How Much Does Transgender Surgery Cost

In Greek mythology, there were two mortal figures who represent what pre-1950’s Western culture would describe as (for the lack of a better word) abominable. A supercentenarian man named Tiresias, known best as the beloved blind prophet of the sun god Apollo, transformed into a woman in seven years. Likewise, a woman named Caenis became a man gifted with an impenetrable skin after her wish was granted by the sea god Poseidon, who was utterly smitten by her beauty. In contemporary times, these characters will become an inspiration for men and women who would undertake their own epic journey to transform into a different sex.

In contemporary times, American society had its own real-life version of Tiresias and Caenis. A celebrated decathlon Olympian athlete named Bruce Jenner has become famous for his complete transformation as the voluptuous Caitlyn Jenner in 2015. Likewise, a woman named Kimberly Ann Sallans underwent a complete physical overhaul in 3 years (from 2005 to 2008) and became the famous bearded LGBT activist named Ryan Sallans.

These celebrities are just one of the many people in the United States aspiring for successful transgender operation in order to experience wholeness in their individuality. Nowadays, it is possible to transform into an opposite sex. However, this journey requires a fraction of an entire lifetime and entails a gross outlay which working class Americans would consider a fortune.

Prerequisite Investment


In order to comprehend the overall transgender surgery cost, one must understand that ‘sex reassignment’ is a very extensive process. Prior to being authorized for the succession of surgical operations, both male and female candidates must be able to meet the prerequisite criteria. These are the basic guidelines as presented by the online directory called The Transgender Center:

  • Certified psychological diagnosis for ‘gender dysphoria.’
  • Consistent opposite sex lifestyle for a period of 1 year or more.
  • Sustained hormone treatment (estrogen or steroids) for a period of 2 years or more.
  • Emotional stability in the midst of gender confusion.
  • Medically healthy and cleared of any chronic conditions.
  • Special recommendation from 2 mental health specialists experienced in gender identity issues.

Teen Vogue projects an annual cost for hormonal treatment of roughly $1,500. As for the doctor’s visits and laboratory tests for health clearance and certification prior to the operation, the projected cost is somewhere around $500.

Surgical Cost Per Extremity

When it comes to the actual sexual reassignment surgery cost, candidates can determine the expenses based on the core body parts that require correction. The Transgender Center also provided comprehensive out-of-pocket quotations for each basic anatomical segment.


There is a total of 12 specific procedures for a complete male-to-female facial transformation. The total sex change price could climb up to $71,400. However, it is important to take note that surgeons may only recommend a partial number of procedures to complete the basic sexual reassignment. The same can be said for a complete female-to-male facial modification, for which the cost could exceed up to $59,500 for all 10 procedures.


Modifying the structure of the torso is another crucial part of the overall transgender surgery cost. For all 7 specific operations for the male-to-female torso change (excluding the estimated $1,000 liposuction) the total cost could soar up to $50,000. For the female-to-male torso change, all 5 specific procedures (minus the same liposuction cost) accumulate a full amount worth $33,300.


Replacing the core reproductive organ completes the entire sexual reassignment. The male-to-female vaginoplasty is estimated to be worth $19,750. For the female-to-male phalloplasty and complete testicular implantation, the total cost could climb up to $21,250.

Other Miscellaneous Costs

Apart from the bulk of the overall sexual reassignment surgery cost charged for the operations, there are other expenses one may consider in line with the successful transformation of the sexual identity.

Hair Removal

Some patients undergo hair removal or growth prior to the sexual reassignment procedures. For male-to-female transformation, the average cost for laser hair removal may depend on the scope of the skin area. According to the American Society of Plastic Surgeons, the average cost of laser hair removal is roughly $429.

When it comes to female-to-male transformation, facial hair is an optional feature (as it is with all the genuine male-born humans). The website called Point 5 CC debunks the myths of using Minoxidil for growing macho facial hairs. Beard growth for trans males is rather a product of time and the genetic acclimatization resulting from extensive hormone treatment.

Voice Coaching

Some patients may or may not tend to overlook the importance of natural voice modulation in the course of their sex change journey. In the midst of earlier stages of gender dysphoria, the deep voices of males and shrill petite voices of females may be too much of a steep to overcome by sheer effort alone. Modulating the tone of the voice may be optional, but mismatched vocal gender identification could (at worse) evoke an unusual response in public audience.

On top of the 2-year hormone treatment, transgender candidates consider voice lesson as an important investment in the overall sex change price. It costs an average of $30 per session of voice coaching.

Legal Identity


Another important (and often overlooked) aspect of complete sex transformation is the legal record of one’s identity. Names are a crucial part of a person’s identity. Despite the extensive physical modification an individual has gone through, he or she will remain to be addressed with the given name of the birth certificate.

There is one key requirement needed in order to obtain a change of name and sex in legal documents. Court orders, however, entail two constraints on the part of the transgender applicant. He or she must acquire the services of a lawyer. The overall filling fee may entail a cost range between $150 and $500. It is important to take note, however, that exact costs may vary depending on the specific state. An additional fee of $15 to $20 is charged for every copy of the legally certified name change.

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