Metoidioplasty for Female to Male

Metoidioplasty for Female to Male

Metoidioplasty for Female to Male

Metoidioplasty (Small Penis) for Female to Male

FTM surgery is generally divided into three main groups:
1. Chest reconstruction surgeries (also referred to as “top” surgery or Mastectomy);
2. Hysterectomy and Ovary Removal (removal of the uterus and ovaries, respectively; and
3. Genital reconstruction surgeries (also referred to as “lower” or “bottom” surgery or GRS).
Within these three main groupings are different types of procedures and surgical methods that will be further described.

Mastectomy, Hysterectomy, Ovary and Genital reconstruction can be done at the same time.

What is Metoidioplasty (Small penis) :
(Also sometimes spelled “metaoidioplasty,” a term meaning “a surgical change toward the male”)

Metoidioplasty is a surgical procedure takes advantage of the fact that ongoing testosterone treatment in a Trans man typically causes his clitoris to grow longer. The amount of clitoral growth varies with each individual.  By cutting the ligament that holds the clitoris in place under the pubic bone, as well as cutting away some of the surrounding tissue, the surgeon is able to create a small phallus from the elongated clitoris.

This is why metoidioplasty is sometimes referred to as a “clitoral free-up” or “small penis” or “clitoris release”– the clitoris is freed from some of its surrounding tissue and brought forward on the body in a manner that makes it appear like a small penis. In order to further enhance the result, fat may be removed from the pubic mound and skin may be pulled upward to bring the phallus even farther forward.

Metoidioplasty may also involve the creation of a scrotum (scrotoplasty) by inserting testicular implants inside the labia majora, then joining the two labia to create a scrotal sac. This is often done in two stages, where in the first stage; tissue expanders are inserted in the labia in order to gradually stretch the skin in preparation for the insertion of permanent testicular implants at a later date. However, we may insert the implants in the first procedure, and join the two labia in a later procedure.

Metoidioplasty for female to male may additionally involve a urethral lengthening procedure to allow the patient to urinate through the penis while standing.

Depending on the surgeon and the desires/goals of the patient, the vaginal cavity may or may not be closed or removed (this is typically referred to as a “vaginectomy,” “colpectomy,” or “colpocleisis”). Often, a vaginectomy is performed in conjunction with scrotoplasty and/or urethral lengthening.

The typical operating time for a metoidioplasty procedure is about 2 hours. Time required may differ depending on the options chosen by the patient.

Metaidoioplasty :

Summary Metaidoioplasty – Testosterone makes your clitoris grow (usually 1-3 cm).  Metaidoioplasty involves cutting the ligament that hold your clitoris in place under the pubic bone, as well as some of the surrounding tissue.  Your clitoris is then freed up so more of it is showing.

Vagina removed or close vagina – Optional.

Result size – small penis 1-3 cm.

Sexual function – Sexual sensation is generally good, as the clitoris is not impacted much.  The new penis will get erect on its own when you’re sexually aroused, but won’t be large enough to penetrate a partner with.

Urinate standing up ? – Yes.

Visible scarring – Minimal.

In the future, if you want to continue with Long Penis- in other words, you can have a metaidoioplasty first, then have phalloplasty later.

You can do by;

Long Penis by using Abdominal Skin; (After Metaoidioplasty);

1st Stage: Reconstruction the Urethra tube;

2nd Stage: Reconstruction of Long Penis

a) Microsurgery

b) Pedicled Flap

3rd Stage : Connection of Urethra, Silicone testicles implant; General Anesthesia


Best candidate’s for Metoidioplasty:

- You are physically healthy and emotionally stable with realistic expectations as to what the surgery can and cannot do

- Psychologist’s letter or Hormone therapist may required

- Must undertake hormone at least 6 month

- Real-Life experience

- Physically healthy and emotionally stable with realistic expectations

- Must be over 18 year old with good health condition


Package inclusive for Metoidioplasty surgery

- Accommodation for 3 days in hospital private room after surgery

- Operating Room Charges: OR Room Use, Recovery Room, Scrub & Circulate Nurse

- Regular menu food charges

- Laboratory Testing: necessary for the procedure as CBC, EKG, UA, Anti HIV, Chest X-Ray

(If age over 45 need to check Cardiology.  An extra charge 100 USD)

- Medical Equipments and Medical Supplies

- General Anesthesia – Pre Anesthetic Drugs, Anesthesia and Medical Gas (Oxygen, Nitrous Oxide)

- Medical Treatments

- Doctor fees

- Anesthesia fees

- Nursing services

- Take home medication and supplies

- Post op cares

- Transportation pick up


Service Accommodation

- Transportation pick up from airport –hotel-clinic-airport  as well as follow up period

- Mobile service during recovery with local number.  People can get in touch with you.

- Hotel reservation at least 1 km from Preecha Aesthetic Institute

- Touring services

- Interpreter services  with any language

Preparation Metoidioplasty FtM Surgery

- Inform us about any allergies, any serious medical condition(s), and all medications you are taking (both prescription and non-prescription).

- No Aspirin 2 weeks before surgery.

- Stop vitamin E Oil 1 day before surgery.

- Stop smoking 2 days and a month after surgery.

- Stop Hormone, if taken 2 weeks before surgery date

- Tell doctor if you have any serious medical condition(s).

