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How Much Does Top Surgery Cost In South Africa
Top Surgery is a surgery performed on the chest as part of gender reassignment, especially to remove breast tissue and produce a masculine appearance of the chest in female-to-male surgery.
If you are FTM and looking for costs of chest surgery, that vary between R15 000.00 and R26 000.00 (average of a few people). Hyst etc can vary in more or less the same price range.
Can you get top surgery in South Africa?
In South Africa, the only way for a minor to access top surgery will be through parental consent and in most cases at enormous cost in the private sector and then only with a surgeon who is happy to do this surgery,” she says.
All other surgeries remain an option for trans people and this is a very personal choice.
How much does FTM bottom surgery cost in South Africa?
As most trans-masculine people know, bottom surgery is a three- or four-stage process.
Stage 1 alone in South Africa with Dr. Adams costs R300,000 (about $20,000 USD) .
Can a 14 year old get top surgery?
Though most individuals undergoing top surgery are 18 or older, younger individuals may be considered for the procedure if the patient, their legal guardians, and their mental health professional are in agreement that top surgery is appropriate.
Can your breasts grow back after top surgery?
One of the most prevalent FTM surgery myths is that the breasts tend to grow back if you gain weight or stop taking testosterone.
This is not true at all. Whether you had a keyhole or double-incision mastectomy, the breast tissues can never grow back once they’ve been surgically removed.
Can your nipples fall off after top surgery?
At this point, the nipple graft looks gray-brown but should have attached.
Over the next 2 weeks, the top layer of the nipple graft will gradually peel off, leaving pink healthy nipple tissue underneath.
Pigmentation to a typical brown color will occur over the next 1 year.
Should you lose weight before top surgery?
It can help you shed enough excess weight in the weeks or months before your surgery to make a difference in your recovery.
And, you don’t necessarily need to achieve your ideal body weight right away.
Losing even a portion of your excess body weight may lower your risk of complications during or after surgery.
What should I wear for top surgery?
On your upper body, you should wear a loose button or zip-up shirt or hoodie, because you will be restricted to a limited range of motion with your arms after surgery.
Therefore, it’s better not to wear clothing that requires lifting your arms over your head.
When can I shower after top surgery?
Some surgeons say you can shower after 24 hours, but you should shower with your back to the showerhead to protect your healing incisions from the direct spray of the water.
Afterward, gently pat the chest dry and follow any instructions your surgeon has provided regarding ointments and dressings.
Trans in South Africa: A Personal Account on Medical Transition
If you’re a trans person or an ally closely associated with a trans person, you likely know that transition is both an emotionally and financially taxing process.
That said, the state or country in which you live can have a huge impact on how easy or challenging that process can be. Depending on where you are transitioning, the support offered by your country’s healthcare system can drastically affect the viability of medical transition. I wanted to share my experiences (so far) as a 21-year-old trans guy in transition in South Africa, and how my location has impacted my journey in obtaining gender-affirming care.
South Africa’s healthcare system for trans folks
As a developing country, South Africa’s healthcare system is drastically underfunded for the overwhelming number of people who rely on it.
Because of the large number of people who need the public system to meet their basic healthcare needs, trans health is a non-event. By this, I mean: should you have to use this system for hormone replacement therapy (HRT), the waiting list is about 5 years long. Obtaining support for gender-affirming surgery is even more challenging. Should you wish to have top surgery through the public system, for example, the wait is 25 years. This is largely because any transition-related surgery is deemed to be cosmetic, and thus only one procedure is performed annually.
I am in the very fortunate position to be able to afford private care with the help of my parents. At first, this made me think that my medical transition would be a fairly swift process. I’ve now learned this is not the case.
Finding competent providers
After having phoned what seemed like 50 endocrinologists, I finally found Dr. Debbie Gordon. In my country, there are very few health care providers who have experience with transgender patients. She was the first person out of so many doctors that I contacted who agreed to treat me and had treated at least one trans person prior. Once we made contact, my first appointment with her required a three-month waiting period, and each appointment came with an out-of-pocket expense of R1500 (about $100 USD). Not only was this a long time to wait for care, but for folks with limited resources, getting and keeping a hormone prescription is simply out of reach.
