Female To Male Sex Reassignment Surgery (SRS)

Female to male gender change operation is often the last step in the transition of trans men. It is a combination of procedures performed on their female reproductive parts to create functional male genitalia, i.e., a penis.

Female-to-male sex reassignment surgery focuses on using only the patient’s organs and soft tissues to reconstruct the penis, making it a safer transition. Trans men who undergo this gender change operation experience the complete pleasures of manhood and also report a significant improvement in their social life. Non-binary people assigned as females at birth can also choose to have these procedures.

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

Female-to-male SRS is a complex surgery that requires the patient to be mentally and physically prepared. Dr. Sanghvi will offer a detailed list of all pre-procedure instructions to obtain the best surgical outcomes, which you must follow religiously. Some of the instruction will include:

  • Sharing all your medical information about any health condition or previous surgeries before scheduling any surgery.
  • 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 Female To Male Sex Change Operation Performed?

A female-to-male sex change operation can involve a range of treatments and procedures in order to obtain the desired results. They may be executed sequentially or at different times, as mentioned below.

Hormone Therapy

In most all transgender males, the surgeon first prescribes hormone therapy for boosting testosterone levels. Testosterone triggers various secondary sex characteristics of the desired sex and causes the clitoris to grow in size. The clitoris and the penis head are functionally similar, and testosterone helps enlarge the clitoris.


Hysterectomy is performed to surgically remove the uterus along with the cervix to stop mestruation. These parts aren’t a part of the male genitilia, and hence, are needed to be removed to stop certain hormone responses as well.

In a partial hysterectomy, only the uterus part is removed, while a total hysterectomy is performed to remove cervix as well.


Other parts that aren’t included in the male reproductive organs are the ovaries. Hence, removing them to stop menstruation and female hormone responses in a crucial step in female-to-male gender change transition.

A bilateral salpingo-oophorectomy, or BSO, is performed to remove the right and left ovaries along with the fallopian tubes.


To create the penile structure or a neopenis, the surgeon will perform a metoidioplasty on the clitoris which was enlarged with testosterone hormones would not be large eoungh to act as the tip of the neopenis.

Before this procedure, a vaginectomy may also be performed to carefully remove the vaginal tube, cheeks and libia (lips).

Duirng the metoidioplasty, the urethra tube is lengthened by pulling it outward as much as possible, but it won’t be as long as an average cisgender’s penis. It is passed through the neopenis head.

A Centurion procedure may also be performed to reposition round ligaments under the clitoris to increase the girth of the neopenis.

The vaginal tube, cheeks and libia removed during the vaginectomy will be wrapped around the urethra to form its girth. All parts will be sutured to allow them to merge as they heal.


The neopenis created during metoidioplasty won’t have enough length or girth to look like a natural penis. So, to ensure a full female-to-male transition physically and mentally, trans males can choose to have a phalloplasty to futher enhance its appearance.

Here, the surgeon take adequate skin grafts from the arm, thigh, back, or abdomen to increase the thickness of the neopenis, and may perform a vaginectomy to allow urination through the penis head.


This is often the final procedure during a female-to-male sex change operation, where a trans man can opt to have implanted testicles to suit the neopenis.

If you opt for this procedure, the skin from the libia or the other vaginal lips is used to create the scrotum sack, and two slicone implants resembling testicales are placed inside.

How Much Does The Female To Male 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 transman has a unique body, the total expenses of your female-to-male 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 Female To Male Gender Change Surgeries?

Most of the treatments involved in female-to-male 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 transmen’s lives with safe and modern treatment methodologies.

At Karishma Transgender Clinic, we understand how important these transgender female-to-male 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.