|
Small Medium Large
+66 (0) 2 715 0111 consult@pai.co.th
line facebook youtube instagram
Small Medium Large
+66 (0) 2 715 0111
consult@pai.co.th
line facebook youtube instagram
set up appointment
download brochure

overview

Testicular Implants in Female-to-Male (FtM) Surgery

Testicular implant surgery – also known as a testicle implant procedure—is a common step in female-to-male (FtM) gender-affirming surgery. It is typically performed as a secondary procedure after metoidioplasty or phalloplasty, with most surgeons recommending a minimum healing period of ten months after metoidioplasty before placement.

The decision on when to insert testicular prostheses is made on a case-by-case basis. Your surgeon will carefully evaluate factors such as the degree of healing, tissue inflammation, and any medical considerations before proceeding.

HydroCone Testicular Implants for FtM Surgery

The HydroCone testicular implant is a next-generation prosthesis designed specifically for FtM bottom surgery. Made of a soft, flexible gel polymer, it offers a natural look and feel. The implant’s inner surface is coated with hyaluronic acid, which becomes extremely slippery when hydrated with sterile saline solution.

Key Benefits of HydroCone Testicular Implants:

  • Reduced post-operative complications – May lower the risk of capsular contracture.
  • Shorter surgery time – Designed to make placement more efficient.
  • Natural texture and appearance – Soft and flexible for realistic results.

Guidance on Testicular Implant Surgery

Testicular implants are an important part of many FtM gender confirmation surgeries, helping patients achieve a more natural masculine appearance. With advanced options like the HydroCone implant, individuals may benefit from fewer complications, quicker surgery, and enhanced comfort. However, patients should remember that implants are designed for aesthetic appearance and confidence, not for biological function.

Leading surgeons—such as Assoc. Prof. Preecha Tiewtranon, MD, Dr. Burin Wangjiraniran, and Dr. Sutin Khounsongserm—are internationally recognized experts in cosmetic and reconstructive surgery. They emphasize the importance of open, honest communication throughout the surgical journey. Comprehensive consultations with board-certified professionals help patients fully understand their goals, risks, and expected results before undergoing surgery.

Summary

Testicular implant surgery plays a key role in female-to-male gender-affirming procedures, contributing to a more natural masculine appearance. With innovations such as the HydroCone implant, patients may experience fewer complications, smoother surgeries, and realistic outcomes. By working with experienced, board-certified surgeons and setting realistic expectations, individuals can achieve results that align with their goals and enhance confidence.

Read more trans man procedures and more cosmetic procedures at Preecha Aesthetic Institute.

SUITABLE CANDIDATES ball implants (FTM SURGERY)

Best Candidates for Testicular Implant at PAI (Preecha Aesthetic Institute)

At PAI (Preecha Aesthetic Institute), we follow internationally recognized clinical standards such as the WPATH Standards of Care, HBIGDA, and Asia PATH guidelines to ensure safe, ethical, and affirming care for all patients seeking gender-affirming surgery.

These guidelines help assess eligibility for ball implant based on mental health, physical readiness, and long-term well-being - with the ultimate goal of achieving lasting personal comfort with the gendered self and maximizing psychological health and self-fulfillment.

  • Must been done Metoidioplasty at least ten months
  • Physically healthy and emotionally stable with realistic expectations
  • Patients aged 18 - 19 years must provide signed consent from a parent or legal guardian in order to undergo ball implant.
  • Patients aged 20 years and above may proceed independently without parental consent.

Package is included Testicle implant (FtM surgery)

Package is include with Ball implant (FtM surgery)

  • Accommodation for one night in an international standard hospital private room after surgery ( JCI accredited )
  • 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 is 100 US Dollars + -)
  • Medical equipment and medical supplies
  • Testicular implants (2 balls)
  • 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 (optional)

PAI'S CLINIC AND AFFILIATED HOSPITALS - JCI-ACCREDITED INTERNATIONAL HOSPITALS

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.

  • Our state-of-the-art facility includes:
  • 10 advanced consultation rooms
  • 6 fully equipped operating rooms for local anesthesia procedures
  • Modern recovery rooms for patient comfort and safety
  • An internationally accredited hygienic system that meets global medical standards  

With over four decades of expertise, PAI continues to set the benchmark for aesthetic plastic surgery and gender confirmation surgery in Thailand.

