Male to Female Surgery

Male-to-Female (MTF) surgery, also known as gender-affirming surgery, is a procedure designed to help individuals align their physical body with their female identity.

This surgery focuses on creating a natural-looking female genital structure (vagina) while prioritizing safety, functional outcomes, and overall quality of life.

At Siamese Hospital, we provide MTF surgery in Thailand with a personalized approach, international medical standards, and a multidisciplinary care team.

What is MTF Surgery?

MTF surgery (vaginoplasty) is a procedure that transforms male genital anatomy into female genitalia, including:

  • Creation of a vaginal canal (neovagina) 
  • Formation of labia (external genitalia) 
  • Creation of a clitoris for sensation 

 

Each treatment plan is customized based on the patient’s anatomy and goals.

Types of Vaginoplasty Techniques

1. Penile Inversion Vaginoplasty (PIV)

This is the most performed technique worldwide.

  • Uses existing genital skin to create the vaginal canal 
  • Well-established and widely practiced 
  • Good functional and aesthetic outcomes
  •  

MTF surgery is a life-changing journey that requires careful planning and expert support.
At Siamese Hospital, we are here to guide you every step of the way.

2. Peritoneal Flap Vaginoplasty (PFV)

A modern technique often performed with advanced surgical technology.

  • Uses internal tissue (peritoneum) 
  • Helps increase depth and natural lubrication 
  • Suitable for patients with limited skin tissue 
  •  

3. Intestinal (Sigmoid) Vaginoplasty

Uses a segment of the intestine to create the vaginal canal.

  • Provides natural moisture 
  • Achieves good depth 
  • Often used in revision cases or when other techniques are not suitable 
  •  

Who is Suitable for MTF Surgery?

Patients are generally considered suitable when:

  • They have a consistent gender identity and understanding of the procedure 
  • They are physically and mentally ready for surgery 
  • They understand the benefits, risks, and long-term care 
  • Their overall health is well controlled 

 

A consultation with a multidisciplinary team (surgeon, hormone specialist, mental health
professional) is essential before proceeding.

Pre-Surgery Preparation

Before surgery, patients should:

  • Complete medical and psychological assessments 
  • Discuss expectations and surgical options with the doctor 
  • Consider fertility preservation (sperm storage) if future biological children are desired 
  • Stop smoking and follow medical advice carefully 
  •  

Recovery After Surgery

  • Hospital stays: approximately 3–5 days 
  • Return to daily activities: around 6–8 weeks 
  • Full recovery varies depending on the individual

Important: Vaginal Dilation

After surgery, patients need to perform regular dilation to maintain vaginal depth and shape.
This is a key part of long-term success

Risks and Considerations

As with any major surgery, there are potential risks:

  • Bleeding or infection 
  • Wound healing issues 
  • Narrowing of the vaginal canal 
  • Urinary changes 

These risks can be minimized with proper surgical technique and follow-up care.

Results and Benefits

Most patients report:

  • Improved self-confidence 
  • Better alignment between body and identity 
  • Enhanced quality of life

 

With proper preparation and aftercare, outcomes are generally highly satisfying.

Why Choose Siamese Hospital for MTF Surgery in Thailand?

  • Experienced surgeons in gender-affirming surgery 
  • International-standard operating facilities 
  • Personalized treatment planning 
  • Multidisciplinary care team 
  • Comprehensive aftercare and follow-up

Start Your Journey with Confidence

MTF surgery is a life-changing journey that requires careful planning and expert support.
At Siamese Hospital, we are here to guide you every step of the way.

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FAQ

FAQ

What is MTF surgery?

MTF surgery (vaginoplasty) is a procedure that creates female genitalia, including a vaginal canal, labia, and clitoris, to align the body with female identity.

  • Hospital stays: 3–5 days

  • Return to daily activities: 6–8 weeks

  • Full recovery varies from person to person.

Yes. Vaginal dilation is essential to maintain depth and shape. It is required regularly at first and gradually reduced over time.

Most patients can resume sexual activity after 2–3 months, depending on healing and the
doctor’s evaluation.

No, after surgery, sperm production is no longer possible. It is recommended to consider sperm
preservation before surgery if needed.

Specialists in Male to Female Surgery

Specialists in Male to Female Surgery

นพ.ธยาน์ สิชฌนาสัย (หมอดุ๊ก)

ศัลยแพทย์ตกแต่งเฉพาะทาง ว.45732

Dr. Ngamcherd Sitpahul (Dr. Wan)

Medical License: 32013

นพ.ฐิติ ตันติธรรม (หมอบอส)

ศัลยแพทย์ตกแต่งเฉพาะทาง ว.38041

นพ.ธยาน์ สิชฌนาสัย
(หมอดุ๊ก)

ศัลยแพทย์ตกแต่งเฉพาะทาง ว.45732

ศัลยแพทย์เฉพาะทาง

นพ.ฐิติ ตันติธรรม
(หมอบอส)

ศัลยแพทย์ตกแต่งเฉพาะทาง ว.38041

ศัลยแพทย์เฉพาะทาง

พ.ญ.งามเฉิด สิตภาหุล
(หมอหวาน)

ศัลยแพทย์ตกแต่งเฉพาะทาง ว.32013

ศัลยแพทย์เฉพาะทาง

Other Surgeries at Siamese Hospital

Other Surgeries at Siamese Hospital

Caring for every step of your journey with expertise,
understanding, and international standards.

Caring for every step of your journey with expertise, understanding, and international standards.

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