FTM Top Surgery Cost and Recovery: A Complete Guide
What is Top Surgery?
Top surgery is a gender-affirming surgical procedure designed to remove breast tissue and masculinize the chest for transgender men and non-binary individuals. Also known as FTM top surgery, female-to-male mastectomy, or simply chest masculinization surgery, it is one of the most sought-after steps in a gender transition for trans men.
At APS Gender Care in Bangkok, we specialize in providing affirming, expert-led surgical care for international patients seeking top surgery in Thailand — with a strong emphasis on safety, aesthetic results, and comprehensive aftercare.
Types of Top Surgery Techniques
We offer different surgical approaches depending on your chest size, skin elasticity, and aesthetic goals:
Double Incision Nipple Graft Mastectomy
This is the most common technique for patients with medium to large chests. It involves removing breast tissue and excess skin through horizontal incisions under the chest. The nipples are resized, repositioned, and grafted to achieve a natural masculine contour.
Keyhole Mastectomy
This technique is ideal for trans men with small chests and good skin elasticity. It involves smaller incisions around the areola, resulting in minimal visible scarring. The nipples are usually left attached, which can improve sensation outcomes.
Full Mastectomy
Used for patients who prefer maximal flatness without nipples.
Our lead surgeon will help determine the best technique for your goals during your personalized consultation.
“APS Gender Care is proud to be one of Thailand’s leading providers of top surgery for transgender men,” says Dr. Ae, lead surgeon. “Most of our FTM patients choose double incision mastectomy with nipple grafting, which delivers a flat, masculine chest and long-term satisfaction.”
Why Choose APS Gender Care for Top Surgery?
Experienced, LGBTQ+ affirming team
Surgeries performed in top-tier Bangkok hospitals
Multilingual care coordination for international patients
Private, respectful pre- and post-operative care
Personal liaisons and optional recovery packages
Transparent pricing with no hidden fees
APS Gender Care has been trusted by transgender men from around the world for our surgical expertise, clean aesthetic results, and trauma-informed approach to healing and aftercare.
What is Recovery Like?
Most patients remain in Thailand for 10–14 days following surgery. Hospital stay is typically 1 night, followed by hotel recovery. We recommend staying in Bangkok during the initial healing phase to ensure safe post-op monitoring, dressing changes, and in-person follow-ups.
Key recovery milestones:
Light walking within 24 hours
Bandages removed around Day 5–7
Drains removed by Day 7–10
Return to light activity in 2–3 weeks
Full physical activity in 6–8 weeks
APS offers Signature Recovery Packages that include airport transfers, hotel stays, daily nurse visits, and personal support — ideal for those traveling alone.
Top Surgery Pricing at APS
Technique
Price
Keyhole Mastectomy (nipples preserved and repositioned)
฿150,000
Double Incision Nipple Graft Mastectomy
฿170,000
Full Mastectomy (full nipple removal)
฿150,000
Included: surgery, anesthesia, facility, nursing, follow-up. Not included: flights, accommodation, living costs.
Top surgery is a deeply personal decision. Many trans men and non-binary individuals report a profound improvement in confidence, comfort, and emotional well-being after surgery.
It may be right for you if:
You experience chest dysphoria
You wish to live more comfortably in your gender
You are in good physical and mental health
You’ve had a gender dysphoria diagnosis or plan to obtain one
Our team will guide you through the medical and emotional considerations to ensure you feel fully informed and supported.
FAQs
How long should I stay in Thailand for top surgery?
We recommend 10–14 days for safe recovery and follow-up visits.
Do I need a gender dysphoria diagnosis?
Yes — Thai regulations require at least one psychological assessment and recommendation letter for gender-affirming surgery. We can help guide you through the process.
Can I combine top surgery with another procedure?
Top surgery is typically performed as a standalone procedure. For patients planning SRS or FFS in the same year, we can help coordinate timelines.
Ready to Take the Next Step?
Whether you’re just beginning to explore FTM top surgery in Thailand, or you’re ready to book, our APS team is here to help. Contact us now!
Contact our team
Considering your transition journey abroad? Discover why international patients choose APS Gender Care as their trusted partner in SRS. We specialize in all three techniques—skin graft, PPV, and colon vaginoplasty—helping patients achieve results that align with their needs.