  • Testicular implant surgery for trans man is performed under general anesthesia to ensure patient safety and comfort. The procedure typically requires an overnight stay in the hospital for post-operative monitoring and recovery.

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:

  • Private patient rooms designed for comfort and privacy
  • 230 - 500 bed capacity
  • Advanced medical technology and modern surgical equipment
  • Accreditation for excellence in healthcare services

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.

  • All consultations, pre-surgery medical health checks, and post-operative follow-up appointments are conducted at Preecha Aesthetic Institute (PAI) in Bangkok. Our medical team provides continuous care and guidance at every stage, ensuring patient safety, comfort, and the best possible surgical outcomes.
  • Two international standard hospitals - JCI accredited International Hospitals 
  • Surgical will perform at Affiliated hospitals ⇒ General Anesthesia ⇒ International Standard Hospital 
preecha aesthetic institute (PAI)

PAI's clinic (main clinic)

International Standard Hospital (JCI accredited)

Affiliated hospital

Affiliated hospital

SERVICE ACCOMMODATION

  • Transportation pick up from airport –hotel-clinic-hospital-airport as well as follow up period (optional)
  • Hotel reservation 2 km from Preecha Aesthetic Institute
  • Interpreter services with any language

RISK OF testicle implant SURGERY

  • Risk of testicle implant (ball implant) FtM Surgery ¦ All surgery carries risks but can minimize by closely following your surgeon’s advice follow cares during the healing process. Sometimes bruises occur in the area of the operation, but they heal again after a few days. Mild pain can be managed very easily with a simple pain medication. Rare risks are infections and ball positioning. 

QUESTION, APPOINTMENT AND SCHEDULE

Dr.Preecha Tiewtranon MD, Dr.Burin Wangjiraniran MD and Dr.Sutin Khobunsongserm MD

All your questions will be direct answers from PAI's doctor.

  1. Write your question, interest
  2. List your expectations or procedure that you are interest and give us your detail as possible
  3. Email to us at consult@pai.co.th
  4. We will get back to you shortly after receive your question
Set up an appointment with us

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

enquiry

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

surgical details:

Preparation for Testicle implant (f2m 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 days before surgery.
  • Stop vitamin E Oil 1 day before surgery.
  • Stop smoking 2 days and a month after surgery.
  • 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 7 days after surgery.
  • Age 18 years+.
  • An extra charge is 50% from cost of surgery fee, if HIV+. CD4 must be > 500 +. Viral load must be undetectable. 

Surgery Schedule (required five days after surgery in Thailand)

Day 0 - Arrival date (check in hotel)

Day 1 - Consultation and Prepare for Laboratory Testing

Day 2 to 3 - Surgery and one night in hospital private room after surgery

Day 3 - Discharge from Hospital
Day 3 to Day 7 - Stay in hotel for recovery period and follow up by doctor appointments

Day 7 - Stitches removal and final checkup (5 days after surgery)
Day 8 - Safe to fly

Things should bring from home.

  • Button-up shirts in large sizes
  • Sweatpants / Short Pants
  • Slip-on shoes or slippers
  • Phone charger, long phone charger
  • Books, magazines
  • Travel neck pillow

The testicle prostheses (ball implants) are placed in the scrotal pouch recreated from the labia majora through a small incision over the previous scars.

The procedure's usually take an hour under general anesthesia.

Immediately After Surgery (Hospital / Recovery Room)

  • Stay 1 night in hospital.
  • The scrotal area will be swollen, bruised, and tender.
  • A compression dressing or snug underwear may be applied to keep the implants stable.
  • Pain is managed with prescribed medication.

First few days

  • Swelling & bruising are normal and will gradually decrease.
  • Pain/discomfort usually improves after 3 - 5 days.
  • Keep the area clean and dry; follow your surgeon’s wound-care instructions.
  • Showering: usually allowed after 48 hours, but avoid soaking (no baths, swimming, or hot tubs).
  • Activity: Rest is essential. Avoid heavy lifting, squatting, cycling, or sexual activity.
  • Supportive underwear: Wear snug briefs or a jockstrap to limit implant movement.

Weeks 1

  • Sutures will be removed at 7 days.
  • Light activity like walking is encouraged to improve circulation, but still no strenuous exercise.
  • Bruising should fade, and swelling begins to settle.
  • You may feel some tightness or firmness - this is normal as tissues heal around the implants.

