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Sex Reassignment Surgery (Male to Female) in Philippines
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Agusan del Norte, Philippines 
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Pangasinan, Philippines 
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What is the cost of Sex Reassignment Surgery (Male to Female) in Philippines?
One of the most common inquiries about the Sex Reassignment Surgery (Male to Female) pertains to its expense. The financial burden associated with the procedure may significantly impact one's decision to pursue it. Nonetheless, it's not easy to pinpoint the exact cost, given that numerous factors can influence it. In Philippines, the total cost of the procedure may fluctuate considerably based on factors like surgeon qualification, the intricacy of the operation, and the span of hospitalization, to name a few.
It's vital to acknowledge that the Sex Reassignment Surgery (Male to Female) is not a one-off event, but entails a succession of treatments and surgeries. Typically, it includes mental health sessions, hormone treatments, and several surgical procedures, all of which add to the general cost. Expenses post-surgery, such as medication, check-up appointments, possible extra surgeries, and supplementary therapies, also require consideration. Furthermore, expenses for travel and lodging in Philippines should be taken into account. For a precise cost approximation, reach out directly to the clinic.
What does a Sex Reassignment Surgery (Male to Female) Procedure Involve?
Clinically speaking, sex change operation is known as “Genitoplasty Procedure”. This type of procedure can be performed to transition an individual from female to male and from male to female.
It is very important to understand that before you undergo surgery, you will need to first transition. Gender transition is a lengthy process that requires a lot of patience and resilience. In addition, it will be of great help if you have a strong support system to back you up in times of difficulty. It’s also essential that you have a therapist to not just help you with your emotional wellbeing before and after the transition, you will also need a letter of recommendation from your therapist before your surgery.
Transitioning from male to female will involve penectomy (removal of the penis), orchiectomy (removal of testes), vaginoplasty (creation of a vagina), and feminizing genitoplasty (creation of female genitalia). During the surgery, you will be induced with a general anesthetic.
You must start hormone treatment a year prior to your surgery to help reshape your body contours and stimulate the growth of your labia majora. Hormone treatment will be continued even after your sex-change operation.
There are popular MTF sex reassignment surgery techniques which you can choose from, two of which are: sex reassignment surgery with skin graft technique - the most popular SRS procedure, vaginal depth is up to 13-15cm (5-6 in). Another is sex reassignment surgery with colon graft - suitable for people with less scrotal skin and those who prefer a lubricated vagina and is considered as the most expensive procedure.
There are other procedures that you can undergo to fully transition from male to female. These may include; breast implants, facial feminization surgery (FFS), and another procedure would be to minimize the appearance of your Adam’s apple, etc. All procedures to help one fully transition will vary on the individual’s need and of course, their budget.
Prerequisites to Surgery
- Patients must be at least 20 years old or have consent from parents / legal guardians for those between 18 and 20.
- At least 12 months of successful and continuous real-life experience living as a woman.
- At least 12 months of continuous hormonal therapy.
- Must consult with a psychiatrist in the home country and in the country where the procedure will be performed (this can be arranged in your chosen hospital in Philippines).
- Physically fit for surgery.
Popular MTF Sex Reassignment Surgery (SRS) Techniques
1. SRS with Penile Skin Inversion
- Suitable for patients who do not want a vagina for sexual intercourse, particularly popular with elderly trans people. Depth is around 2-4 cm (1-2 in) and penile hair removal is required prior to surgery.
- Surgery: 2.5 hours
- Hospitalization: 4 nights
- Recovery time in Philippines: 3-4 weeks
2. SRS with Scrotal Skin Graft
- Scrotal skin is used to create a vaginal depth of up to 13-15 cm (5-6 in), depending on skin quality and quantity (additional depth is possible by using groin skin). This is the most popular SRS procedure.
- Surgery: 4 hours
- Hospitalization: 6 nights
- Recovery time in Philippines: 3-4 weeks
3. SRS with Sigmoid Colon by Laparoscopic Technique
- The Sigmoid colon is used to create the vagina, allowing for greater depth than what is possible with SRS with a scrotal skin graft. More suited to those with less scrotal skin or those who prefer to have a lubricated vagina, like that of a biological woman. By far the most expensive technique.
- Surgery: 6 hours
- Hospitalization: 7 nights
- Recovery time in Philippines: 3-4 weeks
How Long Should I Stay in Philippines for a Sex Reassignment Surgery (Male to Female) Procedure?