After I had been on testosterone for about 10 months, Dr. Gordon told me I would be eligible for top surgery. I was extremely excited and thought that because she had previously helped a trans patient, she might be able to help connect me with an experienced surgeon. Once again, I was wrong.
She referred me to a very well-known South African breast surgeon, but during my consultation with him he confessed that he had never worked with trans person before. At one point in the consultation, he actually asked me if I knew how the top surgery procedure should be done. As you can imagine, this was quite unnerving.
Because I felt so desperate to have surgery this year, I agreed to a surgery date with him, but later voiced my concerns to my mother. Thankfully, my mother heard my doubts and took matters into her own hands. She contacted the Plastics and Aesthetics Board on my behalf and learned that there are only 3 surgeons qualified to work on trans people in my country. Luckily in my case, one of these surgeons operates about 20 minutes away from my house.
This time, I had done my homework: I watched multiple video consultations with Dr. Charles Garramone (a leading top surgeon in the United States) so I understood the basics of the procedure. When I met with Dr. LCJ Surrerier, he thankfully understood the care I was looking for. Without any prompting, Dr. Serrurier explained his surgical approach, which is similar to that of Dr. Garramone. However, he did offer a disconcerting reminder during our meeting, one that I had not considered in my research: due to the high rates on violence on LGBTQ+ people in South Africa, he only performs the peri-areolar procedure in an effort to keep post-op patients safe.
Affording care
Meeting done and dusted, it was time to get down to the nitty gritty and talk money. Dr. Surrerier informed my mother and me that no South African medical aid or insurance will cover any transgender-related surgeries. Despite the fact that Gender Dysphoria is in the DSM-V, my country’s medical policies continue to class these surgeries as cosmetic. This is a huge barrier for so many trans South Africans. In my case, the total cost of surgery was R65,000 (about $4,600 USD) with an additional R1500 (about $100 USD) in order to import a special post-operative vest from Underworks in the United States. Thankfully, all post-op care and check-ups were included in the above costs. For others, expenses like travel and lodging accommodations may be an important consideration, too.
Post-op and looking forward
Writing this in early 2019, I am two weeks post-op and extremely grateful for my parents who have funded my procedure. I am very aware that this is a privilege and that many, many people will not be so lucky. Following further discussions with Dr. Serrurrier, I am even more sure that the costs surrounding top surgery are the main reason why Dr. Serrurrier has performed top surgery less than 10 times (especially when you keep in mind that he is the expert in South Africa.)
Personally, I do not see bottom surgery in my near future, but during my efforts to find a top surgeon I did find out some bottom surgery information which may be helpful to others. At this time, there is only one qualified bottom surgeon in South Africa named Dr. Kevin Adams, who operates out of a private hospital near Cape Town. As most trans masculine people know, bottom surgery is a three- or four-stage process. Stage 1 alone in South Africa with Dr. Adams costs R300,000 (about $20,000 USD).
Transition is an ongoing process and it looks different for each of us. Along the way, I’ve learned firsthand how challenges can vary depending on your location, but in South Africa, the greatest one is definitely the financial burden and lack of assistance in obtaining care.
Written by Point of Pride
Point of Pride provides financial aid and direct support to trans folks in need of health and wellness care.
About the author
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How much does body plastic surgery cost?
- R60,000 – R120,000 Tummy tuck (abdominoplasty)
Brazilian butt lift
Facial plastic surgery, liposuction, plastic surgery, body plastic surgery, breast surgery, gender change surgery.
Want to know how much body plastic surgery will cost you in South Africa? We have examined the projects carried out by our Pros and a variety of other reputable sources and compiled a typical range of body plastic surgery prices.
Tummy tuck (abdominoplasty)
- R60,000 – R120,000
A tummy tuck is designed to remove excess skin and fat from the abdomen to create a smoother, firmer abdominal profile. It often involves tightening of the abdominal muscles and is popular post-pregnancy or after significant weight loss. The price depends on the complexity of the surgery, surgeon's fees, anesthesia, facility costs, and recovery care. On average, expect to be charged between R60,000 and R120,000 for Tummy tuck (abdominoplasty).
- R20,000 – R80,000
Liposuction removes fat from desired areas of the body, sculpting it to a more preferred shape. Common areas include the abdomen, thighs, buttocks, and arms. Costs vary depending on the extent of the procedure. The price depends on the amount of fat to be removed, areas treated, surgeon's fees, anesthesia, and facility costs. For Liposuction, expect to pay between R20,000 and R80,000 .