Weeks 4 - 6

  • Most patients can return to work (non-physical jobs) after 2 weeks; more physical jobs may require 4 - 6 weeks.
  • Exercise & sex: Often permitted after 6 weeks, but only if cleared by surgeon.
  • The implants should start to feel more natural in shape and position.

Long-Term (Months 3 - 6)

  • Implants will “settle” into a more natural position.
  • Sensation around the scrotum may remain reduced, patchy, or altered permanently.
  • Scar tissue formation is expected.

 

Key Tips for Recovery

  • Follow surgeon’s instructions closely.
  • Don’t smoke (slows healing).
  • Avoid pressure on the groin (tight pants, straddling seats, etc.) for several weeks.
  • Keep realistic expectations - implants provide aesthetic results, not function.

 

Treatment after surgery
during the first 7 days

First few days

  • Swelling & bruising are normal and will gradually decrease.
  • Pain/discomfort usually improves after 3 - 5 days.
  • Keep the area clean and dry; follow your surgeon’s wound-care instructions.
  • Showering: usually allowed after 48 hours, but avoid soaking (no baths, swimming, or hot tubs).
  • Activity: Rest is essential. Avoid heavy lifting, squatting, cycling, or sexual activity.
  • Supportive underwear: Wear snug briefs or a jockstrap to limit implant movement.

Weeks 1

  • Sutures will be removed at 7 days.
  • Light activity like walking is encouraged to improve circulation, but still no strenuous exercise.
  • Bruising should fade, and swelling begins to settle.
  • You may feel some tightness or firmness - this is normal as tissues heal around the implants.

surgery info:

Logo Preecha Aesthetic Institute
Testicle implant, Testicular implant, Ball implant surgery

is a gender affirmation surgery for trans man surgery. They are purely cosmetic and psychological reasons. No functionals..

services icon 1 150x150 1
TIME REQUIRED

One hour

services icon 2 150x150Anesthesia
ANESTHESIA

General Anesthesia

BACK TO WORK

a week

services icon 4 150x150 Strenous Activity
STRENUOUS ACTIVITY

After 4 weeks

Swollen and Bruise

a month

useful information

ADDRESS

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

MEETING POINT (AIRPORT)

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)]

HOTEL

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.

  • Special apartment 68 sq.m-131 sq.m with one to two bedroom/1 queen/master size bed, 1 bathroom (shower and bathtub), pantry and dining area, 2 Bottled water – complimentary for daily contract, bathroom (separated shower & bath tub), cable / Satellite TV, free wifi, dining Table/Chairs, Internet Access (wireless), kettle, LCD TV, refrigerator, slipper, toaster, air Conditioner, bath amenities - complimentary for daily, electronic Door Lock, iron & Ironing Board (on request), kitchenette - Full Equipment, microwave, safety box.

 

  • Hotel - studio room 46 - 58 sq.m - Features & Amenities: 40-in LED, sofa, in-room safe, minibar refrigerator, refillable tea/coffee/water, blackout curtain, free wifi, slippers, bathroom with rain shower, 100% natural therapeutic spa toiletries Mt. Sapola, hair Dryer, toothbrush and toothpaste, shower cap as well as a washing machine.

LANGUAGE

Thai, Chinese, Japanese, Italian, Spanish, French, German, Turkish and other languages upon request.

PASSPORT AND VISA

PAI can issue the letter to clarify with your local Embassy or Passport.

COST OF MEAL

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

PAYMENT

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.

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.

Frequently Asked Questions (FAQs)

Q: I have done ball implants a few years ago. But plant to get new sizes at PAI. Can you let me know how bigger the new balls would be compared with my current ones?

A: Need to exam here due from elastic skins. So the new size of implant need to measure here again.

Q: Can you advise what kind of testicle implant (FtM surgery) material the ball is made of? Soft silicone or others?

A: Designed to make inserting silicone gel implant. Implants made from a clear polymeric material that is soft and flexible. Inner surface has a coating made of hyaluronic acid, extreme slippery when hydrated with sterile saline solution.

?

Set up an appointment with us.

Write your question, interest at consult us in program form

ENQUIRY NOW

Gender Reassignment MALE to FEMALE

Gender Reassignment FEMALE to MALE

Facial Feminization

Aesthetic and Plastic/ Facial Feminization