overview

Trans Men Vaginectomy (Closed Vagina Surgery)

Vaginectomy, sometimes referred to as Closed Vagina Surgery (Female-to-Male surgery), is a gender-affirming procedure that removes the vaginal lining and closes the vaginal canal. For trans men, vaginectomy is also known as colpectomy, closed vagina, vaginal closure, or colpocleisis.

This procedure is often combined with other FtM surgeries such as metoidioplasty as part of gender confirmation surgery. In some cases, vaginectomy may also be performed at a later stage following metoidioplasty.

It is important for patients to have realistic expectations about what reconstructive surgery can and cannot achieve. At Preecha Aesthetic Institute, highly experienced surgeons such as Assoc. Prof. Dr. Preecha Tiewtranon, Dr. Burin Wangjiraniran, and Dr. Sutin Khounsongserm (Board-certified in Cosmetic & Reconstructive Surgery, Thailand) are well-positioned to guide patients through the decision-making process. An open and honest dialogue with your surgeon is essential to ensure clarity and avoid misunderstandings.

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

Vagina Clouser CANDIDATE

Best Candidates for Vaginectomy at PAI (Preecha Aesthetic Institute)

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

These guidelines help assess eligibility for Vaginectomy 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.

  • Much of the criticism surrounding the WPATH/HBIGDA/Asia PATH
  • Psychological evaluation letter by qualified mental health professional
  • Must undertake testosterone at least 12 month
  • Real-Life experience
  • Physically healthy and emotionally stable with realistic expectations
  • Must be over 18 year old with good health condition

Vagina Clouser PACKAGE's INCLUDED

Package is include with Vaginectomy 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
  • 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.

  • Trans men vaginectomy (vaginal closure, colpectomy) 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)

Preecha Aesthetic Institute

Affiliated Hospital

International Standard Hospital (JCI accredited)

Affiliated Hospital

SERVICE ACCOMMODATION

  • Transportation pick up from airport –hotel-hospital-clinic-airport as well as follow up period (optional)
  • Hotel reservation within 2 KM from PAI's clinic
  • Interpreter services with any language

Risk of Vaginectomy

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. 

QUESTION, APPOINTMENT AND SCHEDULE

As an innovative research-focused center, Preecha Aesthetic Institute (PAI) frequently collaborates with overseas academic medical universities and hosts international guest speakers. We have performed sex reassignment surgery (SRS) for patients of all ages and earned a strong reputation as a specialized reconstructive surgery center.

PAI is recognized as a leading institution for sex affirmation surgery in Thailand, founded by Assoc. Prof. Preecha Tiewtranon, MD, along with Dr. Sutin Khobunsongserm, MD and Dr. Burin Wangjiraniran, MD, FRCST. Over the past 40 years, our team has pioneered surgical refinements and innovations that continue to advance gender confirmation procedures worldwide.

Dr.Preecha Tiewtranon MD, Dr.Burin Wangjiraniran MD FRCST and Dr. Sutin Khobunsongserm MD, all Board of Plastic & Reconstructive surgery.

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

  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

sample result

Metoidioplasty and closed vagina after 12 days and after one year FtM surgery, baby penis FtM surgery

Vaginectomy after 12 days and after 1 year

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:

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 of closed vagina surgery and any risks or potential complications.


Preparation for closed vagina surgery.

  • Inform us about any allergies, any serious medical condition(s), and all medications you are
    taking (both prescription and non-prescription)
  • Qualify letter from Psychiatrist doctor or Hormone Therapist
  • No Aspirin 2 days 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 9 days (Before and after) surgery

 

 Vaginectomy Surgical Dates 

Day 0 - Arrival date (check in hotel)

Day 1 - Consultation and Prepare for Laboratory Testing

Day 2 - Medical Health checks

Day 3 - Check out hotel. Surgery

Day 3 - Surgery date (one night in hospital) 

Day 4 - Discharge from hospital in the afternoon or doctor visited

Day 4 to  Day 10 - Check in hotel, stay in hotel for recovery period and follow up on doctor appointment

Day 10 - Stitches removal

Day 10 - Final checks and prepare for letter fit to fly


 

Things should bring from home for vaginectomy.