- R40,000 – R80,000
Brazilian Butt Lift (BBL) enhances the size and shape of the buttocks without implants. It involves the transfer of fat from other areas of the body to the buttocks. The cost depends on volume of fat transfer, surgeon's expertise, anesthesia, and facility costs. The average cost of Brazilian butt lift is R60,000 , or typically between R40,000 and R80,000 .
Labiaplasty
- R15,000 – R25,000
Labiaplasty reduces the size of the labia minora. It is becoming more common as women seek comfort from pain caused by enlarged labia, often due to childbirth or aging. The price depends on the extent of tissue removal, type of procedure (trim vs. wedge), surgeon's experience, and anesthesia. The cost of Labiaplasty typically runs from R15,000 to R25,000 , averaging at R20,000 .
- R100,000 – R300,000
Gender change surgery or gender reassignment surgery, these procedures are tailored to the individual's needs and may include various surgeries such as genital reconstruction, facial feminization, and others. The cost varies significantly based on the specific surgeries involved. The price depends on the type and number of surgeries required (facial, chest, genital, etc.), surgeon's specialization, hospital stay, and aftercare. The average cost is usually R200,000 .
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Recent jobs for body plastic surgery.
- City (or suburb) where you need the service: Rondebosch, Cape Town
- Gender: Female
- What kind of procedure do you need?: Brazilian butt lift (Buttock augmentation)
I need Liposuction I have a lot of back fat so I need to remove that and I would like to have my glutes and enhanced and able to have hips because I have hip dips and love handles, but I’ve got a beautiful butt from behind, but not from the front I also had a fall Which caused me to break my hip back in and therefore one of my hips is lower than the other so I would like to have that corrected. Thank you.
- City (or suburb) where you need the service: Jan Kempdorp
- What kind of procedure do you need?: Other
Labia surgery I'm a young girl with a long labia , I know I should be feeling awkward about having such because there are a lot of women who has such a thing but unfortunately I've had this for a long time and I'd like you to help with reducing it " making it smaller " it really is uncomfortable to have this . That's why I'd love to get it of .
- City (or suburb) where you need the service: Bloemfontein
- What kind of procedure do you need?: Breast surgery (augmentation / reduction)
Breast reduction with implants. I am 51 years old and breastfed both my children. My boobs are saggy and lost a lot of volume. Depending on the bra cut I currently wear between 36 or 38 , C or D cup. I want to go smaller with implants so I can wear a bikini top without underwire or extra support straps
Answer to a question from a reader
How can i get on the waiting list for gender reassignment surgery.
The short answer
You would start by getting a referral from a doctor to the Transgender Clinic at Groote Schuur.
The whole question
Dear Athalie
I am transgender. How can I apply to have gender reassignment surgery done?
The long answer
If you are 18 years old, you can begin the process of transitioning. You would start by getting a referral from a doctor to the Transgender Clinic at Groote Schuur. The Transgender Clinic was started in 2009 with a multidisciplinary team including plastic surgeons, psychologists, endocrinologists and social workers. It is seen as the best unit of its kind in the country and is one of the only healthcare centres dedicated to the needs of transgender patients.
The doctor can make the referral by completing the referral form and sending it to [email protected] .
Your first appointment at the Transgender Clinic would be at the Psychiatry Outpatient Department (OPD), where Dr Marais (clinical psychologist) and either Dr Wilson or Dr Torline (adult psychiatrists) will see you for a comprehensive assessment. Depending on their assessment of your need for gender-affirming interventions, you will be referred to the Endocrine and Plastic Surgery department.
The Psychiatry Out Patient Department (J2 OPD) is on the H-floor of the Out-Patient Building at Groote Schuur Hospital. The contact number is 021 404 2151.
It’s not very difficult to access hormone therapy to begin transitioning, but there is an extremely long waiting list for transgender surgery. People have to wait for over twenty years for surgery because there are only four days a year allotted to transgender surgeries, and each operation takes a day to perform – so only four surgeries a year are performed at Groote Schuur.
Since Covid, no transgender surgeries have been performed and so the waiting list is even longer.
