Gender Reassignment Surgery Male to Female

Gender Reassignment Surgery Male to Female

Complete Guide: Gender Reassignment Surgery Male to Female, Technique, and Surgeons

Gender reassignment surgery from male to female is a solution to live life to the fullest on own terms. Transgender people tend to utilize the surgery solution day by day. As a result, 9,985 surgeries are done in 2020 compared to 8,986 in 2019. Below is the comprehensive guide for planning MTF bottom surgery at an affordable cost.


Key Points:

  • The MTF bottom surgery cost is not covered by insurance in the USA.
  • The MTF trans surgery cost is around $11,000 in India, all inclusive.
  • The same procedure can cost around $35,000 in the USA.

When a person's biological sex does not correspond to their preferred gender identity, they may experience gender dysphoria, characterized by discomfort. Anxiety and sadness are possible outcomes of feeling chronically uneasy or dissatisfied with one's life. Many persons who struggle with gender dysphoria have a deep and abiding need to live a life that "fits" or represents their gender identity. To achieve this goal, they alter their appearance and demeanor.

Although hormone therapy and surgery are options for some persons with gender dysphoria, they are not for everyone. Although gender dysphoria itself is not a mental disorder, it has been linked to the onset of other mental health issues in certain persons.

Gender dysphoria is characterized by a persistent conflict between a person's internalized gender identity and their externally assigned gender that lasts for at least six months. At least two of the following demonstrate the distinction:

  • The disparity between primary and secondary sex features; includes genitalia and breast size, voice, and facial hair—the disparity between actual and desired secondary sex traits in early adolescents.
  • Intense yearning for another gender's genitalia and secondary sex features.
  • An intense desire to lose these genitalia or secondary sex features or a wish to forestall the emergence of such features.
  • A firm conviction that one experiences the world through the eyes of another gender and shares their usual emotions and responses.
  • The intense need to identify with or get treatment as a different gender.

People with gender dysphoria may show a strong desire to transition to the opposite gender regularly. They often experience dissatisfaction with the social expectations and psychological constraints of their biologically given sex. This may present itself in various ways, including a refusal to engage in numerous gender-stereotypical activities, playing with toys traditionally associated with the opposing gender, and dressing in clothing of the preferred gender. Over 0.6% of the U.S. population, or more than 1.6 million adults and teenagers (ages 13–17), identify as transgender. In general, transgender people are younger than the general population of the United States, according to studies.

Gender Reassignment Surgery Male to Female Cost Comparison ( India vs USA )

Procedure Male to Female Surgery Cost in USA Male to Female Surgery Cost in India Cost Savings
Male to Female Surgery $35,000 $11,000 68%

CureIndia MTF Bottom Surgery Packages

  • Procedure: Gender Reassignment Surgery Male to Female
  • Surgery Cost: $11,000
  • Place: New Delhi, India
  • NABH accredited hospital (second only to JCI accreditation)
  • M.S, M.Ch 14+ Years Plastic and Cosmetic Surgeon

Package Inclusions:

  • Doctor’s  Consultation at ease
  • Routine Blood Investigations
  • Cost of the surgery: $11,000
  • 2-3 days stay in hospital for each surgery.
  • 2 days rest in the hotel after discharge
  • IGI, New Delhi, Airport Pickup and Drop-off hospitality services
  • Local transportation available  from the hotel to the hospital
  • Dedicated speaking case manager for a smooth medical travel experience.
  • Assistance in Currency Exchange, Local SIM, Multi-cuisine food.

Contact us at +91 8448560641 or fill in the inquiry form to know more about the package.

Complimentary Services with Gender Reassignment Surgery Female to Male by CureIndia

CureIndia’s goal is to provide the finest results for the least amount of money to patients. You will benefit from a host of other services in addition to receiving treatment at the best facilities.

  • The pickup service is free of charge. We offer pick-up and drop-off services from the IGI International Airport in New Delhi.
  • You will have a hassle-free local travel experience in India with our free cabs.
  • We will assist you in locating the ideal lodging. Staying throughout the treatment is also provided as a complimentary service.
  • For increased hospitality, we will provide dedicated Arabic/English/Russian/Bengali case managers.

