designed to help individuals align their physical body with their male identity. This treatment is suitable for transgender men and individuals seeking a more masculine body structure. At Siamese Hospital, we provide comprehensive FTM surgery in Thailand, combining advanced surgical techniques with personalized care and international medical standards.

 

What is Female-to-Male (FTM) Surgery?

FTM surgery refers to a range of surgical procedures that modify the body to achieve a more masculine appearance. This process is highly individualized and may include:

• Chest masculinization (top surgery)
• Removal of reproductive organs (hysterectomy & oophorectomy)
• Construction of male genitalia (bottom surgery)

  Not all patients require every procedure. Each treatment plan is tailored based on individual goals and medical evaluation.

 

Types of FTM Surgery

1. Top Surgery (Chest Masculinization) Top surgery is one of the most common procedures for transgender men. It involves removing breast tissue and reshaping the chest to create a flat, masculine contour. Surgical techniques may include:

• Double incision (for larger chest sizes and sagging)
• Peri-areolar or Keyhole techniques (for smaller chest sizes)

  The technique is selected based on the patient’s anatomy to achieve the most natural-looking results. After surgery, patients often report increased confidence in daily life and clothing.   2. Hysterectomy & Oophorectomy This procedure involves the removal of the uterus and ovaries. It is suitable for individuals who:

• Do not wish to have menstruation 
• Do not plan to have biological children in the future

  3.Bottom Surgery (Genital Reconstruction) There are two primary options for genital reconstruction:    1.Metoidioplasty This technique uses the hormonally enlarged clitoris to create a small phallus. Advantages:

• Smaller surgical wounds
• Preserves natural sensation
• Shorter recovery time

  Limitations:

• Smaller size compared to phalloplasty
• Standing urination may not be possible in all cases

     2.Phalloplasty Phalloplasty involves constructing a new penis using tissue grafts from other parts of the body, such as the forearm or thigh. Advantages: Greater length and more typical male appearance   Limitations:

• More complex, multi-stage surgery
• Longer recovery period
• Higher risk of complications (e.g., urethral issues such as fistula or stricture)

 

Pre-Surgery Preparation

Before undergoing FTM surgery, patients must complete a comprehensive evaluation to ensure safety and optimal outcomes. Consultation with a multidisciplinary medical team (surgeon, hormone specialist, psychiatrist, etc.) Physical and psychological assessment (psychiatric certification is required) Understanding the expected outcomes, risks, and limitations of each procedure Fertility counseling (egg preservation may be considered before surgery or hormone therapy) Avoid smoking and alcohol before surgery Medical clearance for patients with underlying conditions

 

Recovery Timeline

Recovery varies depending on the procedure:

• Top Surgery: 2–4 weeks recovery, avoid heavy lifting for at least 6 weeks
• Hysterectomy & Oophorectomy: Approximately 4–6 weeks recovery
• Bottom Surgery: Longer recovery period, often performed in multiple stages over several months to 1–2 years

 

Risks and Complications

As with any surgical procedure, FTM surgery carries potential risks, including:

• Bleeding and infection
• Visible scarring
• Urethral complications (in some bottom surgery cases)
• Possible need for revision surgery

Our medical team prioritizes safety and provides close follow-up to minimize risks.

 

Post-Operative Care

• Hospital stays as advised by the surgeon
• Avoid strenuous activities during early recovery
• Strict wound care
• Attend all follow-up appointments
• Personalized aftercare guidance for optimal healing

 

Expected Results

Most patients report significant improvements in:

• Self-confidence
• Body image satisfaction
• Overall quality of life

Aligning physical appearance with gender identity can greatly enhance emotional well-being and daily living.

 

Why Choose Siamese Hospital for FTM Surgery in Thailand?

• Experienced plastic surgeons specializing in gender-affirming surgery
• Hospital-level operating standards and safety protocols
• Personalized, case-by-case treatment planning
• Comprehensive pre- and post-operative care
• Trusted by both local and international patients

 

Begin Your Gender-Affirming Journey

FTM surgery is a personal journey that requires careful planning and expert medical support. Not every patient needs every procedure — your treatment can be customized to match your goals. If you are considering FTM surgery in Thailand, our team at Siamese Hospital is here to guide you every step of the way.