The Transgender Clinic applied to government four years ago to be recognised as a “quaternary level service” (meaning it does uncommon or experimental surgical procedures). If they got this recognition, it would mean that the national government would fund the clinic rather than the provincial government. Dr Kevin Adams, a surgeon at the Clinic said that the clinic could then employ nurses who just did gender reassignment and the surgeons could open more theatres and work till midnight instead of having to finish work at 4 pm. In that way, the waiting list could be dramatically shortened.
Also, if the national government funded the clinic, people from all over South Africa could use its services, not just the Western Cape.
Medical aids see transgender surgery as “cosmetic” and only one medical aid, called Bankmed, has funded the surgery. Private transgender surgery costs between R450,000 and R600,000, which very few people can afford.
If you are in the Western Cape, you should get started by getting a referral to the Transgender Clinic. They also provide a list of organisations that provide support and counselling to transgender people:
Gender Dynamix Unit 21, Collingwood Building, 10 Anson Street, Observatory, Cape Town 021 447 4797 [email protected]
Triangle Project
Triangle Project has a clinical services programme with volunteer healthcare practitioners and LGBTQIA positive therapists offering specialised expertise in LGBTQIA care. Transgender persons can access individual counselling, relationship counselling, family counselling, support with negotiating social transition at school, college, university or the workplace. Depending on your financial circumstances, services can be free or on a sliding scale.
Contact: 2nd Floor, Leadership House, Corner Burg and Shortmarket Streets, Greenmarket Square, Cape Town 081 257 6693 [email protected]
There is a monthly transgender support group on a Saturday morning at Triangle Project (in Shortmarket Street, Cape Town). It’s facilitated by a clinical social worker, Ron Addinall. Visit the website or call Heather Adonis at Triangle Project for more information - 021 422 0255.
Wishing you the best, Athalie
Answered on March 3, 2022, 3:51 p.m.
See more questions and answers
Please note. We are not lawyers or financial advisors. We do our best to make the answers accurate, but we cannot accept any legal liability if there are errors.
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How much does male to female (MTF) surgery cost in 2024?
Explore the interactive cost guide below for detailed pricing information on a range of MTF surgeries and compare costs in different countries.
- Transgender Surgery
Did you know?
In 2024 , there is a high demand for gender-affirming surgeries. Recent data shows a 25% increase in interest in MTF surgery, highlighting the changing landscape of accessible and affordable care.
Sex reassignment surgery is a procedure enabling individuals to transition to their self-identified gender, typically involving hormone therapy. Male-to-female (MTF) reassignment surgery includes 'top' and 'bottom' surgeries, as well as facial feminization. In some places, like India, it's on the rise due to affordable costs, with an average MTF surgery cost of $2438 to $6095 .
Looking to gather information about the costs associated with personalized treatments from a t op plastic surgeon ? Don't hesitate.
You might be wondering why hormone therapy is necessary in male-to-female surgery. Read on to discover all the details.
In hormone therapy, female hormones like estrogen and progesterone are injected into male bodies to foster a more feminine appearance. Anti-androgens are incorporated due to higher male androgen production. Male-to-female transgender hormone therapy costs approximately $30 per month, with therapist visits averaging around $100 .
Let's read ahead to what male-to-female gender reassignment surgery costs.
What does MTF top surgery cost?
Breast augmentation and implant surgery are the initial steps in the male-to-female gender reassignment process. Through this transformative procedure, one can effortlessly obtain the desired breast size. This method encompasses both the insertion and placement of implants, ensuring a comprehensive augmentation. The cost for this procedure may fluctuate depending on the chosen hospital and surgeon.
The MTF Breast augmentation surgery cost is given below:
What is the male-to-female (MtF) bottom surgery cost?
The cost of male-to-female (MtF) bottom surgery, a vital step in the journey of gender affirmation, can vary depending on several factors. These factors may include the specific type of surgery chosen, the geographic location of the surgical facility, and individual healthcare providers' fees.
Here, we provide an overview of the estimated costs for common MtF bottom surgeries:
What is included in facial feminization surgery, and what is its cost?
Facial Feminization Surgery (FFS) is a transformative cosmetic procedure that aims to soften and reshape male facial characteristics into more feminine features. This comprehensive surgery involves a series of procedures, including lip and cheekbone augmentation, hairline adjustment to reduce forehead size, and sculpting of the jaw and chin. The goal is to harmonize and enhance facial traits for a more feminine appearance.
