The most advanced clinic in Europe


The most advanced clinic in Europe

What is gender reassignment surgery?

Gender reassignment surgery, confirmation surgery or sex reassignment surgery means a variety of procedures that allow people transition to their self-identified gender. These surgical treatments modify a physical person’s appearance and sexual characteristics to approach their identified gender.

The most common treatments are feminization surgeries are vaginoplasty, breast augmentation or facial aesthetic procedures. In the cases FTM, phalloplasty, breast reduction or facial masculinization operations are the most demanded surgeries.

Our gender affirming treatments and procedures

We offer a wide range of gender confirmation procedures to help our patients to achieve the results they are looking for, supporting and providing professional advice throughout the transformation process.

Feminisation surgery

Masculinisation surgery

Before and after gender-affirming surgery results

Knowing the results of some sex reassignment surgeries could be helpful to make a decision and to have an idea about what to expect.

Dr. Ivan Mañero, a reference

Dr. Ivan Mañero, reconstructive and aesthetic plastic surgeon, is an international leader in gender affirmation surgery (ies) for trans people. He has been performing and perfecting gender reassignment surgeries for more than two decades, both inside and outside our borders.

His professionalism has led him to be internationally known and sought after, participating and moderating events in conferences. From the beginning of his professional career, he has always advocated for specialized and sensitive care for trans people. However, in the beginning, he had to deal with other peers who did not understand why a specialist like him cared about this matter.

A pioneer in unique surgical techniques for gender reassignment, Dr. Ivan Mañero has collaborated with various administrations to ensure that this type of a surgeries re included within the public health service in Spain. . In order to be able to offer greater and better care to trans people who require it.

The IM GENDER team, led by Dr Ivan Mañero, is a leading international reference in sex reassignment surgery and genital reassignment surgery.

World leader in gender reassignment surgery

The IM GENDER Gender Unit opened its doors over twenty years ago and has become an international benchmark in Gender Reassignment Surgery. IM GENDER has cared for more than 3,000 trans people who have decided to carry out some treatment or surgical procedure at the Unit, whether genital affirmation surgery – vaginoplasty, phalloplasty, metoidioplasty -, body surgery – mastectomy, breast augmentation, feminizing liposculpture, among others -, facial surgery – facial feminization, thyroplasty, masculinization of features, etc.- or other plastic surgery procedures.

IM GENDER offers all the advantages of IM CLINIC, a pioneering clinic for its concept of understanding healthcare in a global and personalized way. Our clinic confers differentiating characteristics that allow us to offer a high quality of care.

At IM GENDER you will find a clear commitment to the most cutting-edge and reliable technology, with technologically cutting-edge operating rooms and the most innovative equipment in the sector. All this, added to a medical team expert in gender surgery with more than two decades of experience led by Dr. Ivan Mañero, the most recognized plastic surgeon specialized in gender reassignment surgery in Europe and even internationally. In addition, Dr. Mañero was a pioneer in unique/specific surgical techniques for genital affirmation, such as vaginoplasty with graft.

The entire human team that makes up IM GENDER, from Patient Care to medical, health professionals, psychologists and physiotherapists, are trained in health care based on human rights, respect and privacy of all patients. Our goal is to offer all the necessary information before, during and after the surgery through close treatment and personalized attention.





Meet IM GENDER’s true stars and learn about their personal experiences, from preoperative consultations to postoperative follow-up care. Discover how our comprehensive approach to gender-affirming surgery, (ies) coupled with our psychological support and family guidance, has made a difference in their lives.

At IM GENDER, we understand that every patient’s journey is unique, and we are committed to providing personalised care that caters to individual needs. Our testimonials are a testament to our dedication to patient satisfaction, and we are proud to share the stories of our satisfied clients with you.

We invite you to explore our website and learn more about our services, team, and testimonials. Our team is available to answer any questions or concerns you may have and to help you start your journey towards gender affirmation.


