Gender Reassignment Surgery (SRS) Male to Female

Gender Reassignment Surgery (SRS) Male to Female

Surgery Overview:Male to female Surgical Procedure:

Male to female Sex change surgery involves the removal of the penile muscle and testicles reshaping it to appear more female thereby constructing a vagina. An incision is made into the scrotum, the flap of skin is pulled back and the testis is removed. The skin is stripped from the penis but is left attached and the urethra is cut. The excess skin is used to create the labia and the vagina.Operation time:
The surgery usually takes 6-8 hours to complete according to the extent of the procedure.Care after surgery:
·        After surgery patient should remain on bed for the first 24 hours.
·        The surgeon will perform the necessary care and do the dilation at least 2 weeks.
·        Patient must dilate to achieve the desired depth and width of the newly made vagina.
·        After each dilation session with the doctor, wound dressing should be performed to speed up healing process.
·        Patient should avoid strenuous activities which can interfere with the circulation.

  • The vaginal packing, all drains and urinary catheter are usually removed on the fourth or fifth day following surgery.

·        Increase fluid intake at least 8-10 glasses per day to promote urination.
·        Wound dressing is done daily to prevent infection.
·        The surgeon will remove the stitches after 5-10 days.

Recovery period:

  • The patient should stay in Thailand at least 2-3 weeks to complete the whole process and allow proper healing and at least 1 week hospital stay for observation and management.
  • Patients can resume taking hormonal medications in 10-14 days after the surgery. Consult the doctor for advice regarding adjustment of the dosage.
  • Patient can start vaginal dilatation 2 times a day for the first few of months about 1 hour each time with an adequate amount of lubricant. Vaginal stents typically range in size from about 1-1/8 to 1-1/2 inches or more in diameter (28 to 38 mm), and must be inserted to full depth (4 to 6 inches or more)


Risks and complications:
Patients must keep in mind surgeon’s instructions to prevent potential risk and complications following surgery. Possible complications include: Hematoma (bleeding), delayed wound healing, swelling, scarring and numbness or change in sensation, infection, hypertrophic scarring, partial or complete flap necrosis, intra-vaginal hair growth, recto-vaginal fistula.

Types of anesthesia use:
The procedure requires a general anesthesia.

Requirements to have sex change surgery?
According to “The Harry Benjamin International Gender Dysphoria Association’s Standard of Care for Gender Identity Disorders “a patient must qualify on the following criteria prior to the surgery:
1.       Legal age of maturity in the patient’s nation. At least 18 years of age and will require permission from parents.
2.       At least 12 months of continuous hormonal therapy for those without medical contraindications.
3.       At least 12 months of continuous full time real life experience in a cross gender role.
4.       Patient should present a Certificate of recommendation from a qualified psychiatrist/psychologist dealing with transsexuals for the diagnosis of gender dysphoria.
5.       Physically fit for the surgery.
The goal of Sex reassignment surgery for Male to Female:
·        To create an erotic sensate area including clitoris, labia minora, labia majora and vaginal opening.
·        To achieve satisfactory vaginal depth.
·        To preserve orgasm during sexual intercourse.

Preparation prior to surgery:
We want to make your surgery experience as comfortable as possible. If you have any questions about your surgery, be sure to talk with us and we can arrange for you to talk with your surgeon. We’ll do everything we can to address any concerns you may have about your surgical care. Don’t hesitate to ask questions for clarification. Call us on:
Tel 0066-861042188

Criteria for approval are as follows:

  • Letter of recommendation from a psychiatrist.
  • Discontinued hormonal therapy at least 14 days prior to surgery. Hormones should be stopped before surgery to reduce the risk of thrombosis (blood clots).
  • Physical check up prior to SRS. Laboratory test should be taken. It includes the following: CBC, HIV, FBS, Creatine, Urinalysis, Alkaline phosphatase, SGOT LDH EKG and chest x- ray. You can have your private doctor perform the physical examination and send the results via email.

