Testicular implant or Testicle implant is a surgical procedure for Female to Male surgery and part of gender affirmation surgery after metoidioplasty or phalloplasty and should be perform second surgical procedure at least 6 months after metoidioplasty surgery. The decision when to place these prostheses will be made each case by case. The surgeon will evaluate depend on the degree of inflammation present and other circumstances.

For HydroCone (testicular ball implant for FtM surgery), the product is a gel implant. A clear polymeric material that is soft and flexible. Inner surface has a coating made of hyaluronic acid, extremely slippery when hydrated with sterile saline solution. Key benefits on using HydroCone (Testicular implant Female to male surgery) may reduce post operative complications such as decrease capsular contracture and reduce surgery time in operation.

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


Best Candidate for Ball Implants (FtM surgery) at PAI.

PAI (Preecha Aesthetic Institute), we are following WPATH/HBIGDA or SOCs or Asia PATH.

  • Must been done Metoidioplasty at least six months
  • Physically healthy and emotionally stable with realistic expectations
  • At least 18 years old (need a parent’s show up sign permission to pursue surgery) ; if fully 20 years old able to come by yourselves

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)


Preecha Aesthetic Institute (PAI) is the first multidisciplinary Aesthetic and Reconstructive center also best well known the pioneer in Sex Reassignment Surgery (Male to Female and Female to Male) Thailand since 1980. The center has the most advanced 10 consultation rooms, 6 operation rooms (local anesthesia), equipment to any leading Aesthetic Plastic Surgery completed with recovery rooms and the internationally accepted standard of hygienic system.

  • Testicle implant (ftm surgery) is perform under general anesthesia (required one night in hospital).

All cases under general anesthesia, PAI's using two major private International Standard Hospitals affiliated - JCI accredited for healthcare promoting center located in Bangkok under the philosophy of "World class quality with Thai hospitality", private patient rooms, 230 beds, modern medical technology, equipment, emergency and hospital receiving accreditation for high-quality. All direct consultations and follow up appointments are set at Preecha Aesthetic Institute.

  • Two international standard hospitals - JCI accredited International Hospitals 
  • Surgical will perform an affiliated hospital ⇒ General Anesthesia ⇒ International Standard Hospital.
  • All consultations, medical health checks, preparation and follow up are appoints within Preecha Aesthetic Institute.
preecha aesthetic institute (PAI)

PAI's clinic (main clinic)

International Standard Hospital (JCI accredited)

Affiliated hospital

Affiliated hospital


  • 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. 


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


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.

  • Required one night in hospital private room
  • Limit movements as much as possible for five days.

Recovery Timeline Testicle implant (ftm surgery)

  • The day after surgery before discharge hospital. PAI doctor team will visit to discharge from hospital.
  • Able to walk slowly after day 3.
  • Removing stitches will appoint 5 days after surgery.
  • No heavy exercise 4 weeks after surgery.
  • The decision on when to return to work and normal activities depends on how fast you heal and how you feel.

Recovery time for testicle implant ftm surgery can take from 3 to 6 weeks. The patient does not recommend  to do any strenuous activity, lift heavy objects for at least a four weeks after surgery. Also should wait until the surgery site has fully healed before having sexual intercourse. Fully healing can take up to 3 months.

Treatment after surgery
during the first 7 days

  • Removing incisions five days after surgery
  • Light walk is recommend after 3 nights surgery
  • No heavy exercise three months after surgery
  • Scars are usually well hidden and normally fade in time
  • Swelling and bruising can be minimized with one to three month (s)
  • Frequent naps are recommend 

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

One hour

services icon 2 150x150Anesthesia

General Anesthesia


a week

services icon 4 150x150 Strenous Activity

After 4 weeks

Swollen and Bruise

a month

useful information


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.

  • 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.


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.

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