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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

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female to male
Amount: $0.00 total
Posted by: laz in keller, TX.Posted: June 22nd, 2019 11:06PM
Medical Center: n/aInsurance: n/a
i am 14 years old now and ive told my parents and some of my friends that i want to be a boy. my parents aren't accepting like i hoped they would be. they think our insurance wont cover the surgery if i can talk them in to even thinking about it. i have wanted to be a boy for 4 years and i acted like one long before that. can someone please help me figure out more information about this so i can convince my parents to allow me to be what will make me happy?
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Alternatives to insurance, MTF, Also Diagnosed what was formerly Aspergers Syndrome
Amount: $0.00 total
Posted by: Courtney R in Portland, OR.Posted: May 20th, 2019 05:05AM
Medical Center: NoneInsurance: None
I am 38, almost 39, Have know for 30 years what i wanted, but as many have mentioned, family is not always the most understanding.
I had insurance through Kaiser Permanente, but for 6 months, they created a catch 22 for me. One doctor told me I had to undergo 2 years Metal Therapy before she would prescribe the hormones, while my primary doctor said that was never the case.
The psychiatrist I was sent to refused to complete even a basic evaluation on me, until I had been HRT treatments for at least 6 months to a year.
As is, i ended up losing my job because of my transgender choice, and while they hotly deny that was ever the case, the metal and emotional abuse was bad enough that one of my close friends who worked with me was surprised I lasted as long as I had.
I am trying to find alternate solutions to my situation, but would also love to have a more in depth conversation about potential alternative treatment theories I have.
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Amount: $0.00 total
Posted by: Kimberlee Dawn Sharp in lawrenceburg, TN.Posted: May 15th, 2019 11:05AM
Medical Center: unknownInsurance: unkown
Hi my name is Kimberlee but I go by Keege(I'm 14) and well i hate being a girl and im sick and tired of being treated differently for who or what i am right now some of my bestest friends only now that i want to be a guy but im not sure what im supposed to do at the moment im helping my friend Thomas save up for save up for trans surgery he was born a female and wants to be male he was the first one i told guess because I trust him and because he is the same as me not even my brothers and sisters know this about me but im starting to slowly open up i have lost a couple of friends and im not gonna say its the easist thing but its a decision i have made and have to live with it but my question is how can anyone be there true selves if other people put pressure on them and make fun of them?
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Amount: $0.00 total
Posted by: Technically Ash in Buffalo, NY.Posted: May 14th, 2019 09:05AM
Medical Center: idkInsurance: idk
I'm 16, and I want to look into gender therapy soon. I need ideas for where to go. I'm from the buffalo NY area.
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Male to female
Amount: $0.00 total
Posted by: Justin Bryan (Jasmine Bryan) in Michigan City, IN.Posted: May 8th, 2019 02:05PM
Medical Center: NoneInsurance: None
I have tried to get people to accept me as a girl but no one has yet because I'm still a boy but this was very helpful now I know how much it will cost to get the surgery
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male to female
Amount: $0.00 total
Posted by: Glenda in South Africa, AZ.Posted: May 7th, 2019 07:05AM
Medical Center: Insurance: none
Hi my Name is Glenda I'm 17 I'm going to turn 18 sooner. I never really feel like I'm a boy. I haven't told anyone yet except for my best friend and my boyfriend who have dumped me. I'm not so sure whether to tell my family because I'm scared I might get disowned. I'd like to change my gender from male to female. I've feeling like I'm a girl since the age of 14. so my boyfriend keep threatening me that if I don't be a normal boy he'll tell my parents. I'd like to be helped with this matter
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I'm scared..
Amount: $0.00 total
Posted by: Katsu in New york, NY.Posted: April 16th, 2019 04:04PM
Hello, I am currently a 17 year old boy, turning 18 in May. I am bisexual. I've known this for about 4 years. I've never felt like I was meant to be a boy. My parents know I'm bisexual, and so do a close select group of friends. I've told my mother I want to save up and get a sec change, and she is okay with it. I've told that same close group of friends about it and they say they wouldn't see me any different. Though, I find myself afraid of all the unknown factors there are. "Will I regret my decision?" "What if this is just some kind of phase?" "What if I hate myself after it's all done?" Even though I'm afraid of all this, I still find myself wanting to continue with the idea. So now I turn to this website. I just want to know for sure, am I making a good decision...?
