● Clients with a strong desire to be treated as the other gender. ● Clients with a strong conviction that one has the typical feelings and reactions of the other gender. ● Clients with a strong desire for the primary and /or secondary sex characteristics of the other gender. ● Clients with a strong desire to be of the other gender. ● Clients with a marked incongruence between one's experienced/expressed gender and primary and/or secondary sex characteristics. ● Clients with a strong desire to be rid of one's primary and/or secondary sex characteristics.

General anesthesia is applied to the patient by an anesthesiologist. A new vagina is formed between the anus and the urinary tract, approximately 5-7 inches deep. The skin covering the penis is used to construct the inner labia, and a vaginal wall is consequently covered with skin graft from scrotum. The core of the penis is removed, and the sexual sensory nerves are kept for use in creating the clitoris. The testicles are removed to decrease of male hormones. The male urinary tract is shortened and shaped so that urine can flow out in the same manner as other women. However, not all patients or procedures are the same, and information may not be applicable to all procedures. The surgeon reserves the right to vary the way that a procedure is performed or which technique is used. properly undertaken, urine may shoot up when urinating in sitting position. The exterior parts such as the Major Labia, Minor Labia, urinary tract, and clitoris are reconstructed to look beautiful and perfect as a female sexual organ which can still experience sexual sensations as before. Human body treats the new vagina as a wound, your doctor may require long-term maintenance of volume (vaginal dilation), by using medical graduated dilators, dildos, or suitable substitutes, to keep the vagina open. Sexual intercourse is not an adequate method of performing dilation. With current procedures, trans women do not have ovaries or uteri. This means that they are unable to bear children or menstruate until a uterus transplant is performed, and that they will need to remain on hormone therapy after their surgery to maintain female hormonal status.

Yes, Foreign patient is required to secure psychiatric letter or a certificate from your therapist to support your request for sex reassignment surgery. Normally we use Harry Benjamin criteria for selecting the appropriate candidate. She must undergo at least 6 months hormonal therapy prior to surgery.

Yes typically gender change patients are required to be taking hormones for at least 12 months prior to surgery.

Depending on what surgeries you are undertaking price can vary please contact us directly to obtain accurate price

Yes we only have Thailand's very finest surgeons for gender change offering surgical guarantee's on procedures to ensure you traveling for surgery is safe.

Female to Male surgery is generally divided into three main groups: 1. Chest reconstruction surgeries (also referred to as “top” surgery or Mastectomy); 2. Hysterectomy and Ovary Removal (removal of the uterus and ovaries, respectively; and 3. Genital reconstruction surgeries (also referred to as “lower” or “bottom” surgery or GRS). Within these three main groupings are different types of procedures and surgical methods that will be further described. Mastectomy, Hysterectomy, Ovary and Genital reconstruction can be done at the same time.

Metoidioplasty is a surgical procedure takes advantage of the fact that ongoing testosterone treatment in a Trans man typically causes his clitoris to grow longer. The amount of clitoral growth varies with each individual. By cutting the ligament that holds the clitoris in place under the pubic bone, as well as cutting away some of the surrounding tissue, the surgeon is able to create a small phallus from the elongated clitoris. This is why metoidioplasty is sometimes referred to as a “clitoral free-up” or “small penis” or “clitoris release”– the clitoris is freed from some of its surrounding tissue and brought forward on the body in a manner that makes it appear like a small penis. In order to further enhance the result, fat may be removed from the pubic mound and skin may be pulled upward to bring the phallus even farther forward. Metoidioplasty may also involve the creation of a scrotum (scrotoplasty) by inserting testicular implants inside the labia majora, then joining the two labia to create a scrotal sac. This is often done in two stages, where in the first stage; tissue expanders are inserted in the labia in order to gradually stretch the skin in preparation for the insertion of permanent testicular implants at a later date. However, we may insert the implants in the first procedure, and join the two labia in a later procedure. Metoidioplasty for female to male may additionally involve a urethral lengthening procedure to allow the patient to urinate through the penis while standing. Depending on the surgeon and the desires/goals of the patient, the vaginal cavity may or may not be closed or removed (this is typically referred to as a “vaginectomy,” “colpectomy,” or “colpocleisis”). Often, a vaginectomy is performed in conjunction with scrotoplasty and/or urethral lengthening. The typical operating time for a metoidioplasty procedure is about 2 hours. Time required may differ depending on the options chosen by the patient. Metaidoioplasty: Summary Metaidoioplasty – Testosterone makes your clitoris grow (usually 1-3 cm). Metaidoioplasty involves cutting the ligament that hold your clitoris in place under the pubic bone, as well as some of the surrounding tissue. Your clitoris is then freed up so more of it is showing. Vagina removed or close vagina – Optional. Result size – small penis 1-3 cm. Sexual function – Sexual sensation is generally good, as the clitoris is not impacted much. The new penis will get erect on its own when you’re sexually aroused, but won’t be large enough to penetrate a partner with. Urinate standing up? – Yes. Visible scarring – Minimal. In the future, if you want to continue with Long Penis- in other words, you can have a metaidoioplasty first, then have phalloplasty later.