Male to Female Sex Reassignment Surgery

Sex reassignment, whether from male-to-female or female-to-male, is a complex process involving psychiatric evaluations, psychotherapy and hormonal therapy as well as surgery. The entire sex reassignment process from male to female involves genital and multiple other surgeries, including feminisation procedures such as breast surgery, facial feminisation surgery and voice surgery. 

Sex reassignment surgery (SRS) refers to a variety of surgical techniques used to change the bodies of people who have gender dysphoria. The surgeries involved in sex reassignment are also referred to as gender confirming surgery, gender reassignment surgery (GRS) or sex change surgery.

Gender dysphoria, also known as transgenderism or gender identity disorder (GID), is a condition in which a person feels a major mismatch between their biological sex and their gender identity. It is not a type of mental illness, although it was wrongly believed to be one in the past.

People with gender dysphoria can be treated with counselling, hormone therapy and sex change surgical procedures. Not every transgender individual requires or wishes to undergo sex change surgery. Some are treated with counselling only; others may get counselling and/or hormone therapy. But some trans people do end up going through sex change operations.

Sex change surgery is irreversible. Therefore (and obviously) anyone wishing to undergo a sex change operation from male to female should carefully consider that decision. Although in a few rare instances people who have undergone sex change operations have tried to revert back to their original sex, it is a very costly and not totally successful process. Even then, things are never going to be exactly the same again. Reading stories and experiences of people who had regrets about male-to-female sex reassignment may help you decide what is best for you.

On the positive side, a review of research findings on sexual functioning in transsexuals following hormone therapy and genital surgery published in the Journal of Sexual Medicine in November 2009 concluded that transsexuals have adequate sexual functioning and/or high rates of sexual satisfaction following sex reassignment surgery.[1]

A long-term assessment of physical, mental, and sexual health among 50 transsexual women in Belgium concluded that transsexual women function well on a physical, emotional, psychological and social level. However, they may “suffer from specific difficulties, especially concerning arousal, lubrication, and pain”.[2]

Another Belgian study evaluating sexual and general health outcomes of transsexual’s post-sex-reassignment surgery, published in the Archives of Sexual Behaviour in 2005, was a long-term follow-up of 55 patients, including 32 male-to-female transsexuals. Researchers found relatively few and minor diseases or conditions, which were mostly reversible with appropriate treatment.

Researchers found that after surgery personal expectations “were met at an emotional and social level, but less so at the physical and sexual level”, despite a large number of patients (80%) reporting improvement of their sexuality. The majority of participants reported a change in orgasmic feeling, with male-to-females reporting more intense, smoother, and longer sensations. Over two-thirds of male-to-females said they experienced the secretion of a vaginal fluid during sexual excitation, originating from the Cowper’s glands left in place during surgery.

Accurate statistics on transgender people, their diagnoses and treatments are difficult to find, because not all transgender people are diagnosed with the condition in the first place. The UK’s National Health Service (NHS) website states that about one in 11,500 persons have gender dysphoria.

Statistics from Western Australia show that less than a third of people with gender dysphoria have opted for sex reassignment surgery.


[1] Klein C, Gorzalka BB. Sexual functioning in transsexuals following hormone therapy and genital surgery: a review. J Sex Med. 2009 Nov;6(11):2922-39; quiz 2940-1. doi: 10.1111/j.1743-6109.2009.01370.x. Accessed on 17 Jan 2013 at
[2] Weyers S, Elaut E, De Sutter P, Gerris J, T’Sjoen G, Heylens G, De Cuypere G, Verstraelen H. Long-term assessment of the physical, mental, and sexual health among transsexual women. J Sex Med. 2009 Mar;6(3):752-60. doi: 10.1111/j.1743-6109.2008.01082.x. Epub 2008 Nov 17. Accessed on 17 Jan. 13 at

[3] The World Professional Association for Transgender Health (WPATH), formerly known as the (Harry Benjamin International Gender Dysphoria Association, HBIGDA), is a professional organisation devoted to the understanding and treatment of gender identity disorders.