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Male to Female
Amount: $0.00 total
Posted by: PrettyJessica in Compton, CA.Posted: March 28th, 2019 10:03AM
Medical Center: idkInsurance: Idk
My name Adrian, im 19 year old. And I’m [Deaf]. Sorry, I little not good English and I try to best English language. I felt like girl. I NEED switch female right now but too late in 19 year old. So can accept switch?
Why I need female because some I not remember and some I STILL REMEMBER AND WONT FORGET. Past I was 3 or ??? I not remember so I was action girl and I felt want love to boys. But I not yet kiss never.
My house near there my friend or cousin so my family went to hand out or something. I was with two boy in swimming background. Lots playing when I finish then I went to bathroom and I asked one boy then we was sexual. Not long. Only short like 5 second my asshole only. Middle school: when teacher leave then I still action girl with other friends boys/girls and bus too.High School: still action girl. Hugs to boys. I did telling few boys I REALLY want switch female then seem okay fine.Graduation: I feel NEED now and I don’t know what I do with my parents. They not accept
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Amount: $0.00 total
Posted by: Max Mitchell in Orangevale, CA.Posted: March 17th, 2019 01:03PM
I'm turning 18 in a week and my family knows that I'm bisexual and they're supportive of that. But I feel like they think I'm joking about saving money to do the surgery, and I get bullied at school by some of the other boys in my classes. Most of my friends understand and support this decision I've made, and I'm kind of scared to tell my girlfriend that i might do the surgery. I mean she already knows how I feel and identify, but I haven't told her about the surgery yet.
But that's not what's scares me, it's that I might get disowned by my entire family. I just wish I had more support then I do right now.
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Amount: $0.00 total
Posted by: Luke carpenter in Perth, WA.Posted: February 28th, 2019 12:02PM
Medical Center: NoneInsurance: None
For a while now i have been thinking to myself that i dont belong as a male i belong and feel better as female, i would like some help. Im to afraid to tell my parents as i am only 13, please help!
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Need help
Amount: $0.00 total
Posted by: Luke carpenter in Perth, WA.Posted: February 25th, 2019 03:02PM
Medical Center: PrivateInsurance: None
I am a 13 year old boy turning 14 and for a while now I would like to call myself a girl
I'm to shy to tell my parents I would like some advice and help
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I can't stand being a girl
Amount: $0.00 total
Posted by: Bonolo in Thaba Nchu, AZ.Posted: February 20th, 2019 08:02PM
Medical Center: GEMSInsurance: None
I am 12 years almost 13. . I just can't stand being a girl .. I just want to be a boy that's all
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M to F Sex Reassignment
Amount: $0.00 total
Posted by: Matthew McLean in Southbridge, MA.Posted: February 19th, 2019 08:02PM
Medical Center: N/AInsurance: Mass Health & Blue Cross Blue Shield
I'm 25 and live in Massachusetts. I need to find a place that's reliable, anyone have suggestions? (Also my BCBS insurance is gone at 26 yo) [email protected]
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Amount: $0.00 total
Posted by: Kayty Ramos in jonesborough, TN.Posted: December 16th, 2018 01:12PM
Medical Center: IdkInsurance: None
I am 27 female and have been wanting to be a guy since I was 13. I have never done it but honestly have been feeling here lately I really want to get it done. I need help finding everything I need and I don't have insurance.
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Facial Hair Removal
Amount: $11,000.00 total
Posted by: Leeza in Oceanside, CA.Posted: November 11th, 2018 09:11AM
Medical Center: ElectrolisysInsurance: None
I am an older MtF transgender person, 53. As female, people think I'm about 30. I take very good care of my skin. I am about 85% cleared of facial hair, it has taken an hour a week for nearly 3 years. at this pace I should be done and moving on to Hormones and then implants in another 6 months. this was expensive but was the biggest step in becoming passable, I now have many attracted partners. I did have a fairly heavy Scottish beard which was very dense and lighter in color, eliminating me as a candidate for laser. I am Paying for this out of pocket, but I understand My medical insurance carrier Kaiser does under some circumstances pay for Hormone therapy, but not much else.