Why CureIndia for Cosmetic Surgeries in India?

  1. Highly experienced specialists
  2. Latest Technology
  3. Full range of procedures
  4. Affordable gender reassignment surgery male to female cost packages
  5. 100+ JCI and NABH accredited hospitals and clinics
  6. Personalized care and attention

Experienced Cosmetic and Plastic Surgeons for Gender Reassignment Surgery Male to Female

We take pride in assuring our patients' complete safety during these treatments and providing them with the best possible post-operative care. Our goal is to ensure that our patients receive the greatest possible results at the most affordable gender reassignment surgery male to female cost. We provide procedures to our patients in a variety of venues in the Delhi NCR region.

1) Dr. Gautam Banga

Dr Gautam Banga - FTM bottom surgery doctor

2) Dr. Lokesh Handa

Dr Lokesh Handa - Sex Chnage doctor

3) Dr. Ashutosh Misra

Dr Ashutosh Misra - FTM surgery specialist

State of the Art Clinics and Hospitals in Delhi NCR

Apart from low prices, India has world-class facilities with the best techniques and highly qualified doctors, which encourages individuals from all over the world to seek treatment there. Not only does India have the best doctors, but it also offers the best medical facilities at affordable pricing. If you are planning your surgery in India, then you don’t need to worry about the MTF bottom surgery cost and recovery.

Challenges Faced by People Suffering From Gender Dysphoria

Daily activities may be one area of life impacted by gender dysphoria. Some people with gender dysphoria have trouble at school because of bullying, or because they feel they have to dress in a manner that corresponds with the sex they were given at birth.

Dropping out of school or losing a job are potential outcomes if gender dysphoria causes difficulties in daily life. Conflicts in interpersonal relationships are prevalent. Anxiety, sadness, suicidal thoughts or actions, disturbances in food habits, and drug abuse are all possible outcomes.

People with gender dysphoria may get the aid they need to finally start living authentically in their chosen gender identity or as non-binary persons via various treatments. The significance of this will change depending on the recipient's age; children, teenagers, and adults will all have various interpretations. Referral and treatment wait periods are now quite lengthy.

People may more easily change their preferred gender with gender affirmation methods. Transformations of the face, chest, and genitalia are all possible during gender confirmation surgery. You can undergo a single surgical treatment or a series of operations. Involvement with a mental health professional before and after surgery is crucial. Having a dependable therapist before surgery has improved patients' postoperative satisfaction.

Does Insurance Cover MTF Bottom Surgery? 

According to the American Medical Association, gender dysphoria is a medically necessary disorder where an individual cannot relate their identity with their biological gender. Hence, lawfully, health insurance companies should cover gender reassignment surgery, male to female, if a male wants to become a female. 

Medicare covers all the treatment procedures, from hormone therapy to counseling, including the MTF bottom surgery. However, Medicare may not cover specific procedures for MTF cases. In many cases, Medicare does not approve breast augmentation in MTF cases. If you are one of them, you will have to convince them that it is medically necessary for your changed future. 
MTF bottom surgery is a medical process where the male reproductive organs are replaced with female genitalia. People who do not identify themselves as men but are born with male sex organs undergo this procedure.

Like Medicare, Medicaid too covers the MTF bottom surgery. However, their coverage plan differs from state to state. However, in some states, Medicaid does not cover minors. Puberty blockers are particular medications applied only to people under 18. It is still not clear whether Medicare provides any coverage for puberty blockers. Some speculations show that health insurance companies also cover puberty blockers medications. 
If your child has gender dysphoria, you can visit any hospital that deals with minor cases. Check if they plan to cover the puberty blocker MTF bottom surgery. It will be best to talk to the Medicare and Medicare Advantage representatives in person to get a clear idea. 

Psychiatrist Consultation Before MTF Surgery

A psychiatrist may aid a patient struggling with gender identity in several ways. The primary goal here is to lay out the issues surrounding sexuality and the construction of gender. There is a lot of misunderstanding about homosexuality, transgender difficulties, and cross-dressing among the local community. The second step is to have a conversation about the various treatment options available for gender dysphoria. Online support groups have been established to aid those who may need it in overcoming the challenges that lie ahead. The psychiatric consultation may also address people's many worries about national service.

