The cost of a female-to-male (FTM) top surgery, or mastectomy, can vary widely based on several factors:

  1. Geographic Location: The cost of surgery can vary depending on the country, state, or city where you are getting the procedure. Typically, procedures in metropolitan areas or in countries with a high cost of living might be more expensive.
  2. Surgeon’s Experience: Surgeons with extensive experience and a solid reputation in gender-affirming procedures might charge more than less experienced ones.
  3. Technique Used: There are several surgical techniques for FTM top surgery, including:
    • Double incision with free nipple grafts: This is often used for those with a larger amount of chest tissue.
    • Keyhole: Suitable for individuals with small chest sizes and good skin elasticity.
    • Peri-areolar or circumareolar: This is somewhere in between the keyhole and double incision in terms of who it’s suitable for. The technique selected can influence the cost.
  4. Hospital and Anesthesia Fees: The cost of the surgical facility, anesthesia, post-operative care, and any potential overnight hospital stay can add to the total expense.
  5. Additional Costs: Pre-surgical consultations, post-surgical garments, medications, follow-up visits, and potential revisions can also contribute to the overall cost.
  6. Insurance Coverage: Some health insurance plans may cover part or all of the costs of top surgery, especially if deemed medically necessary. However, coverage varies widely between insurance providers and policies. If covered, the out-of-pocket cost might be limited to deductibles, copayments, and coinsurance.

As of my last training data in September 2021, in the United States, the cost for FTM top surgery without insurance typically ranges from $3,000 to $10,000, with some outliers on both ends. However, these prices can change over time and might be different now.

For the most accurate and up-to-date information, it’s recommended to consult directly with surgeons or surgical clinics that specialize in FTM top surgery. If you have health insurance, it’s also beneficial to speak with your insurance provider about potential coverage and costs.