4.       Patient must stop smoking 2-4 weeks prior to the surgery. Smoking interferes and delays wound healing process.
5.       Patients must stop taking medications such as anticoagulants (aspirin), anabolic steroids and supplements (Vit. E)  at least 4-6 weeks to prevent complicating medical factors prior to surgery.
6.       Assessment of the medical history and physical examination will be performed during the consultation with the surgeon as well as explanation of the course of surgery, recovery period, risk and complications.
7.       No intake of food or water 8 hours prior to surgery.
8.       The surgery usually takes 4-8 hours and is usually done through general anesthesia.
9.       Patients who are HIV positive will pay 30% extra charge from the standard price due to the necessity of using disposable instruments.
10.   Appointments should be one month prior to the date and time of the surgery.

One month before the surgery:
Prepare and Plan: Put your schedule together for the day before, day of, and first few days
Following the surgery.
Appointment: should be one month prior to the date and time of surgery.
Preoperative tests: Make certain all test ordered (CBC, EKG, X-ray) by your surgeon MUST be completed at least 5 days before surgery and no more than 30 days before surgery.  Test results should be received by the surgeon for clearance. If medical clearance is not yet received at the expected date of completion, surgery maybe delayed or cancelled

Stop smoking: Smoking must be avoided for about 3-4 weeks prior to surgery, as nicotine interferes with circulation and will greatly affect healing process.
Stop taking medications: Avoid taking any medications such as hormones, anticoagulants, anabolic steroids and supplements at least 4-6 weeks to prevent complicating medical factors prior to surgery. Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding.
Stop drinking alcohol: You will likely to be asked to stop drinking alcohol, a week before the surgery and throughout your recovery period.
Vital information: A preoperative visit or call is essential to review your health, your goals and any vital information including allergies and health considerations.

One week before the surgery:
Confirm your day of surgery: Review all orders and instructions and put your schedule together a few days before the surgery.
Continue to practice healthy habits: No smoking, no drinking alcohol and stop taking medications to ensure safety.
Relax: Get plenty of rest.  Anxiety is common over the thought of surgery, so don’t hesitate to contact us.  We are here to support you and answer all of your concerns regarding surgery.

One day before surgery:
Pack your personal belongings for the day of surgery.
Arrival: You will arrive at Bangkok International Airport. You will be met by us and taken to the hospital.
Nothing by mouth. No candy, gum or mints. Anything more than a small amount of water as needed for brushing teeth or swallowing medication may result in the need to cancel surgery.
Dress appropriately:  do not wear jewelry, hair clips, body piercing, cosmetics.  (If there is something you cannot remove, let the admitting nurse know right away)
Wear comfortable, clean, loose- fitting clothing: Do not wear jeans or any tight fitting bottom; rather have a pair of loose, drawstring sweatpants to wear home. You may wear a robe. Wear slip on, flat shoes with a slip proof sole; no heels. Wear clean cotton socks as the operating room can feel cool.

At hospital:
·        Appointment for consultation with your surgeon. The discussion will be regarding medical health history as well as the explanation of the course of surgery, recovery period, risk and complications. Don’t hesitate to ask questions for clarification and the technique to be used for SRS.
·        Routine Physical examination
·         Admission to hospital
·         Singing of informed Consent for legal purposes.
·         The operation date and time will be arranged within twenty-four hours after Preoperative consultation.
·        During surgery, your vital signs will be watched closely.
·        Patches containing leads for monitoring your heart will be placed on your chest. .
·        After your surgery, you will be taken to a recovery area where you will stay for about an hour.
·        A nurse will closely monitor you as you wake up from the anesthesia, checking your vital signs frequently.
·        If you feel pain, ask your nurse to give you pain medication.
·        Once you are awake and your vital signs are normal, you will be taken to your own hospital room and your family will be able to visit you there.
·        You will be discharged from the hospital as soon as your surgeon believes that you are ready and are not experiencing any complications from the surgery or anesthesia.
·        Genital electrolysis must be done prior to SRS to prevent hair in and around their new vagina.
·        Please remember that the effects of the anesthesia medications go away very slowly. Do not plan on doing anything important the day of or day after your surgery. You will feel drowsy for hours after your surgery. For these reasons, you MUST NOT drive a car, work with machinery, or sign any important papers for at least 24 hours.