Third, to determine whether or not the difficulty with gender identity is associated with any comorbid mental difficulties that may arise due to the condition. Fourth, to collaborate closely with the individual's loved ones to address any issues that may arise. In many cases, the parents are the ones who push their children to come out and get help in the hopes that a psychiatrist can talk their child out of undergoing sexual reassignment surgery. Fifth, many facilities that conduct sex change reassignment surgery need a letter from the treating psychiatrist stating that the patient is a good candidate for the surgery, has been informed of the permanence of the procedure and has had any severe comorbid concerns resolved. About two years of consultation with a psychiatrist for gender dysphoria is required before the doctor can determine if the patient is experiencing genuine gender dysphoria or is acting out.

To be eligible for male to female surgery, one must first receive a certificate from a psychiatrist confirming the diagnosis of gender dysphoria. An intense yearning for the absence of these genitalia or secondary sex features or the want to forestall their development.

Hormone therapy or HRT before Gender Reassignment Surgery Male to Female

It is a major step towards completing the transition from Male to Female for a transgender person to begin hormone treatment (also called hormonal replacement therapy). The effect on one's bodily and mental well-being is profound. Hormone treatment causes physical changes that make a person seem more feminine, which goes against the grain of a person's internalized gender norms and expectations. As a result, it may result in a significant confidence boost.

Transgender people who get affirming feedback and boost their self-esteem are more likely to make good choices that will improve their lives. Hormones have their own special, beneficial function that aims to foster harmony between the mind and the body. Individual response, starting age, and hormone dose all have a role in how quickly and to what degree a person's body and mind adapt to hormone therapy. As a result, tailoring one's therapy to specific needs is more important for maximizing benefits while minimizing dangers and negative effects. People seeking feminizing hormone treatment may feel uneasy or distressed because their gender identity does not align with their biological sex or the gendered features of their body. This mental state is referred to as gender dysphoria. Hormone treatment with a female hormone can:

  • Boost health in mental and social domains.
  • Find more pleasure in sexual encounters.
  • Decrease gender-related mental and emotional strain.
  • Boost people's living conditions.

Feminizing hormone treatment may not be recommended by your doctor if:

  • To be diagnosed with a malignancy that responds to hormone therapy, such as prostate cancer.
  • Serious health issues that haven't been treated.
  • Have issues with blood clots, including when one develops in a deep vein (deep vein thrombosis) or when one blocks off one of the pulmonary arteries (pulmonary embolism).
  • Having mental health issues that haven't been treated.
  • Be unable to provide informed consent due to a medical condition.

Hormone treatment is an integral element of the procedure for many transgender people. Tran’s guys utilize exogenous testosterone to increase virilization and reduce the expression of feminine traits. Exogenous estrogen is used to feminize transwomen, while anti-androgens are used as supplements to prevent the development of masculine characteristics.

Male to Female Surgery Procedures

Maintaining autonomy over one's physical form and finding acceptance in mainstream society are two essential needs for transgender persons who need continual emotional support. But the situation worsens when kids have no one to turn to for help, and their parents don't get how they feel. Male to female surgery is the best and only option for those with gender dysphoria (Gender identity disorder) who want assistance and to be treated with dignity in society.

Surgery to change your look is a major choice since the results will last a lifetime. While some transgender people may be content with merely identifying with and living as their confirmed gender, others may find that surgical transition is necessary to feel like them finally. To have the best possible functional and aesthetic results after the surgery transition, it is crucial to choose a care team with experience and knowledge once the choice has been taken and the eligibility conditions have been satisfied.

Breasts creation using Breast Implants

For trans women, breast augmentation surgery may be a form of gender affirmation by increasing cup size and making other cosmetic changes. MTF top surgery is a common term for this procedure. The majority of transgender women and persons who identify as transfeminine seek out this treatment because they want bigger or more defined breasts. In the context of gender transition, breast augmentation may effectively alleviate gender- or body-related forms of dysphoria.

