Gender Reassignment Surgery

Gender Reassignment Surgery (Male to Female)

If a boy feels emotionally like a girl, he may be having Gender Identity Disorder / Gender Dysphoria. In this condition, a male feels that he is a girl trapped in a male body. This transformation can be assisted successfully with Gender Affirmation Surgery, also called for Sex Reassignment Surgery (SRS) or simply a sex change operation. Before these procedures, the candidate needs to be evaluated by our team consisting of psychologist, psychiatrist, endocrinologist, etc and has to fulfill all the medico-legal criteria.

This involves various surgical procedures to make you a complete female (externally). The various procedures are:

Breast Augmentation:

The breast size can be enhanced as per individual requirement giving an absolutely natural look. The result is rewarding giving natural-looking, perkier and good shape breasts leading to tremendous boost up in self-esteem and confidence.

Procedure: This is done with breast implants (silicone implants). The implants are very well accepted by the body with no side effects. Minimal to moderate enhancement may be achieved with fat grafting also, in which fat is harvested from your own body and is put into the breasts. A combination of the two can be achieved too.

Duration of Procedure: 2-3 hrs. You may go home on the same day or the next.

Anesthesia: General or Local with sedation

Recovery Time: 1 to 2 days

Genital Surgery:

Sex reassignment surgery for M to F creates female sexual organs that look as natural as possible and that allow as much sexual arousal as possible.

Procedure: This involves the removal of the penile muscle and tissue, the testicles, and reshaping the external genitalia to appear like female genitalia. The vagina is made with penile skin inversion (our technique enables even a penile inversion flap to be moist and capacious) and/or ileal loop technique so that vagina is deep enough/moist to allow normal sexual intercourse.

Duration of Procedure: 5-7 hrs.    

Anesthesia: General / Regional (Spinal + epidural)

Recovery Time: 7 to 10 days. You may need a hospital stay of 2 to 7 days as per need.

 

Other recommended procedures:

 

Facial feminization surgery: 

Like Jaw correction, chin correction, hair transplant, nose reshaping, brow lift, cheek implants, lip augmentation, dimple creation

Buttock Augmentation/Reshaping: 

This is achieved either with autologous fat grafting (Brazilian butt lift) or with buttock implants.

Voice Feminization / Modulation Surgery

Tracheal shave (Adam’s Apple Correction) and speech therapy along with laser voice modulation

Laser Hair Removal

 

Gender Reassignment Surgery (Female to Male)

If a girl feels emotionally like a boy, she may be having Gender Identity Disorder / Gender Dysphoria. In this, a female feels that she is a man trapped in a female body. This can be corrected successfully with Gender Affirmation Surgery, also called as Sex Reassignment Surgery (SRS) or simply a sex change operation. Before these procedures, the candidate needs to be evaluated by our team consisting of psychologist, psychiatrist, endocrinologist, etc and has to fulfil all the medico-legal criteria.

This involves various surgical procedures to make you a complete male (externally). These are:

Breast Surgery also is known as Top Surgery:

Involves removal of the breasts and shaping of the chest to achieve well-contoured male chest with minimum scarring.

Procedure: Done with tumescent liposuction technique the fat and gland is removed with liposuction (no visible marks/key-hole). In large breasts, a procedure may be needed to remove extra skin simultaneously or preferably at a later stage. This may result in a horizontal scar on the lower aspect of the chest (usually fine).

Duration of Procedure: 2-4 hrs. You may go home on the same day, though if you wish, you may stay overnight.
Anesthesia: General or local with sedation.
Recovery Time: Back to work in 2 – 5 days. Strenuous activities should be avoided for 4 – 6 weeks. You may need to wear a pressure garment for 2 to 4 weeks.

Genital Surgery – This includes:

  • Hysterectomy with or without bilateral salpingo-oophorectomy and vaginectomy (Laparoscopic)
  • Genital reconstruction (penis reconstruction / phalloplasty with scrotal reconstruction)

Hysterectomy is the removal of uterus. Bilateral salpingo – oophorectomy (BSO) is the removal of both ovaries and fallopian tubes. Vaginectomy is removal / obliteration of vagina. These procedures are done endoscopically and leave no scars.

Duration of Procedure: 2 to 4 hrs. You may need a stay of 1 to 2 days.
Anesthesia: General
Recovery Time: 2 to 5 days

Genital reconstruction (penis reconstruction / phalloplasty with scrotal reconstruction)

This is a staged procedure usually requiring two to three procedures about 6 to 9 months apart.

Stage1: Usually free flaps are taken from other part of body (most commonly from forearm) using the nerves and vessels to make it an erogenous and sensate penis.
Duration of Procedure: 7 to 10 hrs. You will need stay of about 10 to 14 days
Anesthesia: General
Recovery Time: 10 to 20 days

Stage 2 : A penile implant is inserted to make the penis erectile. This is usually done once the reconstructed penis gains all sensations (about 6 to 9 months after stage one).
Duration of Procedure: 1 to 2 hrs. You will need stay of about 1 to 3 days
Anesthesia: General / Local with sedation
Recovery Time: 5 to 7 daysStage 3 : This involves scrotal / testicular reconstruction. The labia majora skin is used for scrotal reconstruction and testicular implants are used for testes to give natural looking scrotum.
Procedure: 1 to 2 hrs. You may go home same day.
Anesthesia: General / Local with sedation
Recovery Time: 5 to 7 days

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