The cost of transitioning from female to male (FTM) can vary widely based on several factors, including geographic location, the specific procedures chosen, the surgeon’s experience, and whether insurance covers any of the costs. Below is a general breakdown of potential expenses associated with transitioning:
- Hormone Replacement Therapy (HRT):
- Initial consultation and blood tests: $100 – $500
- Monthly testosterone injections or gel: $30 – $200 per month (can vary based on insurance, dosage, and type of testosterone)
- Periodic lab work to monitor hormone levels and overall health: $50 – $500 per visit
- Mastectomy (Top Surgery):
- Bilateral mastectomy (removal of both breasts) with chest masculinization: $3,000 – $10,000
- Hysterectomy/Oophorectomy:
- Removal of the uterus and/or ovaries: $10,000 – $20,000
- Genital Surgery:
- Metoidioplasty: $4,000 – $40,000, depending on complexity and additional procedures (such as urethral lengthening, vaginectomy, and scrotoplasty)
- Phalloplasty: $20,000 – $150,000, which can include various procedures such as urethral lengthening, scrotoplasty, vaginectomy, and erectile and testicular implants
- Facial Masculinization Surgery:
- This is less common than facial feminization for MTF transitions but may include procedures like chin/jaw contouring, Adam’s apple construction, and forehead augmentation. Costs can range from $5,000 to $50,000 or more based on the procedures.
- Other Costs:
- Voice training or therapy (if chosen): Costs vary widely
- Counseling or therapy: $50 – $200 per session (can vary widely based on location and provider)
- Name and/or gender marker changes on identification documents: Varies by state/country but can range from $50 – $500 for all changes
- Post-operative Care:
- Medications, scar treatments, follow-up visits, potential revision surgeries, etc.: Costs can vary widely.
Insurance coverage varies by provider and policy. Some insurers in the U.S. and other countries cover parts of the transition, including surgeries, if deemed medically necessary. It’s crucial for individuals to contact their insurance providers to determine what is covered and what is not.
Additionally, the costs provided are rough estimates and can change based on many variables. Always consult directly with medical professionals or facilities to get accurate quotes for services.