Feminization surgery

Feminization surgery is a set of surgical procedures that aim to soften and refine facial and bodily features. At IM GENDER, we specialise in different MTF surgeries, including vaginoplasty, facial feminisation, breast augmentation, body feminisation surgery, voice surgery, among others.


Feminization surgery, also known as MTF surgery, is a set of surgical procedures that aim to modify a person’s physical characteristics to help them feel more comfortable with their body. At IM GENDER, we offer a variety of surgeries to get a feminine appearance, including vaginoplasty, facial or body feminization, breast augmentation, voice surgery, and aesthetic medicine.

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    our feminization services

    At our gender reassignment clinic, we offer a wide variety of feminization surgeries, like vaginoplasty, facial feminization, breast augmentation, body feminization surgeries and other gender affirmation surgeries that cater to all needs and preferences.

    • Vaginoplasty: Vaginoplasty is a gender reassignment surgery that transforms male genitals into female genitals. At IM GENDER, we specialise in the penile inversion technique, colovaginoplasty, and penile inversion vaginoplasty with graft.
    • MTF orchiectomy: MTF orchiectomy involves the removal of the testicles, which drastically reduces the production of testosterone and consequently facilitates the process of feminization.
    • Facial feminization surgery (FFS):Is a set of surgical and non-surgical techniques used to modify masculine facial features to achieve a more feminine appearance. At our gender reassignment clinic, we offer a variety of procedures, including reduction of the Adam’s apple, thyroplasty, jaw and chin feminization surgery, nose feminisation surgery, cheek augmentation…
    • Breast augmentation: This plastic surgery is a significant operation within the set of feminization surgeries, as it helps create a more pronounced feminine silhouette. Our gender surgery-specialised plastic surgeons offer a wide variety of implant options and surgical techniques to achieve natural and attractive results.
    • Body feminization surgeries: In addition to the specific surgeries mentioned above, at IM GENDER we also offer body feminisation surgeries to help you achieve the feminine look you desire. These surgeries may include buttock augmentation, calf augmentation, high definition liposuction, and abdominoplasty.
    • Voice surgery: Voice surgery, also known as glottoplasty, is a procedure that adjusts the larynx to produce a higher and more feminine tone of voice. This procedure can be especially useful for people who have not experienced significant changes in their voice with hormone therapy.
    • Aesthetic medicine: At IM GENDER, we also offer a wide variety of aesthetic medicine treatments to enhance the appearance of our patients. These treatments may include facial bioremodelling, facial rejuvenation, body treatments, and other non-surgical procedures to achieve a more feminine and natural look.

    At IM GENDER, we understand that feminization surgery is an important step in the transition process for many transgender women. Throughout the entire process, from the initial consultation to postoperative follow-up, our team will guide you every step of the way.

    We also offer a variety of complementary feminization services and treatments that can further enhance the results of surgery. These include hormone therapy, laser hair removal, psychological counselling, and emotional support. 

    How to prepare for feminization surgery

    It is important to follow the surgeon’s instructions for preparing for surgery, which may include adjustments to the diet and medications to avoid. Quitting smoking and limiting alcohol consumption is also recommended.

    Having a strong emotional support system and being in good health before surgery is important. That’s why the doctor will review your medical history and will recommend you to get some blood tests before the surgery. He will explain to you also the details of the procedures, risks and postoperative cares.

    Postoperative care

    After feminization surgery, it is common to experience pain and swelling. Therefore, it is important to carefully follow the plastic surgeon’s instructions for wound care and medication administration. It is also recommended to avoid intense exercise and sexual activity for a certain period of time.
    The recovery time varies depending on the type of surgery and the patient, but generally, a few weeks of rest is recommended. In general, the recovery time can range from weeks to several months. If you experience complications, do not hesitate to contact us.


    Feminization surgery can have highly satisfactory results, improving one’s appearance and self-confidence. The results may vary depending on the type of surgery performed and each patient’s specific needs, but the goal is generally to achieve a more feminine appearance in facial and body structure.

    Vaginoplasty may also allow patients to experience a more comfortable and satisfying sexual life. The final results of the surgery may take several months to fully manifest, as the body needs time to heal and adjust to the changes made.


    At IM GENDER, we follow strict safety protocols to minimise the risks associated with feminization surgery. However, as with any surgery, there are still risks such as:

    • Bleeding.
    • Infection.
    • Scarring.
    • Fluid build-up, called seroma also.
    • Complications related to anaesthesia.

    Choosing an experienced surgeon and carefully following pre and postoperative care instructions can help reduce these risks. It’s important to discuss any concerns you may have with your doctor during the consultation process.


    Who is a good candidate for MTF surgery?

    A good candidate for MTF surgery is someone who identifies as transgender and desires to modify their physical appearance to align with their gender identity. It’s important to have realistic expectations and understand the potential risks and benefits of the surgery. A consultation with a specialised surgeon is necessary to determine if the individual is a good candidate and which procedures may be appropriate for them. The individual should also be in good physical and mental health, as well as have the necessary support system in place for postoperative care.

    How can I know if MTF surgery is right for me?

    The first step is to have a consultation with one of our specialised surgeons in male-to-female surgery. During the consultation, your needs and expectations will be discussed, and it will be determined if the treatment is right for you.

    How do I choose the right surgeon for feminization surgery?

    It is important to find a qualified surgeon who has experience performing in transgender surgeries. At IM GENDER, we have a team of experienced and skilled surgeons who specialise in gender-affirming treatments. It is recommended to seek out referrals from other transgender people who have undergone surgery, and to verify the surgeon’s credentials and experience. It is also important to feel comfortable and confident with the surgeon during the consultation process. At IM GENDER, we encourage our patients to schedule a consultation with our doctors to discuss their goals, expectations, and any questions or concerns they may have.

    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 team
    At IM GENDER, we have over 20 years of experience in providing care to transgender individuals. Our medical and human team is backed by two decades of experience, professionalism, research, and training.

    What is the price of feminisation surgery?

    The price of feminisation surgery varies depending on the type of surgery. Please feel free to contact us, so we can provide a personalised quote based on your needs.