A lot of patients prefer having surgery overseas since it is far less expensive and most countries, like Philippines, have a very high success rate in terms of plastic surgery and gender reassignment surgery.
Recovery after surgery will be a long and painful process. It will also require several follow up procedures as well as constant monitoring so you will have to stay a little bit longer at the hospital until you are ready to be discharged. Generally, allow for a minimum of 3 weeks stay in Philippines after your surgery, this will allow for the removal of stitches and a few weeks of follow up visits with the surgeon.
What's the Recovery Time for Sex Reassignment Surgery (Male to Female) Procedures in Philippines?
Smoking before and after the surgery is highly discouraged and avoid smoking for at least two weeks to reduce risks of non-healing.
Most people are able to return to work in about 4-6 weeks after a sex change operation. Furthermore, you can resume strenuous work and exercise after 2 months. It is vital that you strictly follow all medication instructions during your recovery period.
Keep in mind, recuperation incorporates not only physical healing but also emotional rejuvenation. The Sex Reassignment Surgery (Male to Female) implies a noteworthy modification in your way of living and acclimating to an altered body image and social identification requires patience. Mental health guidance proves to be an important element in the healing journey, offering emotional assistance and managing any mental obstacles that come up.
What sort of Aftercare is Required for Sex Reassignment Surgery (Male to Female) Procedures in Philippines?
Social support is very important before and after the surgery, especially the support that comes from your family and loved ones. You have to be socially and emotionally stable before you undergo the operation. This is why it is required that you have proper counseling to help you with your emotional wellbeing. You have to prepare yourself mentally, before, during and after transition because it can be quite overwhelming and stressful.
It is also important that you maintain a regular check-up with your local doctor to monitor the progress of your healing and avoid complications.
What's the Success Rate of Sex Reassignment Surgery (Male to Female) Procedures in Philippines?
The success rate for a sex change is very high nowadays, given technological advancements and the greater experience of surgeons. Gender reassignment surgery from male to female has a higher success rate than female to male; this is why more male transgender people opt for a sex change.
However, given the nature and complexities of this type of surgery, you also have to be aware of its complications, for example, there is always a possible risk of infection, severe pain, given the intrusive nature of the surgeries and the potential for blood clotting and scarring.
Possible side effects may also include a decreased sexual sensation and ability to orgasm, fistula (opening between rectum and vagina), narrowing of vagina and hair growth in the vagina from the grafted tissue and the partial death of tissue used to create the new vagina.
Are there Alternatives to Sex Reassignment Surgery (Male to Female) Procedures in Philippines?
There is no alternative to a sex-change operation for those who want to fully transition their body to match their gender identity. Undergoing gender reassignment surgery will require a lot of time, energy, patience, and of course money. A vast majority of people who experience gender dysphoria never really surgically alter their appearance. Instead, they use creams and hormonal pills to alter their bodily appearance. Estrogens (female hormones) will help develop the breast, widen the hips, help lose facial hair and slightly increase voice pitch.
What Should You Expect Before and After the Procedure
Prior to even undergoing the Sex Reassignment Surgery (Male to Female), those considering this option should be aware that their health care provider will necessitate a thorough evaluation phase. This is implemented to ascertain that the individual is thoroughly prepared, both physically and mentally, for the major changes that the procedure implies. The evaluation generally includes multifaceted assessments of physical and mental health, as well as evaluating certain social circumstances. The objective of these assessments is to gauge the individual's preparedness and appropriateness for the procedure.
In this initial stage, the health care provider implements a cross-disciplinary strategy, typically engaging a collaborative team made up of endocrinologists, psychologists, and surgeons. The aim is the effective provision of required hormone therapy and mental health counseling, alongside addressing any possible health-related issues. This pre-surgery stage also serves to educate and obtain consent, meticulously discussing details such as the implications, possible outcomes, risks, and difficulties related to the Sex Reassignment Surgery (Male to Female). Once approved for surgery, patients should be ready to adhere strictly to all pre-surgery directions to lessen any potential risks and complications during the process.
Post Sex Reassignment Surgery (Male to Female), patients should gear up for a substantial recovery period. This will require dedicated wound maintenance, compliance with prescribed medicines, and following specific physical limitations to assist healing. Depending on the specific nature of the surgery, some patients might also have to adhere to a vaginal dilation plan. This plan necessitates consistent use of dilators to avoid the newly created vagina from becoming narrow during the healing period.
