Male to Female Sex Reassignment Surgery (SRS)

Also known as gender confirmation surgery (GCS), genital reconstruction surgery, or male to female sex change operation, it is often the final step in any gender change transition process. Transwomen feel more content with their body after undergoing SRS as it offers them fully functional feminine genitalia. The goal of this surgery is to surgically alter the male reproductive organs and create female genitalia.

How To Prepare For Your Male-to-Female Sex Change Operation?

SRS is a complex surgery that requires the patient to be fully prepared. You’ll have to follow all pre-procedure instructions in order to obtain the best surgical outcomes. Some of the instruction will include:

  • Sharing all your medical information about any health condition or previous surgeries before scheduling any surgery.
  • One week to two days before your SRS, starting a bowel prep in advance, followed by a clear liquid diet that can include clear broth, coffee, tea, water, soda, and other drinks suggested by the surgeon.
  • Not consuming anything that is red, orange, purple, or caramel during this period.
  • Discussing your ongoing hormone therapies and other drugs and discontinuing or altering them as suggested.
  • Meeting with your anesthesiologist and surgeon to discuss any legal requirements and your sex change operation cost.

How Is The Male-to-Female Sex Change Operation Performed?

A sex-change operation is a combination of multiple procedures performed on different male reproductive parts. Following are the essential procedures that will be performed during your SRS:

Orchidectomy (Removal of testicles)

An orchiectomy is a surgery done to remove both of your testicles in a transgender woman making the transition from male to female gender change. It helps eliminate testosterone production the occurs in the scrotum, helping in indirect secondary feminization.

The surgeon performs this procedure through simple orchidectomy where two incisions, each approximately 2 inches long, are made in the groin area. The testicles are then removed through these incisions and then closed using dissolvable sutures.

It also allows a transwoman to discontinue anti-androgens and high-dose estrogen therapies, saving them a fortune.

Vaginoplasty (Creation of a vagina)

The goal of vaginoplasty surgery is to create a vagina out of the available penile tissues with the natural depth and the appearance of a biological vagina. Dr. Sanghvi uses a Penile inversion technique to execute this sex-change operation.

This surgery further involves multiple procedures to recreate different parts of a vagina.

Here, the surgeon carefully separates the skin over the penis and turns it outside-in to form the inner walls of the vagina.

A Labioplasty is performed where the skin of the scrotum is incised and used to create the labia or the lips lining the vagina. And finally, a small part of the penis tip forms the clitoris in a procedure called Clitoroplasty.

The prostate is left intact to serve as an erogenous zone similar to the G-spot.

What To Expect After your Male-to-Female Sex Change Operation?

SRS is not an outpatient procedure, so you will have to stay at the clinic following the procedure for a few days. Our surgeon may also recommend staying close to our clinic for the first week to attend all follow-up appointments timely.

For the first few weeks, you must rest, drink plenty of water, and apply ice packs on your surgical site to prevent swelling.

A medical packing will be placed in the vagina, and a urinary catheter will be placed in the bladder. These will be removed within a week.

The surgeon will give you a set of vaginal dilators during follow-up visits which you must use as prescribed to achieve optimal results from your gender change operation.

The average recovery period for GCS ranges from 4-6 weeks. Sexual activity can be resumed after 8 weeks of surgery, after completing vaginal dilations. A majority of transwomen have reported an increased sexual intimacy due to greater comfort and satisfaction with their bodies.

How much does the male-to-female gender change operation cost in India?

The different procedures that may be required to execute your gender reassignment surgery can differ from others. As every transwoman has a unique body, the total expenses of your male-to-female sex change operation cost will change based on the following factors:

  • Types of sex reassignment surgeries required
  • The hospital stay and medication charges
  • The general fee of your gender change surgeon
  • Additional therapies and follow-ups required
  • Costs of medications to be taken after the surgery


You can also fill this form to know your approximate sex change operation cost and consult our surgeon to further clarify your expenses.

Why Choose Us To Have Your Male To Female Gender Change Surgeries?

Most of the treatments involved in male to female surgeries are complex and prone to risks if not performed by experienced hands. It is paramount to choose an adept surgeon with specialized knowledge and skill in the gender change process. Our board-certified surgeon, Dr. Suresh Sanghvi, has more than 30 years of experience performing sex-change operations. Under his guidance, our staff of doctors and helpers have transformed more than 400 transwomen’s lives with safe and modern treatment methodologies.

At Karishma Transgender Clinic, we understand how important these transgender male-to-female surgeries are for your successful transition process. Not to mention, we treat your integrity as our top priority, which is why our entire staff is trained to offer all services in a respectful and welcoming environment at our world-class gender change hospital in India.

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