Join the Conversation

  • Joshua says:

    My name joshua clarke

  • Snow says:

    I hate the way i fill and want to change to be more me

  • Taniya says:

    I’m Taniya
    I’m male to female sex chenge kit teking in normal female like plz help mi

  • Jessi says:

    I’m a transgender looking for a sex change operations this was very helpful

  • Subhash says:

    i m male to female sex chenge kit teking in normal female like plz help mi

  • parashiva says:

    I need some surgery

  • Puta says:

    I want to change my sex asap from male to female

  • Mohamed zahabe says:

    Hey, is it possible you can give me a call so I can discuss what I want to do X thanx

  • ThreeWiseMonkeys says:

    E, What amount of your 11k outlay was covered by medicare alone? I’m curious about which private healthcare fund you were/are with as well. Sorry for being so direct, I need to know.

    • Jessie says:

      I have been seeing therapist 3year and 2 deferent hormones doctor for last 4 & 1/2 years I eventually Started hormone replacement therapy about 4 years ago it kills off the male hormone replace female hormone I feel lot more happier I am taken 3 different female hormones tablets a day and 2spiraction tablets a day for the last 4 years on hormone replacement therapy I am feeling more happier every day. I can sleep at nights and stop having nightmares.

      I grow up in town in the south west as young kid. I felt confused and unhappy a lot then as i got older I move the City Perth Western Australia I’m wanting too change from Male too Female but I been seening a therapist for last 3 half years but hasn’t sing out yet i feel like i am getting the run around I been thinking of moving over east to find other doctors I am waiting reconstructive surgery male to female and I am hopping to get this done in the next few months to live a Normal life now not as a man but a woman and looking into having smaller procedures done to appear more feminine. everything is starting to feel right I just need this therapist to sing off
      could you please help me in the steps and contacts Numbers ect that i need cheers

      Your information is great could you please email me details from Private Health Cover to Medical Doctors Please?

      Hey where did you get your surgery done and with what surgeon? Cause that’s sounds extremely cheap for Australia. And we’re you happy with the outcome? Thanks Jessie H at

  • syedfayaz says:

    Hi am fayaaz… iam male … iam not understanding… my identity… m r f… my personlaity is look a like female.. so I wan a sex reassignment surgery.. so how much d cost… totall procedure… so pls reply me… my mail id is syed******

  • ali says:

    Hi,m a male n want to convert yo a sexy n hot much would it cost me if I do surgery in australia??plz let me.know the estimated full cost includiing everythng from the right begining to the end.and how long will it take for the whole process to become a female??

  • Jesse says:

    Is there no option for female to male Gender reassignment in Western Australia? I am desperate to get this road underway but it is hard to find information for this particular type of procedure.

  • Tristan says:

    I would like to know if I can get breast implants from mid,to,large and can u make a bigger nipple
    Do I need to be on female drugs to start of with as well or not really?

  • Rayne says:

    Thanks for the info really helpful now I can become the person that’s in side I’ve been a cd for years and live day to day life as female so I can’t wait

  • E says:

    Actually these cost are completely wrong.

    I recently had this surgery in Melbourne and the cost to me was $6000.00

    Yes I have private health insurance but they only covered about $3000.00 and medicare covers the rest. So out of pocket was $6000.00

    Total was around $11000 before the rebate from medicare and private health.

    • Kirsteen sepple says:

      So it only cost you 6,000$ is that correct or did you mean 60,000$?

    • Chelle says:

      Hi it great to get some figures of the cost the SRS surgery I have been looking for a private health cover that does cover sex reassignment surgery if you could email who are with the companies advertised on tv don’t advertised don’t know anything. thank you so much for your time.

    • Darren says:

      I’m wanting too change from Male too Female but local dr and Physiologist in small town giving me the run around could you please help me in the steps and contacts Numbers ect that i need cheers great work ….Darren

    • Cilla says:

      Hi E,
      Your information is great could you please email me details from Private Health Cover to Medical Doctors Please? My email is

    • Stacey says:

      Hey where did you get your surgery done and with what surgeon? Cause that’s sounds extremely cheap for Australia. And we’re you happy with the outcome? Thanks

  • craig says:

    this has been very helpful
    I can finally be the person I always have hidden

  • Tracey says:

    Hi I’m looking into female voice surgery and also cost.also want the gentiles removed and how much this will cost me. Look forward to your reply Thanks Tracey

  • Steven says:

    I wanna get a vagina but with small boobs is that possible? :)

  • larry M says:

    I could do this, I know this is the right thing for me. all surgeries that needs to be done so I can be the real me. I just can’t wait

  • Jacob Gault says:

    now that i know the risks and what it takes for SRS i bleive it is possible to be the real me

  • Calvin Hor says:

    i think i could do this or i could just get a Breast Aurgumentation/Breast Implants.

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