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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.[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[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.
  •[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 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[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.
  • 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
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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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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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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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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Need some help here.....
Amount: $0.00 total
Posted by: Jay Sullivan in Tampa, FL.Posted: July 24th, 2015 06:07AM
Medical Center: Tampa GeneralInsurance: Medicare/Medicaid
my doctors in Tampa say that they can't use my insurance for the coverance of the surgery.. I don't know what to do! Should I go to a different hospital or what?!
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Need help
Amount: $0.00 total
Posted by: Brandon rogers in Indianapolis, IN.Posted: July 19th, 2015 11:07PM
Medical Center: NoneInsurance: Hip 2.0
I have been dealing with this my whole life. I have tried to kill myself and have been in the hospital many times. I hate what I see in mirror and I never feel comfortable with my self. I feel like I'm lying to myself.
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Mtf reassignment surgery
Amount: $5,590.00 total
Posted by: Allen lambert in Anniston, AL.Posted: July 2nd, 2015 04:07AM
Medical Center: 2000Insurance: 0
Does anyone have suggestions on mtf reassignment surgery cost in Mexico Thailand or any other places reputable and decently priced
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Need Male to Female Surgery
Amount: $0.00 total
Posted by: Robb in Orlando, FL.Posted: June 5th, 2015 07:06AM
Medical Center: PrivateInsurance: none
I am a 44 year old male, and have known I was female inside and struggled with it since I was a toddler. I suffer from depression daily because of this. I really want this surgery so I can be who I am on the outside as well as on the inside. I need help financially and emotionally. I suffer alone in silence. No one knows but me. My family just thinks of me as a gay male and abnormal in their views.
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needing help
Amount: $0.00 total
Posted by: Bailey Henry in Bedford, TX.Posted: June 3rd, 2015 10:06AM
Medical Center: Insurance: United health care
I need a sex change I no I was ment to be a man I don't Feel right. I don't really no what to do I don't really have any money and I'm tired of being to odd one out being look at weird and talked carp to and about everywhere I and my beautiful girl go someone please give me some advice on were to go to get an operation
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Removing my Penis
Amount: $0.00 total
Posted by: Donna H in San Francisco, CA.Posted: June 1st, 2015 12:06PM
I'm seriously considering this. I have felt like I'm a female my entire life. I would like a conversation with someone who has completed their change
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Amount: $0.00 total
Posted by: cassie in ODESSA, TX.Posted: February 19th, 2015 07:02AM
Hello I am a female I have always felt wrong the way that I am I now know I am a transgender I still believe I am a female I just feel I am suppose to have a penis as well I really need to have the surgery I am not how I am suppose to be I have even contemplated suicide because I am so unhappy with the way that I am and because I am afraid I will never be able to afford the ability to become the way I truly feel I should be so if anyone out there reads this and can help me find a good doctor who can help me for as cheap as possible I would be eternally greatful.
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So much cheaper in Thailand
Amount: $17,000.00 total
Posted by: [email protected] in Bangkok, AL.Posted: February 15th, 2015 09:02AM
Type D colon inversion at $17,000. Includes 10 days hospital & 30 days nursing. Breast enhancement at $2700 to $5000. Facial surgery? Send me 3 pics? Chin augmentation under $1000.
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sex change operation
Amount: $0.00 total
Posted by: Melissa sadzewicz in west salem, OH.Posted: November 12th, 2014 08:11PM
Medical Center: noneInsurance: none
Need the sex change operation badly needed for a long time but have no money or health care insurance
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Sexual Assignment Surgery in Thailand
Amount: $20,000.00 total
Posted by: Marissa Jordan in Bangkok, Other.Posted: August 15th, 2013 06:08PM
Medical Center: Bangkok Plastic Surgery ClinicInsurance: Aetna
I had the sex reassignment surgery (Male to Female) in Bangkok, Thailand last year. After past years of intensive preparation and research, I met with Dr. Pichet of Bangkok Plastic Surgery. We had exchanged e-mails and I made decision to have SRS with him. The surgery with Dr.Pichet found to be the most economical of all my inquiries in Thailand. He and his staff provided the accommodation and transportation for me while I was under his care. Dr. Pichet is one of the brilliant surgeons I ever met. He took time to listen to me and answer every question I had about the procedure. And the staff were extremely nice and supportive and had no trouble communicating with me the before and after that I needed to comply with my surgery. I underwent SRS and Breast Augmentation of 300 cc cohesive gel implants. It went out good and took few weeks to recover. Dr. Pichet and his staff were taking care of me throughout this tough period. Now back to my real self and confidence. I'm really thankful to
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Need Help !
Amount: $0.00 total
Posted by: Tammy White in saint george, GA.Posted: July 5th, 2013 12:07PM
Medical Center: PrivateInsurance: Ga medicade
My Doctor and I are trying to find a physican in Georgia who may finish my badly needed surgery doto birth defects,,,,Please if you can help with fererences referrals contact Doctor sarah Ridgeway at : (912) 496 2697 or 4478,,,,Thank you Sincerely Tammy White
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