It is important that you follow the written instructions given to you when you are discharged.


  1. I am undetectable but HIV positive in good health I am a complete transmission women I wanna hav male to female surgery how much is the procedure

  2. Brie Browne, here from down under,

    Well it’s not what you know, it’s whom you know that can direct us in the correct direction, I’m pretty stoked if SRS Would cost me $9400 Aust Dollars,
    as of today’s exchange rate.
    Question :
    Is there a package that includes accommodation , surgery, transfers to and from hospital.

    Much appreciated
    Thankyou David , for your help

    Brie Browne

    • Hi Brie, The cost would be between 8 and 9,000 US and that would be inclusive of hospital accommodation and all medicines but as with all surgeries I will obtain a current personal estimate based on your particulars and would probably obtain several quotes from surgeons on your behalf. Just email us at when you know about dates. It is also necessary to get two doctor’s letters before a surgeon will perform SRS. If you don’t have them from Australia it should be possible to get them in Thailand.

  3. Hi, What would be the total cost of a srs (mtf) surgery. Thanks David

    • Hi David, I can only give an estimate without knowing more about you but it costs approximately $9000 US.
      email me at if you would like to know more.

  4. i’ve been living as female for almost 4 years and currently i’m looking to change my gender as female. I’ve never done any surgery before,and i want to do a complete transformation to female. Can you please let me know how much it will cost and details about the same? Thanks

      • Hi I wanted to know if the surgery can be done in payments, like every month a fee to pay until you paid it all off? A email for an answer would be best

  5. Hi,
    Im a male gay guy. I want to have gender reassignement surgery and breast augmentation. Can i do this together? and how much? email me pls.

    • Hi I m 36 year gay boy from India. Want to know cost of srs from m to f and breast augmentation. Also Pls send all other cost like hotel stay food extra.

  6. Hi how much the mastectomy does it cost, and do i have to take the testosterone before surgery ?

  7. Can I get gender surgery with out full transition and letters?

  8. i am 17 and i have been on hormones for a year and 1 month, i saw that the youngest person to have male to female gender reassignment surgery was 16, so i was wondering if i could have do the same thing with my parents permission and pay extra money.

  9. I have DR told me I sure be a woman and work as a woman
    To And live as a full woman 24/7 and do things my patters told me to do and have sex like a woman all the tome to and be kinky to

  10. Is $9000 all inclusive with hotels, follow ups and Meds? I’m trying to get a complete figure for a friend who has little money. She’s been on estrogen for a year and living as a woman for many years.

  11. Hiya

    From the UK

    If I wanted my Nose, Jaw Contouring, Brow Shave, SRS, Breast Augmentation,

    How much would that be?

  12. Hello 🙂 I would just like a vagina without any other body changes. How much would this cost including accommodation and can I do it without a letter of recommendation?

  13. Hi.. im pin. Can I have an appointment?
    And what is the main process before surgery

    • Hi Pin,

      What you need: a letter from a phycologist stating that you are a good candidate for SRS.
      Please tell me any medical or emotional issues you may have had in the last 5 years
      Please email me at

  14. Hi dr. My name is riann im transgender and i just wanna ask few questions and im from hawaii USA my 3 friends recommend me to your clinic and 2 of them they just got their surgery last year and and my other friend 3 yrs ago so my question is how much is cost if im gonna get my boobs and my male to female part?
    Looking forward to hearing from you

  15. I have a friend interested in having reassignment surgery has been living as a women for several years. She asked me because they cannot pay on their own.


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