    Anna La Spisa
    Anna La Spisa
    28 Noviembre 2023
    Esperienza positiva chirurghi ottimi, infermiere molto preparate e dolcissime, Aida e Rosa super umane, ma la dottoressa Brandalisio ha fatto la differenza su tutti, preparata, umana, dolce, disponibile, un'amore di persona. Una critica costruttiva devo farla tutto lussuoso ma non pensato per stendere pochi indumenti lavati
    Tone Vik
    Tone Vik
    31 Julio 2023
    I had GRS in May 2023. Here is a short summary of my experience. When you contact the clinic, you’ll get a personal patient coordinator that will answer and support you through the whole process, both before and after the surgery. The communication is professional, personal and efficient. WhatsApp is the main communication platform, and it works very well. The clinic is beautiful and top notch on all levels. You almost forget that you are in a clinic and might think of it more as a hotel (with surgery services). Please see the attached pictures, and you will understand what I mean. The staff is warm and friendly and really do what they can to make you feel comfortable, from the nurses to the cleaning personnel. It is really nice to be so well looked after, and I have such good memories from my week at the clinic. The surgeons, I was so fortunate to have Dr. Labanca, but they are all world class, which ensures that the results probably will exceed your expectations. Of course this is a very personal opinion, but for me it was like that. It’s hard to describe how happy I am now. You can bring a friend or a family member for no extra cost the week you are at the clinic. My best friend came down on the 5th day, and that was also one important factor when I chose this clinic. The support you get from having a friend or family member present is almost priceless. A short 5 minute walk from the clinic you’ll find apartments you can stay at for an additional week or two while you recover and heal. It was very reassuring and comforting to have the clinic so close the two weeks I stayed after checking out from the clinic. An important part of the healing process is to just move your body, and the beautiful city of Sant Cugat is a nice 20 minute walk from the apartment, where you can enjoy shopping, restaurants and just the nice relaxing atmosphere. The aftercare and regular follow up when you have left the clinic ensures that everything is working as it should, and if not, they will correct at no extra cost. The aftercare period lasts one year after the surgery. To sum up, you are really in the best hands and in the best place at IM Clinic. I highly recommend this clinic for GRS.
    Victoria Timoniere
    Victoria Timoniere
    24 Abril 2023
    Due mesi fa ho avuto la grande fortuna di affidarmi al team di IMgender , un esperienza indimenticabile che mi ha cambiata la vita facendomi rinascere finalmente nel corpo giusto . La clinica è super moderna è attrezzata , pulita e tutto lo staff è super gentile e accogliente .
    Renn Love
    Renn Love
    14 Abril 2023
    My experience with IM Clinic from the start to where I am today has been nothing but exceptional. From my initial contact with Aida, to my consultations with my surgeons Dr's Gómez, Herrero and Beltrán, my anaesthetist and care from the nurses. The cleaning staff were extremely discrete and the food for both myself and my wife, who was also looked after during my stay, was good. Myself and my wife were made to feel welcome from the moment we arrived. On the day of my surgeries my surgeons continuously re-assured me as they could see how nervous I was and it felt like nothing was too much trouble. My wife was also informed of my progress during surgery and reassured all was ok. I highly recommend IM Clinic and would not hesitate in returning, should I feel the need.
    Sun Belardinelli
    Sun Belardinelli
    11 Marzo 2023
    Ho aspettato qualche mese dopo l'operazione prima di scrivere questa recensione perché volevo essere sicuro dei risultati. La parola che mi viene in mente è PERFETTO, la clinica è perfetta, l'operazione è andata ancora meglio di quanto sognassi, il trattamento che ho ricevuto da TUTTI, medici, infermiere, tutto il personale, è stato impeccabile, caloroso e amichevole; mi hanno fatto sentire meglio che a casa (non solo a me, ma anche alla persona che mi accompagnava), ancora meglio di un hotel di lusso; mi hanno veramente trattato come un re, non solo come un paziente. L'operazione in sé è stata perfetta, il pre- e post- operatorio gestiti benissimo anche a distanza; mi hanno dato istruzioni chiare e medicinali appositi per curare le ferite e il dolore. Grazie a questo sono rimasto tranquillo per tutto il tempo, sapendo di essere nelle migliori mani. Un consiglio che mi sento di dare a chi vorrebbe operarsi da IM è: fate tutte le domande che vi vengono in mente e anche quelle che non vi vengono in mente! Soprattutto per chi viene dall'estero come ho fatto io è importante avere ben chiaro ogni dettaglio, e le persone con cui parlerete saranno felici di chiarire qualsiasi dubbio. Raramente ho trovato persone così pazienti, competenti e alla mano. Se e quando avrò bisogno di fare un'altra operazione la farò sicuramente da IM. Ormai ho trovato il posto dei sogni e non lo lascio più!
    Alexa Valianatos
    Alexa Valianatos
    10 Agosto 2022
    Hey, I am Alexa Valianatos and on 14th June i had my vaginoplasty surgery at IM Clinic. Here i found a greate, super friendly and profesional team which whose totally prompt answering to all my needs. Viewing my research before surgery and my experience in the clinic and after that, i can say that IM Clinic I'd the best clinic in Europe at least regarding my surgery tipe and my needs, i can say 100% that i found the 5* clinic . After two months from my surgery i already decide to make the next steps for next surgery in the same clinic . Many worm thank to doctor Ivan Mañero and entire clinic team . You are the best .
    Aaron O'Donnell
    Aaron O'Donnell
    19 Julio 2022
    Thank you IM Clinic!!! I had FtM Top Surgery (double mastectomy/gender reassignment) at IM clinic in July 2021. As I was travelling from the UK I was weary about the procedure, however their standard of care goes above and beyond to accommodate their patients and ensure maximum comfort. I had surgery with Dr Herrero, who was an absolute pleasure to meet and a brilliant surgeon. The team were a delight and made me feel genuinely safe and as comfortable as possible. The procedure I had is not very common and is somewhat hard to acquire in the UK, but the team at IM Clinic took me in with ease and listened to my worries and requests. The care i received at IM Clinic was impeccable - between the food, the staff, the surgery and everything else - i cannot fault it. I am forever grateful to Dr Mañero, Dr Herrero and the entire care team at the clinic. Thank you so much!! I am now one year post-op and happier than ever.


    IM GENDER is the Gender Unit at IM CLINIC, one of the most advanced sex reassignment surgery centers Internationally. A new concept of clinic born from our commitment to experience in the field. IM GENDER is a team of highly qualified professionals, who all believe in the same philosophy of exquisite patient care.

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