+66 (0) 2 715 0111
consult@pai.co.th
Hysterectomy and Ovary Removal for Trans Men (FtM)
For many trans men (female-to-male, FtM), undergoing a hysterectomy and ovary removal is an important step in medical transition. This surgery involves removing the uterus, ovaries, and fallopian tubes (commonly referred to as a total abdominal hysterectomy (TAH) with bilateral salpingo-oophorectomy (BSO)).
The main objective is to reduce the body’s production of estrogen, allowing testosterone therapy to have a stronger masculinizing effect. While not every trans man feels the need for hysterectomy and ovary removal, for many, it brings both physical and emotional relief.
Why Trans Men Choose Hysterectomy and Ovary Removal
1. Reduction of Estrogen Levels
By removing the uterus and ovaries, the body’s primary sources of estrogen are eliminated. This helps maximize the effects of testosterone therapy, supporting masculinization and preventing unwanted hormonal fluctuations.
2. Relief from Gender Dysphoria
Some trans men may not feel distressed by having a uterus or ovaries, while others experience these organs as a profound source of gender dysphoria. For the latter group, hysterectomy can be a powerful step toward feeling more comfortable in their body.
3. Preparation for Future Surgeries
Gender-Affirming Surgery Overview for Trans Men
Gender-affirming surgeries for FtM patients are often divided into three main categories:
Surgical Techniques for Hysterectomy and Ovary Removal
There are different approaches to performing hysterectomy and ovary removal:
The choice of method depends on factors such as medical history, anatomy, and the surgeon’s recommendation.
Recovery and Aftercare
Combined Procedures
To reduce the number of surgeries and recovery times, hysterectomy and ovary removal can often be performed alongside other procedures:
Combining procedures depends on individual health, anatomy, and surgical planning.
Consultation with Experienced Surgeons
Choosing the right surgical plan is a highly personal decision. It is important to be realistic about what gender-affirming surgeries can and cannot achieve. At our clinic, consultations are provided by:
All are board-certified in cosmetic and reconstructive surgery with extensive experience in transgender healthcare. A frank and open discussion with your surgeon ensures clear expectations and avoids misunderstandings.
Final Thoughts
For trans men, hysterectomy with ovary removal can be both a medical and emotional milestone. It reduces estrogen levels, enhances the effects of testosterone therapy, and for many, provides relief from gender dysphoria. Whether performed on its own or combined with other gender-affirming surgeries, this procedure represents an important step in aligning body and identity.
read more Preecha Aesthetic Institute’s procedure Female to Male surgery
Best Candidate for Hysterectomy and Ovary Removal at Preecha Aesthetic Institute.
At Preecha Aesthetic Institute (PAI), we follow internationally recognized guidelines such as WPATH (World Professional Association for Transgender Health) Standards of Care (SOC), as well as HBIGDA (Harry Benjamin International Gender Dysphoria Association, the former name of WPATH) and AsiaPATH recommendations.
By adhering to these standards, our medical team ensures that every procedure - whether chest reconstruction, hysterectomy and ovary removal, or bottom surgery - is performed with the highest level of safety, ethics, and patient-centered care.
Package is include with TAH & BSO FtM surgery ⇒ Explore open technique.
Package is include with TLH & BSO FtM surgery ⇒ Laparoscopic
Preecha Aesthetic Institute (PAI) – Pioneer in Sex Reassignment Surgery in Thailand
Preecha Aesthetic Institute (PAI) is Thailand’s first multidisciplinary center for Aesthetic and Reconstructive Surgery. Established in 1980, PAI is internationally recognized as a pioneer in Sex Reassignment Surgery (SRS), both Male-to-Female (MtF) and Female-to-Male (FtM) procedures.
With over four decades of expertise, PAI continues to set the benchmark for aesthetic plastic surgery and gender confirmation surgery in Thailand.
