Bottom Surgery in Thailand
Genital reconstruction and affirming procedures performed by Thailand's most experienced surgeons.
Access gender-affirming lower surgery from surgeons who have performed thousands of these procedures, with honest guidance and full support at every stage.
Overview
The step that brings everything into line
Nobody arrives at bottom surgery quickly. The decision has usually been lived with for years. You probably already know which operation you have in mind, whether that is vaginoplasty, metoidioplasty, phalloplasty or an orchiectomy on its own. What is harder to find is a clear account of what each one asks of your body and your time, so that when you go ahead you know exactly what you have taken on.
Before a consultation is booked, the surgeon will want your readiness assessment, your referral letters and your medical history, and if something is missing we will tell you what to ask for at home. The surgeons at the hospitals we work with have spent most of their careers on this surgery, and at the consultation they go through appearance, sensation and function for the procedure you have chosen. They will tell you if your anatomy or your health means a different route would serve you better, and they are just as clear about what comes after. Vaginoplasty means dilating regularly for months, healing takes longer than almost any other operation, and you will stay in Thailand longer than you might expect, because flying soon after major surgery carries a risk of clots.
Each procedure, including revision and peritoneal vaginoplasty, is covered separately below. When you want a surgeon's view, send a coordinator your letters, your history and a few lines on what you are hoping for. It goes to the surgeon and we tell you what they said.
Find your procedure
Browse by category or get a personalised recommendation.
Need help choosing?
Tell us what you're considering and a coordinator will suggest hospitals and send real quotes.
Free, no obligation. We'll reply within 24 hours.
Bottom Surgery
Genital reconstruction and affirming procedures performed by Thailand's most experienced surgeons.
From
$9,000
From
$15,000
From
$6,000
Labiaplasty
Aesthetic refinement of the labia following primary gender-affirming surgery
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$2,000
Revision Vaginoplasty
Corrective surgery to restore depth, function, or appearance after a previous vaginoplasty
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$10,000
FTM Hysterectomy
Gender-affirming removal of the uterus, often with the ovaries and fallopian tubes, for trans men
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$4,500
Peritoneal Vaginoplasty
Vaginal construction lined with self-lubricating peritoneal tissue, harvested laparoscopically
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$11,000
Face
Procedures that bring your facial features into alignment with your identity.
Facial Feminization Surgery
Comprehensive facial reshaping to align your features with your identity
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$8,500
Facial Masculinization Surgery
Sculpt stronger, more angular facial contours that reflect who you are
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$2,000
Adam's Apple Shaving
Smooth the visible Adam's apple for a softer, more feminine neck profile
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$1,500
Forehead & Brow Bone Contouring
Smooth and reshape the forehead for a softer, more open facial profile
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$4,000
Jaw & Chin Contouring
Reshape the lower face for a softer or more defined jawline and chin
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$3,500
Lip Lift
Shorten the upper lip and define the cupid's bow for a more feminine expression
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$1,200
Hairline Lowering
Advance the hairline to create a rounder, more feminine forehead frame
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$3,000
Cheek Augmentation
Enhance cheek volume and projection for balanced, gender-congruent facial contours
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$2,500
Body
Top surgery, breast augmentation, and body contouring to align your body with who you are.
MTF Breast Augmentation
Breast augmentation designed for the transfeminine chest for natural, feminine proportions
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$2,200
FTM Top Surgery
Chest masculinization surgery for a flat, naturally contoured male chest
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$3,700
Keyhole Top Surgery
Single-incision chest masculinization for small chests with no excess skin
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$3,700
From
$5,000
Double Incision Top Surgery
Chest masculinization with skin excision and nipple grafting, for larger chests
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$6,200
Nipple Reconstruction
Restoring natural nipple appearance following top surgery or chest procedures
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$1,000
Body Feminisation
Liposuction and fat transfer to sculpt feminine curves in the hips, buttocks, and thighs
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$3,000
From
$2,800
Voice
Surgical voice modification to bring your voice into harmony with your identity.
From
$2,800
Voice Masculinization Surgery
Surgical pitch lowering for trans men whose voice stayed too high on testosterone
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$3,200
Hair
Hair transplants and laser hair removal to support your transition and confidence.
Hair Transplant
A permanent reshaping of the hairline using follicles moved from your own donor zone
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$2,000
Laser Hair Removal
Medical-grade laser treatment that reduces facial and body hair over a course of sessions
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$200
Need help choosing?
Tell us what you're considering and a coordinator will suggest hospitals and send real quotes.
Free, no obligation. We'll reply within 24 hours.
Pricing
What Bottom Surgery costs in Thailand
Indicative starting prices per procedure, and how much you save compared with home.
| Procedure | Thailand | USA | You save |
|---|---|---|---|
| MTF Vaginoplasty | from $9,000 | from $27,000 | ~67% |
| Vulvoplasty | from $6,000 | from $18,000 | ~67% |
| FTM Phalloplasty | from $15,000 | from $45,000 | ~67% |
| FTM Metoidioplasty | from $6,000 | from $18,000 | ~67% |
| Orchiectomy | from $1,500 | from $4,500 | ~67% |
| Labiaplasty | from $2,000 | from $6,000 | ~67% |
| Revision Vaginoplasty | from $10,000 | from $30,000 | ~67% |
| FTM Hysterectomy | from $4,500 | from $13,500 | ~67% |
| Peritoneal Vaginoplasty | from $11,000 | from $33,000 | ~67% |
Prices are indicative starting points, shown in the selected country's currency. You pay the hospital directly, with no markup. Request a free quote for a figure matched to your case.
Want a price matched to your case?
Send your details and your coordinator will come back within 24 hours with a quote from an accredited hospital.
Before you choose
How to decide which procedure is right for you
Have your assessment and letters ready
Most reputable programmes expect a readiness assessment and referral letters in line with recognised standards of care.
Plan a stay long enough to recover
Bottom surgery needs a longer recovery than most procedures, so plan enough time in Thailand before you think about flying.
Aftercare like dilation matters
Vaginoplasty needs regular dilation for months afterwards, so understand the aftercare fully before you commit to surgery.
Stay well before you fly home
Long-haul flying soon after major surgery raises the risk of blood clots, so staying well and long enough matters here.
Questions
Gender-Affirming Bottom Surgery in Thailand, Answered
The questions patients ask most before planning bottom surgery abroad.
Ask us a questionIs bottom surgery in Thailand safe, and are the surgeons experienced?
How long do I need to stay, and what is recovery and aftercare really like?
What results and function can I realistically expect?
What are the risks, and when is it safe to fly home afterwards?
What documents or referral letters do I need?
How much can I realistically save?
Our standards
Care Held to a Standard
Every procedure we coordinate runs through accredited hospitals and board-certified surgeons.
Accredited hospitals only
We coordinate with JCI and HA accredited hospitals in Bangkok and Phuket, not discount clinics.
Gender-affirming surgeons
Every procedure is performed by a gender-affirming surgeon certified by the Medical Council of Thailand.
English-speaking care
International patient departments handle your care in English from first enquiry to flight home.
One point of contact
A single coordinator manages quotes, scheduling and aftercare, so nothing falls between clinics.