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Amount: $0.00 total
Posted by: Parranormalwolf in Loon Lake, WA.Posted: November 8th, 2018 07:11AM
Medical Center: NoneInsurance: None
I am 13 almost 14 years old and I feel like I don't belong. I want to be a guy and I'm scared to tell my mom because she doesn't support LGBTs, or people wanting to be something or someone they're not. I have told one of my friends about this and she fully supports me for who I am. How do I tell my mom about this?
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Female to Male
Amount: $0.00 total
Posted by: Brad (Bethanie) in Hutchinson, KS.Posted: May 16th, 2018 11:05AM
Medical Center: NoneInsurance: None
I have been wanting to get a gender change for years. Many people have told me that I am to be the girl i was born to be, but as many people see my clothing choices, you could see who I feel I am. I would love the help to make my dream come true.
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Amount: $0.00 total
Posted by: Piku in Jacksonville, FL.Posted: May 12th, 2018 05:05AM
Medical Center: NoneInsurance: None
Hi, my name is Steven and I am a 14 year old novosexual male. Most of the time, with my sexuality and all, I have felt like a girl, and every time I go to the bathroom or take a shower, I look down and expect to see something different. I have been contemplating this for about 3 years now, and I am scared to come out to my parents. What should I do?
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MTF, help on what insurance to get.
Amount: $0.00 total
Posted by: Benjamin Hopkins in Salt Lake City, UT.Posted: March 28th, 2018 11:03AM
I live in Utah and wondering if I need to move out of state to further progress my transition?
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Amount: $0.00 total
Posted by: Kales in Windsor, CA.Posted: March 13th, 2018 10:03AM
Medical Center: NoneInsurance: None
I’m 27 and been waiting to get a sex change since I was 14-15 and been hiding the way I feel forever only ever told one person and still today only that one person knows and I won’t lie I’m nervous but the reason I want to do it is cuz I find I’m way more attracted to women I just want to know if there are easier ways of doing it or is there only one way I know I would never be able to afford it but it’s my biggest dream
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Amount: $0.00 total
Posted by: A Teen in Muscatine, IA.Posted: March 10th, 2018 09:03PM
Medical Center: NoneInsurance: None
I've been me all my life and everyone makes fun of me for being gay so to me I would be easier to get the surgery but I never told my family because the y won't support me and I know this I just wish for some advice
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Amount: $0.00 total
Posted by: Alisha Mattice in Syracuse, NY.Posted: February 11th, 2018 06:02PM
Medical Center: Health CenterInsurance: Medicaid
I came out when I was 13 years old and I have been a happy, proud lesbian and woman for years. However, now since I have turned 30, my emotions and thought process has totally changed. I try to shake it but I can't. This is driving me insane! What should I do?
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2 years of therapy?
Amount: $0.00 total
Posted by: Malia in Dallas, OR.Posted: January 12th, 2018 02:01PM
Medical Center: N/AInsurance: N/A
I'm a 19 year old male to female transgender. I came out over 2 years ago and I have thought about it for over 10 years how I fit in with the girls more than the boys. And how I hate being called a "boy" and "he".
So why is it that male to female transgenders are REQUIRED to have a year of each of the 2 therapys? And do FtoM need it too? My family already don't call me what I am, and the Sergey Is going to cost a fortune, and I think my mom would take me off the insurance if I wanted to use it. The last thing I need are therapists eating up more time and money. I have already had a few sessions with a therapist about it, and I would be finally happy to enjoy the change while I am still Yong, preferably before I am 20. I just want to get on with my life. Please help me out.
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Amount: $0.00 total
Posted by: Rihanna Yavealynn Coast in Lexington, TN.Posted: September 19th, 2017 12:09PM
Medical Center: Insurance: None as of right now
I have been pondering this for a long time and now I am willing to change my gender to a female kinda nervous how many surgeries do I have to go through in order for me to become a full fledged female bc I want this process down quick as possible I'm not going to lie I'm super nervous for this change
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Amount: $0.00 total
Posted by: HybridXeno in Phoenix, AZ.Posted: September 9th, 2017 10:09PM
Medical Center: ?Insurance: None
So how many sessions of counseling do you have to go through to be able to get the sex change?
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