World-Class Hospitals for Gender Affirming Surgery in Bangkok
All procedures requiring general anesthesia at Preecha Aesthetic Institute (PAI) are performed in partnership with two leading private hospitals in Bangkok. Both hospitals are JCI-accredited (Joint Commission International), ensuring the highest standards of patient safety and medical care.
These internationally recognized facilities feature:
Guided by the philosophy of “World-Class Quality with Thai Hospitality”, PAI and its affiliated hospitals provide patients with exceptional medical care and compassionate support throughout their surgical journey.
Affiliated Hospital
Affiliated Hospital
Preecha Aesthetic Institute (main clinic)
All surgery carries risks but can minimize by closely follow your surgeon’s advice on follow up care during the healing process. Some patients minor bleeding. Other health issue will be discussed during your consultation.
All your questions will be direct answers from PAI's doctor.
Hysterectomy & Ovary Removal by Open Technique. After one month.
Hysterectomy & Ovary Removal by Laparoscopic Technique. After one month.
1. Write your question, interest at consult us in program form
2. Via email consult@pai.co.th
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:
1. Consultation with us via email for details and procedure
2. Plan your available date to be surgery and departure from Bangkok
3. We will confirm you for surgery date
4. You may start to book your airline ticket
5. We will confirm you all detail and hotel booking, if require
6. For transportation to be pick up from the airport, we can do for you as optional
During direct consultation with our surgeon – the surgeon will evaluate your general health status and any pre-existing health conditions or risk factors such as examine and take measurements, take photographs, discuss your options and recommend a course of treatment and discuss likely outcomes and any risks or potential complications
All your questions will be direct answer from PAI's doctor.
To set up direct consultation and schedule surgery date.
Preparation Hysterectomy & Ovary removal (FtM surgery)
Hysterectomy and Ovary Removal (FtM) Surgical
Day 0 - Arrival date (check in hotel)
Day 1 - Consultation and Prepare for Laboratory Testing
Day 2 - Medical Health checks
Day 3 to Day 6 - Check out hotel. Surgery date and three days in hospital private room after surgery
Day 6 - Discharge from Hospital
Day 6 - Check in hotel for rests
Day 7 to Day 9 - Follow up visit in clinic by appointments
Day 10 - Stitches removal
Day 10 – Final checkup and prepare for letter fit to fly
Day 11 - Safe to fly
By TAH & BSO explore, abdominal Hysterectomy and ovary removal by open technique, these reproductive organs are removed through a 4-6 inch incision at the abdominal. A horizontal incision is more common. The incision cuts through the skin, connective tissues, and abdominal muscle.
By Total Laparoscopic Hysterectomy (TLH & BSO)
Laparoscope is placed through a 5-6 mm incision in the belly button and the images of the internal organs. Three or more other small incisions are made on the abdomen and are used to insert surgical instruments and then cuts the organs into smaller pieces and remove them through the incisions.
Surgery time is one to two hours. Yours stay in the hospital for 2-3 days. Recovery time is about 6-8 weeks. More strenuous physical activities can be resumed in 3-6 months.
The decision on when to return to work and normal activities depends on how fast you heal and how fast you feel. Stitches are remove on day 5 - 7 after surgery date.
Stitches are remove after five to seven day surgery and most patients return to work and light activities at that point for three more weeks.
During one to four weeks, there may still some bruising and swelling. Full recovery should be complete and usually take about four to six weeks but you are advise to avoid contact sports for three months.
For local’s patient - You may resume to work with several days after surgery but must avoid heavy lifting object over the head or fast movement during four weeks after surgery date. Stitches are remove seven days after surgery date.
For international patient - Please plan to be in Bangkok at least eleven days all together. Stitches will remove five to seven days after surgery date. After departure from Thailand, you may resume to work within a few days but must avoid heavy lifting object over the head or fast movement during four weeks after surgery date.
◊ Any bruising and swelling will usually dissipate within 2 to 3 months after TAH & BSO Female to Male surgery.
is for trans men who wish to reduce level of primary estrogen and maximize masculinization from Testosterone treatments.
