot of research and haven't had much luck but i am now 22 and i have been trying since i was 18 and i need more help but i really need more advice help
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I'm not even sure
Amount: $0.00 total
Posted by: Nerine in Fruita, CO.Posted: September 29th, 2016 08:09AM
Medical Center: NoneInsurance: Anthem
I've been thinking recently about what would make me as an individual happy and I'm not sure what I should do. I came to the conclusion I'd be happier as a woman but don't understand why. How does one explore such a concept?
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Wow
Amount: $0.00 total
Posted by: Allen Mane Asura in Orem, UT.Posted: September 25th, 2016 04:09PM
I feel like I need this done, but the costs are way too overwhelming. Hope to eventually be female to male.
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I don't know who I am please help....
Amount: $0.00 total
Posted by: thelostsoul46 in other, OH.Posted: September 28th, 2015 09:09PM
I am a 25 year old male feel like a 17 year old female I keep it hidden but the fact I gave up on life got through I attempted suicide 12 recorded times just because I fail at being male all I want is to be how I feel I'm going to tell my doctor how I feel and my counselor and my mental health doctor I am sick of being someone I don't even have the ability to fake being anymore I want the life I feel I was meant to have
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Need help
Amount: $0.00 total
Posted by: stark in Abuja, Other.Posted: August 20th, 2015 05:08AM
Medical Center: noneInsurance: none
Hey guys I'm African and female getting a sex reassignment surgery is a joke here and is being frowned upon where I'm from.ive always felt like I'm in a wrong body suit cause inside I feel like I'm a 100percent male but having no insurance or money and for fear of being persecuted I stay and slowly die in silence.i really do need this sex change.
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male to female
Amount: $0.00 total
Posted by: Joseph-perfer:Chloe Ludvigsen in Scott City, MO.Posted: August 8th, 2015 04:08AM
Medical Center: noneInsurance: none
Ever since I can remember inside I always wished I was born a girl and felt that my gender is wrong and everyday I forcefully go on with my day always fake smiling to not worry anyone and need help getting it. I do have a job but its only $430.00 every other Monday, and it always goes to pay bills for my mother because she doesn't make enough to pay them herself.
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External Resources:
  1.  www.tsroadmap.com/reality/finance/fintrncost.html
  2.  www.tsroadmap.com/reality/insurance.html
  3.  www.hrc.org/issues/workplace/benefits/7782.htm
  4.  www.healthcommunities.com/transgender-health/surgery.shtml
  5.  www.tsroadmap.com/physical/hair/zapcost.html
  6.  www.drbecky.com/srssurg.html
  7.  www.drbecky.com/therapists02.html
  8.  wpath.org/Documents2/socv6.pdf
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