  • Button-up shirts in large sizes
  • joggers or loose pants
  • Slip-on shoes or slippers
  • Phone charger, long phone charger
  • Books, magazines
  • Travel neck pillow
  • Personal medicines 
  • Underpads

 

The vaginal walls are sutured together and the vaginal opening is closed. 

Summary:

  • 2 - 4 weeks: basic healing, light activity possible.
  • 6 - 8 weeks: most patients resume normal life.
  • 3 - 12 months: complete recovery and scar settling.

Possible Delays in Recovery

  • Smoking, diabetes, poor nutrition, or infections may slow healing.

Day 0 - Arrival date (check in hotel)

Day 1 - Consultation and Prepare for Laboratory Testing

Day 2 - Medical Health checks

Day 3 - Check out hotel. 

Day 3 - Hospital checks and surgery (one night in hospital) 

Day 4 - Discharge from hospital in the afternoon or doctor visited

Day 4 to Day 10 - Check in hotel, stay in hotel for recovery period and follow up on doctor appointment

Day 10 - Stitches removal

Day 10 - Final checks and prepare for letter fit to fly


 

Recovery Timeline After Vaginectomy

First Week (Days 1–7)

  • Hospital stay: usually 1 night (longer if combined with other surgeries).
  • Pain, swelling, and bruising are most noticeable in this period.
  • Walking with assistance is encouraged to prevent clots.
  • Antibiotics and pain medications are prescribed.
  • Stitches removal day 7

Weeks 2–4

  • Swelling and discomfort gradually decrease.
  • Light activity allowed (gentle walking).
  • No heavy lifting, exercise, or sexual activity.
  • Outpatient follow-up visits for wound checks and suture healing.

 

Weeks 5–6

  • Majority of soft tissue healing occurs.
  • Many patients can return to office work or light duties if not combined with larger surgery.
  • Mild soreness may persist, especially when sitting for long periods.
  • If performed with phalloplasty, recovery is slower due to urethral healing.

Weeks 7–12

  • Surgical area should be fully closed and well-healed.
  • Gradual return to physical activity and exercise.
  • Clearance for sexual activity (if no complications).
  • Ongoing monitoring for scar tissue, infection, or urinary issues.

Long Term (3–12 Months)

  • Full internal healing and scar maturation.
  • Any minor tightness or discomfort usually subsides.
  • If vaginectomy was part of phalloplasty, long-term monitoring of the urethra and reconstructed anatomy is important.

Possible Delays in Recovery

  • Smoking, diabetes, poor nutrition, or infections may slow healing.

Treatment after surgery
during the first 7 days

First Week (Days 1–7)

  • Hospital stay: usually 1 night (longer if combined with other surgeries).
  • Pain, swelling, and bruising are most noticeable in this period.
  • Walking with assistance is encouraged to prevent clots.
  • Antibiotics and pain medications are prescribed.
  • Stitches removal day 7

surgery info:

logo preecha aesthetic bangkok
Closed Vagina for Trans Men

is referred to “vaginectomy”, “colpectomy”, “closed vagina”, “vagina clouser” or “colpocleisis” FtM, closed vagina for trans men.

services icon 1 150x150 1
TIME REQUIRED

60 - 80 minutes

services icon 2 150x150Anesthesia
ANESTHESIA

General Anesthesia

BACK TO WORK

7 days (desk job)

services icon 4 150x150 Strenous Activity
STRENUOUS ACTIVITY

3-4 weeks

Surgery Schedule

Schedule Appointment Consultation / Surgery / Question Vaginectomy (closed vagina) Female to Male at Preecha Aesthetic Institute.

Once you know your planning date for surgery

testimonials

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: Can I consider closed vagina without Hysterectomy or ovary removal ?

A: Closed vagina does not recommend, if you still not performed hysterectomy + ovary removal.

Q: Can Metoidioplasty, closed vagina and hysterectomy ovary removal able to perform at the same trip ?

A: Yes. These can be perform at the same trip. But required stay at least 3 weeks here.

?

Set up an appointment with us.

Write your question, interest at consult us in program form

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