The total Male to male-to-female feminization surgery cost may go up from $9,000 to $12,000.
Do you know Robotic surgery is an effective alternative to traditional penile inversion and Vaginoplasty in transgender cases. It utilizes small tools on a robotic arm, marking a revolutionary advancement in surgery.
Take charge of your health and your life. Contact us today!
If you're curious about the expenses of male-to-female sex reassignment surgery across various countries, let's explore further. Keep reading to find out more.
Factors affecting the cost of male-to-female surgery
The number of surgical procedures performed for gender reassignment is on the rise. With the surge in cases, the male-to-female surgery cost is also becoming more affordable and nominal in Asian countries compared to other nations. However, a few factors still affect the total cost of surgery.
- Lack of insurance coverage from major companies
- Pre and post-operative charges
- Pre-operative counselling charges (if required)
- Hormonal Therapy charges
- Hospital charges
- Doctor’s fee for all the different treatments
- Higher costs or prices for cosmetic surgery procedures such as facial feminization surgery.
Penectomy Cost
The cost of a penectomy varies by location and procedure type. In the U.S., it ranges from $9,000 to $12,000 for a partial penectomy, while combined procedures in the UK cost around £15,000, and gender-affirming surgeries in India range from $20,000 to $35,000.
Your well-being is our priority - call us to book your appointment today
Insurance and Financing for MTF Surgeries
Insurance and Financing for MTF Surgeries Gender-affirming surgeries, such as those involved in male-to-female (MTF) transitions, often come with associated costs. Understanding your insurance coverage and financing options can greatly aid in managing these expenses.
- Insurance Coverage: Review your policy for coverage of gender-affirming surgeries.
- Medicaid and Medicare: Some states offer coverage through these programs.
- Out-of-Pocket Costs: Plan for co-payments, deductibles, and uncovered services.
- Financing Options: Explore personal loans, medical financing, and crowdfunding.
- Consultation with Experts: Seek guidance from experienced healthcare providers.
1.) How long does a male-to-female transition take? Some transitions may take less than a month, and some can even take years. It mostly depends on the mental and physical health of the person and what kind of treatment you are involved in.
2.) How long does it take to grow breasts on estrogen?
The estimated time to grow breasts through estrogen is 2 to 6 months. It also depends on factors like fatty tissue levels, body genetics, etc.
3.) How long does it take to recover from male-to-female surgery?
It takes an average of 2 to 8 weeks to recover from male-to-female transition surgery. However, penectomy and vaginoplasty are major surgeries that need more care and usually take longer to recover.
4.) Can I undergo MTF transition without surgery?
Yes, many individuals choose to undergo MTF hormone therapy and other non-surgical procedures to achieve their desired gender expression without surgery. It's essential to discuss your options with a healthcare provider.
5.) What is the typical duration of hormone therapy for MTF transition?
The duration of hormone therapy varies from person to person. Typically, individuals undergo hormone therapy for an extended period, often lifelong, to maintain their desired physical and emotional changes. Your healthcare provider can provide more personalized guidance.
Health Tips, Health Care and Fitness Tips, Health News | TheHealthSite.com
National Center for Biotechnology Information (nih.gov)
https://my.clevelandclinic.org/health/treatments/21526-gender-affirmation-confirmation-or-sex-reassignment-surgery
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5994261/
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Question and Answers
I am 36 year old married man, i want to breast like a woman breast with out any surgery. if any possibility of this please give me some advice that how it's done..
There are non-surgical options to consider. Methods involving hormones that cause breast development, such as the administration of estrogen or the use of progesterone, could be effective. The use of the hormonal valve of these aids is advised only medically and not as a means for self-reliance since it can have side effects on health. I advise you to get in touch with a healthcare professional for a consultation so they can give you the right advice and direction considering your health condition and also investigate the effectiveness of the treatment.
Answered on 12th Dec '24
Dr. Vinod Vij
Hi, I would like to have FTM hormons and surgery on a vety good level and results, how much in New Delhi
Female | 50
In case you are thinking about using the FTM hormones and having surgery to get a perfect result in New Delhi, it should be pointed out that this practice is a part of transitioning from female to male people. Gender dysphoria is generally expressed through the person's feeling that the gender identity that the person was born with is inappropriate and does not agree with the person's innate gender. Hormone therapy and surgery can help reunite gender and sex. Make sure to approach a specialized doctor in New Delhi who has the necessary experience in providing these treatments for the best outcomes.