Those specializing in gender reassignment surgery male to female are the medical professionals most often associated with inserting breast implants. Once a breast has been removed due to cancer, breast implants may be an option. You could consider cosmetic surgery if you're in good health elsewhere and want to alter your breasts. To rebuild the breast after cancer treatment, a patient may choose to have breast implants placed. To alter the size or form of the breasts, a medically fit individual may have breast augmentation by having breast implants surgically inserted. Boob job is slang for breast enlargement.


Before operating, your surgeon will review your complete medical history to determine your overall health and surgical suitability. Anti-inflammatory medicines might cause bleeding, so your doctor may advise you to stop using them before surgery. He will also advise you to quit smoking for your health and safety. If you want to have children and a nurse, your surgeon must know where to make the incisions.

The evening before your surgery

  • Get your house in order so it may be used as a place of healing
  • We should try to avoid moving about needlessly. All your pre-op needs should be laid on a table near you, and any goods that are too high up should be moved to a lower shelf.
  • Take a good night's rest
  • Preparing for surgery by getting a good night's sleep is smart since surgery is physically demanding.
  • Stop taking in any liquids at midnight
  • As a rule of thumb, you should fast for 12 hours before surgery but always follow your surgeon's recommendations.

During the procedure

Breast augmentation is a complex procedure that requires several different phases. These are the procedures outlined in detail.


General anesthetic, in which you will go to sleep, or intravenous sedation, in which you will feel relaxed but awake, will facilitate your surgeon's ability to complete the procedure. This is something you and your surgeon will decide together.

The incision

There is more than one technique for breast augmentation. The following are examples of procedures that your surgeon may perform:

  • Through the indentation under your bust
  • At the farthest border of your areola.
  • Through your armpit.

Before your procedure, your surgeon will go through all of your options with you so that you may make an informed decision.

Insertion of an implant

The implant may be placed either beneath the breast tissue, in front of the muscle, or behind the breast muscle, according to the surgeon's preference (pectoral muscle). Factors such as implant kind and desired degree of enlargement will determine where the implants will be placed after surgery. Together, you and your physician may weigh the pros and cons of each procedure and make a choice.

Patching up the wound

You might expect your surgeon to seal the incisions by stitching them shut once they have placed your implants. Drainage tubes might potentially be used during your surgery. If your surgeon gives you specific aftercare instructions, you must stick to them. A gauze bandage will be placed over each breast, and you may be given a surgical bra to wear after you get home.

After the Procedure

Some discomfort and edema are expected for a few weeks following surgery. Even bruises are a possibility. Scars fade over time but never completely disappear. Painkillers may be recommended by your surgeon as well.

Listen to your doctor's advice before starting a new exercise routine. You may be able to go back to work in as little as a few weeks if your job doesn't require much physical exertion. Do not engage in any activity that might cause a significant increase in heart rate or blood pressure for at least two weeks. Remember that your breasts will be very delicate throughout the healing process.

A follow-up session might be necessary if your surgeon utilized no absorbable sutures or positioned drainage tubes in the area of your breasts. You may have an infection if you have a fever and observe redness and heat in your breasts. Get in touch with your surgeon right away. If you're experiencing difficulty breathing or chest discomfort, you should also make an appointment with your surgeon.

MTF bottom surgery Stage 1

Removal of the penis or Penectomy

Some trans women and nonbinary people choose to have a penectomy as a kind of gender confirmation surgery since they no longer identify as male. Everyone has their special destination in mind. Male to female surgery or Surgery on the genitalia is only one example of medical treatment available. It might be the first step in a succession of procedures necessary for the transfer.

During the Procedure

The penis is the last surgical organ removed during a gender-neutral penectomy. One may customize the appearance and function of their genitalia in various ways with gender affirmation surgery. For instance:

Valvuloplasty is a feminizing operation that alters the female reproductive organs. The mons, clitoris, outer and inner labia, and urethra are all constructed during a vulvoplasy from tissue often linked with male gender assignment. The glans, for example, is crucial in developing your clitoris.

Vaginoplasty is a kind of gynecological surgery in which a vagina is fashioned in the area between the patient's bladder and rectum. Tissue from the genitalia is utilized to create the vaginal canal and the sex organs (labia). Surgical inversion of the penis is the gold standard at the moment.

Genital nullification may be an option for persons who do not subscribe to a binary gender system. There is greater unity between the genital area's shape and how these people feel.

