Gander Affirmation | Sex Change Surgery in India

Indication

• Patient with Gender Dysphoria.

The minimum requirement to start Hormonal therapy or Breast Surgery for Gender Reassignment Surgery is:

• Patient must be a major (>18 years) or Parental release form.
• Must be in stable frame of mind, and are living in society as the new desired external appearance (Real Life Experience) for at least 3-months.
• Consultation & counseling with psychiatrist (mental health physician), to rule out any abnormal mental status or infatuation or temporary attraction / any secondary gain; and approval of psychiatrist to undergo hormonal therapy and / or breast surgery.
• Affidavit (notarized) from patient that he / she is major and can fully understand pros / cons & take the decision regarding the therapy / surgery.

The minimum requirement for Genital Surgery is:

• Patient must be a major (>18 years) or Parental release form.
• If married, the spouse must sign Spousal Release Form.
• Must be in stable frame of mind, and should be living in society as the new desired external appearance (Real Life Experience) for at least 1-year.
• Continuous consultation & counseling with psychiatrist (mental health physician); and approval with two independent Psychiatrists for surgery to rule out any abnormal mental status or infatuation or temporary attraction and IQ of patient.
• Affidavit (notarized) from patient that he/she is a major and can take decisions regarding the surgery after fully understanding the pros & cons and understanding of Irreversibility of the procedures.

Female to Male or F to M (Trans Male) Surgery.

Female to Male sex change surgery is more complex and complicated procedure than Male to Female. The surgeries are always staged and are:

• Excision of breast, salpingo-oophorectomy, hysterectomy & excision of vagina (in Single or two stage, depending on completion of formalities).
• Penile reconstruction / Metoidioplasty.
• Placement of penile implants for penile erection.
• Testicular Implants / Scrotoplasty.

A gap of 4-6 month is required in between each stage for proper healing of the areas. Few further stages may be required to fine tune the results or to perform ancillary procedures like vocal cord surgery to change the voice etc.

Male to Female or M to F (Trans Female) GAS.

First stage surgery involves – Orchiectomy, creation of vagina / labia / clitoris from penile skin / scrotal skin / glans, creation of Neourethral opening - Bottom Surgery (+ breast implants if required).

Note: Feminization / Masculinization surgeries are considered cosmetic.

• Body contouring (liposuction of the waist).
• Breast implant Surgery, Top Surgery.
• Nose Reshaping.
• Eye shaping.
• Thyroplasty.
• Facial bone reduction.
• Thick Laser Hair Reduction.
• Skin resurfacing.
• Hair Transplant Surgery.

Masculinization Procedures

• Chin / jaw implants.
• Lip reduction
• Masculinization of Torso.
• Nose Implant.
• Beard Hair Transplant ( Moustache) .

“It must be very clear that the outcome of any SRS surgery is completely irreversible, can never be as realistic as natural ones, and after SRS, one can never become a genetic father or mother for whole life."

Cost of Sex Reassignment surgery in India may vary from 165000 ₹ to 250000 ₹ depending upon amount of type of Surgery.