What are Potential Risks of Sex Reassignment Surgery (Male to Female)?
A comprehensive understanding and consideration of prospective hazards and difficulties linked to Sex Reassignment Surgery (Male to Female) is vital before proceeding. As a significant surgical operation, it inherently possesses hazards such as intolerance to anesthesia, surgical infections, hematoma or blood congregating outside the blood vessels, excessive bleeding, or suturing problems. Even with the advancements in modern surgical procedures that help minimize these risks, they cannot be entirely eradicated and, therefore, must be anticipated.
The Sex Reassignment Surgery (Male to Female) encompasses elaborate and multifaceted surgeries like vaginoplasty, which have unique inherent risks. Some of these potential hazards include the possibility of diminished sexual sensitivity, complications in urinary functions, or challenges with the dimensions of the newly formed vagina. Other complications can include issues such as vaginal stenosis, a scenario where the vagina gradually shrinks and lessens over time, or rectovaginal fistula, a rare situation where a connection forms between the rectum and vagina unintentionally. Sometimes, more corrective surgeries might be necessitated due to post-surgical complications.
Popular Procedures to Combine with SRS
- Usually performed in one operation: Orchiectomy to remove the testicles and prevent further production of testosterone, Penectomy to remove the penis and Vaginoplasty to form the female genitalia
- Breast Augmentation to create the breasts, which is usually performed at a later date.
- Facial Feminization Surgery (FFS) and Tracheal Shave to help feminize the facial features and is not necessary for many patients.
- Hair Implants, Hair Removal Therapy, and Continued Hormone Replacement Therapy.
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers. This content was last updated on 10/11/2023.
Sex Reassignment Surgery (Male to Female) in and around Philippines
About the Philippines
The Philippines is an island nation in the heart of Southeast Asia. It extends from the south of China to the northern tip of Borneo. It is also known as the ‘Pearl of the Orient Seas’, the Philippines is an archipelago of 7,107 islands. It comprises three main island groups, Luzon, Visayas, and Mindanao. Manila, the capital city, lies in the southwestern part of Luzon. Quezon City is the largest and most populous city in the country.
It is a prominent English-speaking country and was once a colony of Spain and the United States. It’s the most Westernised country in Asia. However, its culture is a mix of indigenous Malay culture and Spanish and American heritage.
Besides being one of the top tourist destinations, the Philippines is also an emerging medical tourism destination. It ranks in 8th position among popular medical tourism countries and more than 10,000 medical tourists visit the Philippines every year for various treatments. The following factors all contribute to the progress of medical tourism within the Philippines.
- Expert and board-certified medical professionals with international qualifications and training.
- Internationally-accredited hospitals with state-of-the-art medical equipment and modern facilities.
- Affordable costs compared to advanced nations
- Inexpensive accommodation
- The English language is widely-spoken making communication with the Medical team and patients easy.
- Tropical climate helps in the recovery and recuperation
The most common and popular procedures and treatments in the Philippines are cosmetic surgery, weight-loss surgery, dermatology, ophthalmology, and dentistry. As of late, people come here even for liver and kidney transplant surgeries, and cardiac surgeries due to the cost advantage it provides.
For example, a Breast Augmentation surgery that costs between $7,500-$8,500 in the US costs only between $3,000-$3,500 in the Philippines which would be a saving of about 58% to 60%. Also, a coronary artery bypass surgery costing $70,000-$133,000 in the US, will only cost between $11,500-$17,500 and would result in a saving of almost 83% to 86%. Even after adding travel and living expenses, it still makes it a, very good value for the patient to get medical care in the Philippines and several of the more popular Hospital and Clinics are located in Manila, and are St. Luke's Medical Center, Makati Medical Center, The Medical City and Asian Hospital and Medical Center
Popular Parts of the Philippines
The Philippines has a total land area of 116,000 square miles, with a large population of 107,791,044 million people. It has many pristine beaches, mountains, rainforests, islands, heritage towns, and monuments, With hotels, food, and transportation very affordable, it’s also a good budget tourism destination.
The following are some of the most beautiful places to visit in the Philippines:
- El Nido –is known for its white-sand beaches, clear turquoise waters, and coral reefs and is the gateway to the Bacuit archipelago which is a group of islands. The laid-back town of El Nido is a base for island-hopping tours, and kayaking trips to mountainous Cadlao Island, El Nido is situated on the northern edge of mainland Palawan.