After the Procedure

The length of your hospital stay might be affected by the kind of procedure you had. After a penectomy, a person no longer:

  • Possibly need a few days' worth of hospitalization.
  • A urinary catheter may drain urine for up to 14 days.
  • There might be a tube set up to drain blood from the injury.
  • Have free reign over the kitchen and bar.
  • Will experience swelling, the effects of which may not be immediately apparent.

MTF bottom surgery Stage 2

Removal of the testicles, called Orchidectomy

The removal of one or both testicles is known as an orchiectomy. Healthcare professionals use this therapy to treat testicular cancer, male breast cancer, and prostate cancer. Additionally, it is utilized to cure and prevent testicular cancer. Orchiectomy is a surgical procedure that may help transwomen complete their transition from male to female. Orchiectomies often don't need a hospital stay of more than a few hours.

Before the Procedure

Your doctor may draw blood before an orchiectomy to check for cancer markers and ensure your overall health. This is a short, 30-60 minute outpatient operation. The use of general or local anesthetic depends on the doctor's preference. Although additional dangers are associated with general anesthesia, it allows you to sleep during the operation.

Ensure you can get home from the appointment before you go. After surgery, you'll need to rest for a while and reduce your normal activities, so plan accordingly. Please let your doctor know if you take any prescription or nutritional supplements.

After the procedure

The penis will be lifted and taped to the patient's stomach as the first step in the procedure. Next, an incision will be made in your scrotum or the region of your lower abdomen just above your pubic bone. After an incision, a surgeon will remove one or both testicles by dissecting them free of their supporting tissues and blood arteries.

The blood from your spermatic cords will be stopped by the clamps the surgeon uses. In certain cases, a prosthetic testicle is implanted instead of the natural one. The wound will be cleaned with saline solution before being closed with stitches.

MTF bottom surgery Stage 3

Creation of the new vagina using a different technique

The formation of the new vagina by the use of a unique method as follows:


The newest Penile SRS method is called SRS-PPV (Sex Reversal Surgery – Peritoneal Vaginoplasty. Indian hospitals are unique among medical facilities that offer this service. In medical terms, the tissue that borders the abdominal cavity is called the peritoneum. It's squishy, stretchy, and lubricates itself. In most cases, recovery is rapid and painless.

The neovaginal canal is created during the treatment by minimal inversion of the penile and using a pull-through method on the peritoneum. Transgender women are the first to use a peritoneal pull-through to establish a vaginal canal. However, this procedure has been around for quite some time. The PPV method entails taking skin from the male genitalia (penis and scrotum) to construct the outer labia and external vagina. In contrast, peritoneal skin is used to construct the inside vaginal canal.

For patients who have already had mtf bottom surgery but are unsatisfied with the results or who need a more realistic, elastic, self-lubricating vagina, this method is excellent for revision surgery. Full or partial scrotal and groin skin grafts are utilized to provide depth. A good vaginal depth of 4.5 to 5 inches is easily reached with this technique.

Penile Inversion

Inversion of the penile urethra is the vaginoplasty method that is performed the most often. The penile skin is utilized to create the vaginal lining in this method. Scrotal skin is used to construct the labia majora, while the delicate skin near the penis's tip is used to construct the clitoris. In this case, the prostate stays put so that it may act as another G-spot–style erogenous zone. Surgeons may harvest skin from the lower abdomen, upper hip, or inner thigh to create the desired vaginal depth. Donation-related scarring is often not noticeable or mild.

Among plastic surgeons, there is much debate over the ethics of using skin grafting to enhance the vulva. Others argue that the additional skin provides a more aesthetically pleasing result. While some argue that form should follow function, others disagree. The donor skin is seldom as delicate as skin taken from the genitalia.

Colon procedure

Another method uses the colon lining in place of the penile skin. There is a lack of data on the long-term effects of this procedure.

Unlike vaginas constructed from penile tissue, which needs artificial lubrication, the tissue used in this technique naturally produces its lubrication. Colon tissue, on the other hand, is not normally used until there has been an unsuccessful penile inversion. This is due to the hazards that are connected with using colon tissue.

