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Sex Reassignment Surgery (Male-to-Female)

Gender confirmation surgery creating female genitalia for transgender women, providing physical alignment with gender identity and life-changing results.
Surgery Packages
All of our surgery pricing is based on comprehensive packages designed for your comfort and peace of mind. Each package includes:
  • Private airport transfers (arrival & departure)
  • Dedicated personal assistant throughout your stay
  • All-inclusive accommodation with daily breakfast
  • Premium aftercare and recovery support
Package Days
7
Procedure duration
4-6 hours
Recovery time
6-8 weeks for initial recovery; 6-12 months for complete healing
Price range
$15,000 USD
What is Male-to-Female Sex Reassignment Surgery?

Male-to-female sex reassignment surgery, also known as gender confirmation surgery, vaginoplasty, or bottom surgery, is a complex surgical procedure that creates female genitalia for transgender women. This transformative surgery involves removing the penis and testicles, and constructing a functional vagina, clitoris, and labia using existing genital tissue. The goal is to create natural-looking, aesthetically pleasing, and functional female anatomy that allows for sexual sensation and intimacy, helping patients achieve physical alignment with their gender identity.

The Procedure

This surgery is performed under general anesthesia and takes 4-6 hours. The most common technique is penile inversion vaginoplasty, where the surgeon removes the testicles, inverts the penile skin to create the vaginal canal, and repositions the glans to form a sensate clitoris. The scrotal skin is used to create the labia majora and minora. Urethral shortening and repositioning is performed to create female urinary anatomy. The depth and width of the vagina are carefully constructed, and all structures are precisely positioned for natural appearance and function.

Ideal Candidates

Ideal candidates are transgender women who have been diagnosed with gender dysphoria, have lived in their identified gender role for at least 12 months, received hormone therapy for at least 12 months (unless contraindicated), obtained required mental health evaluations and letters of support, are in good overall health, have realistic expectations, and are fully informed about the procedure. Candidates must be 18+ years old, psychologically stable, and committed to lifelong follow-up care and vaginal dilation protocols.

Benefits

  • Alignment of physical body with gender identity
  • Significant improvement in quality of life and mental health
  • Relief from gender dysphoria symptoms
  • Natural-looking and functional results
  • Improved ability to live authentically
  • Enhanced self-confidence and body image
  • Long-term satisfaction rates are very high
  • Life-changing transformation for gender affirmation

Risks and Complications

Risks
  • Vaginal stenosis (narrowing) without regular dilation
  • Wound healing complications or dehiscence
  • Infection requiring antibiotics or intervention
  • Bleeding or hematoma formation
  • Fistula formation (abnormal connection between organs)
  • Loss of sensation or nerve damage
  • Unsatisfactory aesthetic results requiring revision
  • Urinary complications or incontinence
Important Considerations
  • Irreversible procedure requiring careful consideration
  • Lifelong vaginal dilation required to maintain depth
  • Extended recovery period of 6-8 weeks minimum
  • No sexual activity for 3-4 months post-surgery
  • Regular follow-up appointments essential
  • Must meet WPATH Standards of Care requirements
  • Emotional support and counseling beneficial
  • Hair removal of genital area required before surgery
Before and After
Jill before and after side profile. thailand plastic surgery. face lift. amazing results
Jill before and after side profile. thailand plastic surgery. face lift. amazing results
Connected with top medical experts
A happy client after her surgery in thailand. image shows amazing before and after results
A happy client after her surgery in thailand. image shows amazing before and after results
Personalized care designed for you
male facelift thailand before and after results
male facelift thailand before and after results
5 years younger than your calendar
front/side on before and after pictures. cosmetic surgery in thailand. blonde hair
front/side on before and after pictures. cosmetic surgery in thailand. blonde hair
Take control of your health journey
A very happy client smiling after face lift in thailand. showing off her results
A very happy client smiling after face lift in thailand. showing off her results
Access cutting-edge diagnostics instantly
woman face lift results before and after side profile
woman face lift results before and after side profile
5 years younger than your calendar
older lady shows off side profile results from face lift in bangkok thailand
older lady shows off side profile results from face lift in bangkok thailand
Take control of your health journey
6 days post op after face lift in bangkok before and after
6 days post op after face lift in bangkok before and after
Take control of your health journey
happy lady facelift results in bangkok thailand
happy lady facelift results in bangkok thailand
Take control of your health journey
Kym facelift before and after
Kym facelift before and after
Take control of your health journey
FAQ

Frequently Asked Questions

We know planning surgery overseas comes with important questions. Our FAQ covers everything from pricing and insurance to travel, recovery, and aftercare, so you can feel informed and confident before your journey with Azurite.
When should I pay my oustanding balance?

Once you’ve paid a 30% deposit and have secured your surgery date. We recommend paying your outstanding balance as soon as possible so you can receive your surgery itinerary. But if you’re unable to pay straight away - we need it paid latest 30 days before your scheduled surgery date.

How much should I pay to secure a surgery date?

We ask that you pay 30% of your total invoice.

When will I receive a receipt for payment?

Receipts for payment do not happen automatically. A member of our team waits for the payment to hit banking and then have it feed to our accounting system. Generally this can take 2-4 days once you have sent your payment.

How should I pay for things overseas?

We always recommend having a credit card on hand or at least a debit mastercard or visa.

Also make sure you notify your bank you are going overseas. You can do this either via online banking, in branch or calling your bank directly. AMEX doesn’t require this.

Are meals included?

Only breakfast is included but you can eat like a King in Thailand with some of the best restaurants in the world.  Also feel is very affordable.

We do recommend you bring a protein powder and greens powder (any brand) with something like spirulina or wheat grass in it. This is because after surgery clients are generally not hungry and can become quite nauseous

Can I pay by credit card?

Yes, you can. We accept all major credit cards however you’ll incur a 3% transaction fee. If you wish to pay via credit card we will send you a payment link.

Can I get a refund?

Cancellation with 30 or more days’ notice: Cancellation before 30 days will incur an AUD 3000 cancellation fee.

Cancellation within 29 days or less: All surgery packages canceled less than 30 days before the scheduled surgery date will lose 30% of their total invoice price

Cancellation within 7 days: Cost of surgery is forfeited unless Azurite Package is rescheduled

Cancellation on the day of surgery: The cost of surgery is forfeited unless Azurite Package is rescheduled within the travel time window (departure flight window).

If a client decides to not proceed with a scheduled surgery during their stay in Thailand or another Azurite location, they will incur an additional hospital package fee if they choose to proceed with the surgery at a later date.

There are no refunds on surgeries that you choose not to proceed with if you are on a multi-surgery package due to the discount given.

Refunds will be given for medical reasons that are not pre existing.

Can I bring a companion?

Yes, you can bring one companion for free as your support person. However, to avoid additional charges generally the companion stays with you on the sofa bed at hospital. If your companion does not want to stay at hospital you will be invoiced additional nights to keep your hotel reservation while at hospital. Current rate is 150 AUD (but is subject to change)

Who is my surgeon?

At Azurite we use a select team of ISAPS accredited plastic and reconstructive surgeons and have made the decision to not be associated with a surgeon name, and results only. Full details of surgeon will be provided upon deposit payment made.

Is accommodation included?

Yes, all of our packages include accommodation at our partner hotel the Chatrium Residence Sathorn. As a One Bedroom Deluxe Suite. If you require an additional room or a two bedroom you’ll be invoiced an upgrade fee.

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