1 - 2 hour (s)
General Anesthesia
7 days + (desk job)
After 12 weeks
Several months to a year
3 - 8 weeks
All your questions will be direct answers from PAI's doctor.
Write your question, interest and list your expectations or procedure that you are interest then give us your detail as possible
Email to us at consult@pai.co.th
We will get back to you shortly after receive your question
Surgery Schedule (require at least 8 days after surgery at Preecha Aesthetic Institute)
Day 0 - Arrival date (check in hotel)
Day 1 - Consultation and Prepare for Laboratory Testing
Day 2 - Medical Health checks
Day 3 to Day 6 - Check out hotel. Surgery date and three days in hospital private room after surgery
Day 6 - Discharge from Hospital
Day 6 - Check in hotel for rests
Day 7 to Day 9 - Follow up visit in clinic by appointments
Day 10 - Stitches removal
Day 10 – Final checkup and prepare for letter fit to fly
Day 11 - Safe to fly
PAI (Preecha Aesthetic Institute)
898/1 Sukumvit 55 Wattana, Bangkok
10110 Thailand
Tel: +662-715-0111
Fax: +662-715-0113
Email: consult@pai.co.th
The driver will be waiting for you at door number 4 (Meeting point) after exit from customs. The driver will stand by with your name and PAI logo. [Suvarnabhumi International Airport (BKK)]
Hotels are under cooperate and nearby PAI, starting from 50 USD to 100 USD. Rates are quoted in THB, USD/net/included of taxes and service charges. All non-commissionable rate. VISA/Master card is accepted.
Thai, Chinese, Japanese, Italian, Spanish, French, German, Turkish and other languages upon request.
PAI can issue the letter to clarify with your local Embassy or Passport.
Cost of living meal per day is 15-20 USD.
The payment can be prepared in Cash by US dollar, Euro, Japanese Yen, Hong Kong Dollar, Singapore Dollar, Australia dollar. If using credit cards (VISA/Master card), 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 50% from total cost.
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.
Please present the supporting documents confirming the scheduled operation upon request. Please do not carry any unnecessary drugs or dangerous objects in your luggage.
A: No, you can not. You should firstly consider hysterectomy removal before metoidioplasty. If you want to do hysterectomy from somewhere else. This surgery must be completed at least 3 months to come to us for FtM, metoidioplasty and closed vagina. However, you can consider all procedures Metoidioplasty + closed vagina + hysterectomy + ovary removal at the same trip here. But plan to be in Bangkok at least 20 days.
A: On avg is 3 - 5 weeks after surgery. Many patients are able to transition to regular Tylenol (pain killer) within a week of surgery.
A: Scar usually fade but the skin will never look exactly the same. You can improve the appearance of hysterectomy scar by using a scar gel.
A: Yes, you should. After surgery, you may re-consult with hormone testosterone therapist to be adjust level.
A: Recommend after 6 weeks +.
A: Recommend after 6 weeks.
A: With Hysterectomy, Ovaries removal and Top surgery, you have to stay in Bangkok at least 14 days all together. Please note. You must provide at least one letter from psychiatrist or testosterone therapist to be approved for hysterectomy + ovaries removal.
A: Hysterectomy & Ovary Removal (Female to Male surgery), you must also provide local referral letter from a certified report of having gender identity disorder and hormone therapist (testosterone) at least one year to be qualified to perform the surgery (must be written in English). You must also in good health condition by medical health check here. In addition, you need to be approve/finalize by two Thai’s psychiatrists here in Thailand. Due from WPATH, AsiaPath and Thailand Medical Law. Surgery can only perform after finalize / approval by two Thai psychologists diagnosed. But your local therapist referral letters are best supportive document.
A: Yes. All patients must be evaluated by two Thai psychiatrists prior to surgery, as required by Thai medical law. There is an additional cost for this service—approximately 2,000 THB (about 50 USD) per letter. Since two letters are required, the total is around 4,000 THB (about 100 USD).
Write your question, interest at consult us in program form
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