- Coron – Is also situated in Palawan and is known for its warm waters, ideal for snorkeling, kayaking, and deep diving. The breathtaking Kayangan Lake, surrounded by karst walls is a visual treat. It is the cleanest lake in the Philippines.
- Tubbataha Reefs Natural Park –is also part of Palawan and is situated to the southeast, in the Sulu Sea. It’s home to countless coral reefs, and expansive breeds of fish, dolphins, sharks, and whales and It is a great water destination for divers.
- Banaue Rice Terraces – They lie within the mountainous region of the Cordilleras. The rice terraces are about 2,000 years old, a result of the labor of the predecessors of the region and They provide efficient space for people to farm on.
- Intramuros – The walled historical area of Manila contains the remains of a bygone era with its cobblestone streets and preserved remnants. Walking tours and carromata rides (two-wheeled box-like vehicles drawn by a single native pony) are popular here.
- Mount Mayon –is a 2,500-meter-tall active volcano. It’s famed for its perfect symmetry and accurate conical shape. You can enjoy the view from some distance or experience it at close quarters, by hiking for a couple of days.
- Hinatuan Enchanted River – Locals believe the river has mystical qualities. They feel fairies and Engkanto (other nature spirits) guard the enchanting blue-green river. The unknown source of clear saltwater is another mystery surrounding the river.
Boracay and Siargao are other popular tourist spots with their powdery white sand and water activities.
Weather and Climate in the Philippines
The Philippines has a tropical maritime climate. The general weather is hot and very humid. It experiences only three seasons:
- Summer Season – A very hot and dry summer season is between March and May.
- Wet Season – Rainy Season is between June and November when the southwest monsoon is most active. In this period, typhoons are common, especially during September and October.
- Dry Season – There is a cool and dry season between December and February, due to the cold winds brought in by the northeastern monsoon.
The average temperature of the Philippines ranges between 25°C and 32°C (78-90°F) with humidity of about 77%. High-altitude areas are much cooler, with night temperatures dropping to 20°C (68°F). The average annual temperature is around 26.6°C (79.9°F)
Getting Around in the Philippines
The Philippines is an island nation, most international travelers reach the country by air. The country has many international airports in various cities including Cebu, Davao, Manila, Kalibo, and Angeles.
Many airlines operate flights in and out of Manila to several destinations. Philippine Airlines, Cebu Pacific, and Air Asia are the national carriers of the Philippines. Singapore Airlines, Cathay Pacific, and many Middle Eastern airlines operate direct flights to Manila. The Southeast Asian cities of Bangkok and Ho Chi Minh City have wide connectivity to Manila and Cebu. You can reach Manila directly from London by flying Philippine Airlines. US travelers can fly via Japan to the Philippines.
Cebu Pacific, Tigerair Philippines, and PAL Express are some low-cost carriers that service domestic destinations in the country.
For transport within the Philippines, you have Jeepneys which are WWII- army jeeps converted into transport jeeps. They are cheap, open, and usually fully loaded with passengers which are normally cramped with 14 to 20 people sitting shoulder to shoulder depending on the length of the vehicle They operate as collective taxis, picking up and dropping passengers within cities.
Tourist Visas in the Philippines
Travelers from more than 150 countries that have diplomatic relations with the Philippines can enter the country without a tourist visa. EU, Australia, Japan, and the US are a few visa-exempt countries. In general, you can stay for up to 30 days, provided your passport is valid for at least six months after your arrival. Showing proof of onward and return journeys is compulsory.
Citizens of India, China, and Egypt are some of the countries that will need to get a visa in advance to enter the Philippines.
Additional Information
- Philippine Peso or Piso (PHP) is the official currency of the Philippines. Its subdivision is 100 centavos or centimos for a Peso. The current exchange rate for one US dollar is 51.99 PHP. You will be able to use US Dollars in Metro Manila and possibly in Cebu City. In other areas, it’s better to have pesos for exchange.
- You will find all major banks and plenty of ATMs everywhere. Master and Visa cards are accepted in most businesses.
- Tagalog or Filipino language is the main spoken language. English is also spoken and understood in the Philippines, due to the US influence during its colonization.
- Roman Catholicism is the major religion of the Philippines. 91% of the population are Christians and about 5.5% comprises of Islam religion.
- New Year’s Day, Araw ng Kagitingan, Independence Day, National Hero’s Day, Bonifacio Day, and Christmas are some of the important holidays in the Philippines.
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