- Stop meal and water starting from midnight before surgery.

- Plan to be in Thailand at least 14 days after or at least 15 days (Before and after) surgery.

Surgery: Time required: 2 hours

Anesthesia : General Anesthesia

Recovery Genital Reconstruction Surgery: Required to be at least in Thailand 15 days (Totals)

Back to work: after 20 days more

Strenuous activity: 4-8 weeks

Fading of scars: several months to a year


Metoidioplasty surgery Thailand’s  schedule

(Require 14 days after surgery in Thailand)

Day 1 – Consultation and Prepare for Laboratory Testing

Day 2-4 – Surgery and 3 days in hospital private room after surgery

Day 4 – Discharge from Hospital
Day 4 to 13 – Stay in hotel for recovery period and follow up on doctor appointment

Day 7-10 – Stitches removal

Day 13 – Final check up and prepare for letter fit to fly and  issue for a new letter with gender name change
Day  14 – Safe to fly

All transportation during recovery period in Bangkok will be sponsor by PAI.


Schedule an appointment, online consultation and set up metoidioplasty surgery

1. Write your question, interest at consult us in program form

2. Via email

2.1   list your expectations or procedure that you are interest and give us your detail as possible

2.2   email to us

2.3   We will get back to you shortly after receive your question with recommendation from specialize surgeon

Once you know your planning date for surgery.

Here is the next step.

3.1   Consultation with us via email for details and procedure

3.2   Plan your available date to be surgery and departure from Bangkok

3.3    We will confirm you for surgery date

3.4    You may start to book your airline ticket

3.5    We will confirm you all detail and hotel booking, if require

3.6    For transportation to be pick up from the airport, we can do for you as optional


PAI (Preecha Aesthetic Institute)

898/1 Sukumvit 55

Wattana, Bangkok 10110 Thailand

Tel: (662) 715-0111


Meeting Point (Airport)

The driver will stand by for you at the door number 4 (Meeting point) after exit from customs.  The driver will stand by with your name and PAI’s logo.



Hotel partner are special offer for PAI.



- Thai, English, Spanish, Italian and Japanese.

- Other Language upon request



1. The payment can be prepared in Cash by US dollars, Euro Dollar, Japanese Yen, HKD, SGD, AUD or pay by Traveler‘s Cheques.

2. Bank’s Transfer.

3. If using credit cards, the hospital will charged 3% for international transaction fee.  This is only for surgery fees.  Hotels are not charged for international transaction fee.

An extra charged for HIV is 30% from total cost.


Cost of meal

Cost of living meal per day is 15-20 USD.


Passport and VISA

Preecha Aesthetic Institute can issue the letter to clarify with your local Embassy or Passport.


Tourist Visa Exemption (30 days without VISA)

Australia, Austria, Belgium ,Brazil ,Bahrain , Brunei Darussalam   ,Canada, Denmark ,Finland ,France, Germany  ,Greece ,Hong Kong ,Iceland  ,Indonesia  ,Ireland  ,Israel  ,Italy  ,Japan  ,South Korea ,Kuwait ,Luxembourg , Malaysia  ,Monaco  ,Netherlands  ,New Zealand  ,Norway  ,Oman ,Peru  ,Philippines  ,Portugal , Qatar , Singapore  ,Spain  ,South Africa  ,Sweden  ,Switzerland  ,Turkey  ,United Arab Emirates, United Kingdom  ,United States of America ,Vietnam.


Airport Immigration and Customs

Please present the supporting documents confirming the scheduled operation upon request. Please do not carry any unnecessary drugs or dangerous objects in your luggage.


Air Travel Tips for Transgender People

Nothing on this webpage is meant, or should be interpreted to mean, that transgender people or anyone else should attempt to circumvent security or deceive security personnel in any way. It is meant only to provide tips to transgender people who may otherwise be subjected to unfair or embarrassing selective scrutiny or treatment.


Who You Are: Identification Issues

All passengers 18 years of age or older are required to provide proof of identity at check-in and at the security checkpoint.

- The name you use for your airline reservation must match the name on your identification.

- If your current name does not match your passport, we recommend that you consider getting an updated ID if possible.

- For an international flight, you will need to present a valid passport, visa, or any other required documentation. Passengers without proper ID may be denied boarding.

- “For e-tickets, you will need to show your photo identification and e-ticket receipt to receive your boarding pass.”

- If you do not currently look like the picture on your picture ID, we recommend that you consider getting an updated ID with a new picture if possible. If you cannot or if you are still concerned about ID issues, consider carrying an explanatory note from a physician or therapist explaining why you may not look like the picture on your ID.


Preecha Aesthetic Institute surgeon’s team

At PAI, we are the biggest group of qualify plastic surgeon in Thailand for multidisciplinary in aesthetic and reconstructive surgery.  Because we believe no one can work best in all kinds.

Therefore, at PAI, Dr.Preecha Tiewtranon, MD has had  highly selective qualify doctors who match for each type of procedure, FFS, SRS, body contouring as well as anaesthesiologist and team of operating theatre nurses.

 Preecha Tiewtranon, Burin W, Sutin


All surgery carries risks – But can minimize by closely following your surgeon’s advice on follow up care during the healing process.

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