The cost of phalloplasty surgery for transgender men (female-to-male, FTM) can vary widely based on several factors, including the surgeon’s experience, the region or country where the surgery is performed, the specific technique used, and what other associated procedures (like urethral lengthening, scrotoplasty, or implantation of erectile devices) are performed concurrently.

As of my last training data in September 2021, here are some general cost ranges for phalloplasty in the United States:

  • Phalloplasty without urethral lengthening: $20,000 – $50,000 USD.
  • Phalloplasty with urethral lengthening: $50,000 – $150,000 USD or more.
  • Additional surgeries:
    • Erectile device implantation: $3,000 – $15,000 USD.
    • Glansplasty (creation of a more defined glans or “head” of the phallus): $3,000 – $10,000 USD.
    • Scrotoplasty and testicular implants: $3,000 – $10,000 USD.

Additional costs to consider:

  1. Consultation fees: Many surgeons charge for initial consultations.
  2. Travel and accommodation: If you’re not local to the surgeon’s location, you may incur travel and lodging expenses.
  3. Post-operative care: This includes wound care supplies, medications, and follow-up appointments.
  4. Potential revisions or corrections: Additional surgeries might be needed for complications or aesthetic reasons, which can increase the total cost.
  5. Hair removal: If using a donor site with hair (like the forearm), permanent hair removal before the surgery might be required, adding to the expense.

Some health insurance plans in the U.S. cover gender-affirming surgeries, including phalloplasty. However, there might be specific requirements to meet for coverage, such as letters from therapists or a specific duration of hormone therapy. If insurance covers the procedure, the patient will usually only be responsible for deductibles, copayments, and specific out-of-pocket expenses.

It’s essential to thoroughly research surgeons, obtain detailed price breakdowns, and check insurance policies if applicable. The process of phalloplasty is complex and often requires multiple surgeries, so understanding the full scope of expenses is crucial.