Many patients who get a vaginoplasty undergo additional procedures to enhance the labia's aesthetic appeal. It is possible to reposition the urethra and vaginal lips by a second operation termed a labiaplasty after the first surgery has healed.

Non-Penile Inversion Vaginoplasty

The non-penile inversion procedure is sometimes referred to as the Suporn method, named after its inventor, Dr. Suporn, and the Chonburi Flap. This technique employs scrotal tissue transplant with perforations for the vaginal lining and scrotal tissue without perforations for the labia majora (same as a penile inversion). The labia minora and the clitoral hood are constructed from tissue from the penile region. Surgeons that use this method claim that it results in increased vaginal depth, more sensate inner labia, and an improvement in aesthetic beauty.

Gender Reassignment Surgery Male to Female Cost in India

The goal of sex reassignment surgery for transgender people with gender dysphoria and physical dysmorphia is to help them achieve a successful gender transition. Hormone treatment with progesterone, testosterone, or estrogen often kicks off the transition process. Those assigned male at birth (AMAB) may undergo gender reassignment surgery to become transsexuals. This procedure includes a top surgery, a bottom operation, and face feminization surgery.

The cost of sex reassignment surgery is a very nuanced and contentious issue. Transitioning to another gender requires more than just one operation. It entails many surgical procedures, beginning at the top of the body and working their way down. How many different kinds of procedures you want to be done and what those surgeries are meant to accomplish will determine the final price tag. The cost of gender reassignment surgery in India may vary from $3,000 to $ 40,000.

Differences in treatment prices between India and the United States were determined by comparing the costs of four common surgical procedures. Expenses such as airfare and lodging were included in the overall cost of treatment in India. After considering these two significant aspects, the research showed that the cost of treatment in India was just 32.4% of the cost in the United States. Compared to the cost in India, the price tag in the US is 2.9 times as high. If you don't have health insurance, visiting a country like India might be a good idea.

Medical tourism offers financial savings and the chance to get necessary medical treatment while traveling and experiencing a new culture, cuisine, and sights. In India, you will find professionals in male to female bottom surgery and urology who are experienced in the surgical transition from male to female sex at the lowest cost possible.

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2). As soon as you reach us, our case manager will get back to you within 24 hours. We gather your requirements and clinical images(if needed), and discuss them with our cosmetic surgeons. We will get back to you with a cost estimate and treatment plan.

3). We book your appointment as per your travel schedule and make all necessary arrangements.

4). We pick you up at the New Delhi Airport on the day of your arrival, and the medical travel process starts.

MTF Surgery FAQs

When considering a sex change procedure, how long should you factor in for recovery time?

Everyone is different, so it's important to listen to your doctor's instructions on how long it will take you to recover. Two weeks following surgery, many patients report feeling back to normal. In the first two weeks, you should prioritize getting lots of rest. Most people feel well enough to resume their normal routines in six to eight weeks.

How long does it take to change from a man to a woman?

Transforming into a new lifestyle might take a long time, sometimes even years. Some individuals, particularly those who do not identify as binary or who identify as genderqueer, may spend their whole lives in transition, continually redefining and reinterpreting their gender.

When does one come to terms with one's gender?

Most people go through a natural progression of experiences as they form their sense of gender: Around the age of two, kids start to notice the gender-based disparities in appearance. Most kids know whether they're a boy or a girl by the time they're three years old. Children often have a firm grasp on gender identification by the fourth year of life.

After a hysterectomy, how soon can you start having sexual relations again?

Depending on your medical condition, your doctor may recommend that you wait for one to two weeks before engaging in sexual activity again. While driving, check for discomfort to see whether you need to adjust your seatbelt. If you do, you may want to wait a while to engage in sexual activity.

What exactly is involved in male to female surgery?

Male to female surgery refers to cosmetic surgeries done on the genitalia to provide an appearance and, in some circumstances, function consistent with the patient's gender identification. Bottom surgery is not for everyone in the transgender community, but for those who choose to go through with it, the results may be life-changing.

What are the underlying factors that lead to gender dysphoria?

Gender incongruence has unclear origins, although one's sense of gender reflects their biology, upbringing, and social context. A person with gender dysphoria may benefit from treatment options like hormone therapy or surgery, or they may need encouragement to express themselves in an authentic way.