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Can Hysterectomy Be Combined with Other Procedures?
Yes — hysterectomy at APS can be performed in the same surgical session as other gender-affirming procedures, reducing the need for a second trip to Thailand. APS currently offers hysterectomy in combination with:
- FTM Top Surgery (Mastectomy) — chest masculinization and hysterectomy in one session. A popular combination for FTM patients who wish to complete multiple steps in a single visit to Bangkok.
- Facial Masculinization Surgery — jaw augmentation, forehead contouring, or rhinoplasty combined with hysterectomy where medically appropriate.
Combining procedures reduces total anaesthesia exposure over a lifetime, minimises recovery trips abroad, and allows patients to complete more of their transition in a single stay. However, combination surgery increases total operating time and recovery complexity — Dr. Ae will assess your eligibility based on your health, BMI, and specific surgical plan during consultation.
Not all combinations are suitable for all patients. A thorough consultation is required before any combination surgery is confirmed.
What’s Included in Your Hysterectomy Surgery at APS Thailand
Every APS hysterectomy package includes the following as standard — no hidden charges:
- Dr. Ae’s surgical fees and the specialist surgical team
- General anaesthesia administered by an experienced anaesthesiologist
- 1-night private room stay at the APS clinic
- Post-operative medication for recovery
- Clinic consultations and follow-up appointments before departure
- English-speaking support staff throughout your stay
Unlike vaginoplasty, hysterectomy at APS does not require a psychiatric evaluation — the procedure is available to both FTM patients and cisgender women without additional documentation beyond standard health clearance.
Before surgery, patients provide: a health history summary including current medications, existing medical conditions, allergies, and prior surgeries. No formal letters from psychiatrists or therapists are required.
Accommodation is not included in the standard package. APS can recommend hotels and serviced apartments close to the clinic for your recovery stay.
For a full pricing breakdown, contact APS — full pricing information is sent before your consultation.
Recovery After Laparoscopic Hysterectomy in Thailand
Thanks to the laparoscopic approach, recovery from hysterectomy at APS is significantly faster than with open surgery. Here is a typical timeline for international patients:
- Surgery day: the procedure takes approximately 1–2 hours under general anaesthesia. You will spend the remainder of the day recovering at the APS clinic.
- Day 1 (post-surgery): most patients are discharged after one night, once pain is controlled and basic mobility is restored.
- Days 2–7: light recovery at your Bangkok accommodation. Short walks are encouraged. Avoid lifting anything over 5 kg. APS provides follow-up clinic appointments during this period.
- Days 7–10: stitches or dissolvable sutures reviewed. Most patients feel significantly better by this point. A final pre-departure check is completed.
- Total recommended stay in Thailand: 10–14 days, allowing enough time for the initial recovery and follow-up appointments before long-haul travel.
- After returning home: full recovery from laparoscopic hysterectomy typically takes 2–4 weeks, with most patients returning to desk work within 2 weeks. Strenuous exercise and heavy lifting should be avoided for 4–6 weeks. A follow-up with a doctor in your home country is recommended 6–8 weeks after surgery.
Frequently Asked Questions About FTM Hysterectomy at APS Thailand
No. APS does not require patients to be on hormone therapy before hysterectomy. However, after surgery — particularly if the ovaries are also removed — ongoing testosterone therapy is essential to maintain hormonal balance and avoid deficiency symptoms. If you do not currently have an HRT provider, APS offers a fully remote international HRT programme including online consultations, blood work review, prescription renewal, and testosterone delivery to your home country.
Open (abdominal) hysterectomy involves a large incision in the abdomen and typically requires a 3–5 night hospital stay with a 4–6 week recovery before flying. Laparoscopic hysterectomy — the only approach used at APS — uses 3–4 small keyhole incisions. This results in significantly less pain, minimal external scarring, a 1-night clinic stay, and a total Thailand stay of just 10–14 days. For international patients, the laparoscopic approach is far more practical and has a much shorter overall recovery timeline.
This depends on your individual situation and is discussed during your consultation. The standard APS hysterectomy includes removal of the uterus and fallopian tubes. Removal of the ovaries (oophorectomy) is optional. For FTM patients, retaining ovaries may provide hormonal support during transition, while removing them eliminates estrogen production and can further aid masculinization — but requires consistent testosterone therapy afterward. Dr. Ae will advise the most appropriate approach for your specific case.
Yes. APS offers hysterectomy in combination with FTM top surgery (mastectomy) and facial masculinization surgery in the same surgical session. Combining procedures reduces the number of trips to Thailand and total lifetime anaesthesia exposure. However, combination surgery is not suitable for all patients — eligibility depends on your health, BMI, and specific surgical plan. Dr. Ae will assess combination candidacy during your free consultation.
No. Unlike the top surgery, hysterectomy at APS does not require psychiatric evaluation or referral letters. Before surgery, patients provide a health history summary including current medications, medical conditions, allergies, and prior surgeries. Standard pre-operative health clearance (blood tests, etc.) is required and can be completed in Bangkok or arranged before travel.
APS recommends a stay of 10–14 days in Thailand for laparoscopic hysterectomy. This covers surgery day, a 1-night clinic stay, follow-up appointments during the first week, and a pre-departure check before flying home. Thanks to the minimally invasive laparoscopic approach, long-haul travel is generally safe after 10–14 days of local recovery. Full recovery at home takes approximately 2–4 weeks, with most patients resuming light work within 2 weeks of surgery.