Answered on 4th Dec '24
Can it possible 23 age female can change herself into male by surgery and have male part
Female | 23
Biologically a female aged 23 cannot be totally changed to a male by surgery. The fact remains that sex is defined by chromosomes. On the other hand, some transgender individuals might refer to surgeries in this area to alter their looks. Whoever is struggling with the gender issue, should get the consultation of a counselor who focuses on the theme of gender identity to reflect and discuss their feelings and the possibilities of their solution.
I am 27 years I am trans female had a surgery from mtf and now want to have reversal surgery ftm now is it possible in india to have a surgery
You want to know if there's an option for surgery to change from a trans female to a trans male in India. These surgeries are legal in India, but it is important to first talk to a plastic surgeon who is experienced in gender-affirming surgeries. They will look at your particular case, go over your reasons for reversal surgery with you, and help you with the process.
Answered on 3rd Dec '24
48! yaşında bir erkeğim trans birey olarak kadın olmak istiyorum Hormon tedavisi istiyorum. Hangi ilaçlardan başlamalıyım
For someone who is 48 years old and seeking to transition from male to female, it's important to consult with an endocrinologist before starting any hormone therapy. They will guide you on the appropriate medications and dosages based on your specific needs.
Answered on 2nd Aug '24
Transgender Surgery Hospitals In Other Cities
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IMAGES
COMMENTS
Mar 14, 2022 · Medical aids see transgender surgery as “cosmetic” and only one medical aid, called Bankmed, has funded the surgery. Private transgender surgery costs between R450,000 and R600,000, which very few people can afford. If you are in the Western Cape, you should get started by getting a referral to the Transgender Clinic.
How much does top surgery cost in South Africa? If you are FTM and looking for costs of chest surgery, that vary between R15 000.00 and R26 000.00 (average of a few people). Hyst etc can vary in more or less the same price range.
Gender change surgery. R100,000 – R300,000; Gender change surgery or gender reassignment surgery, these procedures are tailored to the individual's needs and may include various surgeries such as genital reconstruction, facial feminization, and others. The cost varies significantly based on the specific surgeries involved.
How much does FTM bottom surgery cost in South Africa? As most trans-masculine people know, bottom surgery is a three- or four-stage process. Stage 1 alone in South Africa with Dr. Adams costs R300,000 (about $20,000 USD) .
Jan 3, 2019 · At this time, there is only one qualified bottom surgeon in South Africa named Dr. Kevin Adams, who operates out of a private hospital near Cape Town. As most trans masculine people know, bottom surgery is a three- or four-stage process. Stage 1 alone in South Africa with Dr. Adams costs R300,000 (about $20,000 USD).
Gender change surgery. R100,000 – R300,000; Gender change surgery or gender reassignment surgery, these procedures are tailored to the individual's needs and may include various surgeries such as genital reconstruction, facial feminization, and others. The cost varies significantly based on the specific surgeries involved.
Sep 14, 2021 · Already very long waiting times for gender-affirming surgery in South Africa’s public sector have gotten even longer due to the COVID-19 pandemic. Tiyese Jeranji investigates the challenges transgender persons in the country face in accessing gender-affirming care.
Mar 3, 2022 · Medical aids see transgender surgery as “cosmetic” and only one medical aid, called Bankmed, has funded the surgery. Private transgender surgery costs between R450,000 and R600,000, which very few people can afford. If you are in the Western Cape, you should get started by getting a referral to the Transgender Clinic.
Jun 20, 2022 · Gender Reassignment Surgery Cost (MTF & FTM) Explore the rising demand for gender reassignment surgery worldwide. Learn about the various procedures and their detailed costs in this comprehensive article. Post-Op Transgender Genitalia: Recovery and Care. Understand post-operative care for transgender genitalia surgery.
Sep 15, 2021 · Already long waiting times for gender-affirming surgery in South Africa’s public hospitals are now even longer due to the Covid-19 pandemic. Compounding the barriers to access is the fact that gender-affirming care is mostly limited to the big metros of Gauteng, the Western Cape, KwaZulu-Natal and the Eastern Cape.