Bottom Surgery in Thailand: A Comprehensive Guide
Thailand is the world leader in gender reassignment surgery in Thailand, and bottom surgery is in high demand for trans individuals to align with their identity. Thai clinics offer safe and transformative care with advanced techniques and proven results. Keep reading to find out all the details you need.
What is Bottom Surgery?
Bottom surgery refers to gender affirming procedures to alter the genitalia to match the individual’s gender identity. It helps to alleviate gender dysphoria and overall physical and emotional well-being.
Vaginoplasty – Creating a Neovagina
Vaginoplasty is for trans women. Thailand is famous for its advanced techniques and has several options for individual needs.
Penile Inversion Vaginoplasty
The most common technique is using penile skin to create the vaginal canal. The clitoris is formed from the penile glans, preserving sensitivity.
Colon Graft Vaginoplasty
Uses the colon segment for the vaginal canal. Ideal for patients with insufficient penile tissue, providing natural lubrication.
Peritoneal Vaginoplasty
Uses abdominal lining tissue to construct the vagina. Popular for minimal scarring and low complications.
Phalloplasty – Creating a Functional Penis
Phalloplasty is the creation of a penis using tissue from other parts of the body. Thai surgeons are well known for performing highly successful phalloplasties as part of gender reassignment surgery in Thailand.
Techniques Used in Phalloplasty
Surgeons will choose the technique based on the patient’s anatomy and the desired outcome:
Radial forearm flap (RFFP). The most common method is using forearm skin.
Anterolateral thigh flap (ALT). Uses thigh tissue, ideal for larger body mass.
Latissimus dorsi flap. Uses back tissue as an alternative option.
Functional Aspects of Phalloplasty
Urinary function. Creates functional urethra for standing urination.
Sexual function. Nerve grafting and implants for sensation and function.
Aesthetic considerations. Natural appearance with optional testicular implants.
With expert planning, patients achieve both aesthetic and functional satisfaction.
Metoidioplasty—An Alternative to Phalloplasty
Metoidioplasty is for trans men who want a less invasive procedure. It involves releasing the hormone-enlarged clitoris to form a small penis that can be erect.
Metoidioplasty Surgical Process
Understanding the steps involved helps the patient prepare for this transformative procedure:
Clitoral release. The clitoral ligaments are released, allowing the clitoris to extend outward.
Urethral lengthening. This optional step allows for standing urination.
Scrotoplasty. Surgeons may create a scrotum using the labia, with the option to insert testicular implants.
Metoidioplasty is ideal for those who prioritize minimal scarring, quicker recovery, and natural erectile function over size.
Recovery after Metoidioplasty
Recovery time for metoidioplasty is shorter compared to phalloplasty:
1-2 weeks. Swelling, bruising, and discomfort are common.
2-4 weeks. Light activities can be resumed.
6 weeks. Most patients can go back to work and daily routines.
3-6 months. Full recovery and optimal results are usually achieved.
Patients are advised to follow their surgeon’s post-operative care instructions, including wound care and regular follow-up visits.
Complications and Risks of Bottom Surgery
While bottom surgery has a high success rate—99%, there are potential risks:
Infection. Proper hygiene and antibiotics will minimize this risk.
Wound healing issues. Some patients may experience delayed healing or scarring.
Loss of sensation. Nerve damage can result in temporary or permanent loss of sensation.
Urethral complications. Fistulas or strictures may require additional procedures.
Thailand’s top clinics prioritize patient safety, using advanced techniques to minimize risks and achieve optimal results.
Cost and Choosing the Right Surgeon
Thailand offers affordable bottom surgery. Patients can save 40-70% compared to Western countries. From $6,000, the cost includes:
surgeon and hospital fees;
pre-operative tests;
post-operative care;
anesthesia and medical supplies.
When choosing a surgeon, consider their experience in gender-affirming surgeries, certifications, and patient reviews. Thai surgeons are globally recognized for their expertise and results.
Why Bookimed Is the Best Partner for Your Journey
Bookimed makes bottom surgery in Thailand easier by:
Connecting you to top clinics. Working with leading hospitals for gender reassignment.
Price transparency. Get a detailed estimate without extra charges.
Personal concierge service. Medical coordinators help with consultation, travel, and post-op care.
Full support. Patients are guided every step of the way to reduce stress.
Bottom surgery is a life-changing procedure that allows you to live authentically and confidently. Thailand is the best destination for gender reassignment surgery in Thailand with affordability, expert care, and a supportive environment. With Bookimed, you will navigate your journey smoothly to get access to top surgeons and comprehensive care.
