Most cost guides for SRS in Thailand give you a range — “$10,000 to $25,000” — without telling you what’s actually inside that number. Is hotel included? Nursing care? The psychiatric evaluations? What about the flight home?
This post breaks it down properly, using real APS prices, so you can build an accurate budget before you book anything.
What’s Actually Included in Your Surgery Price at APS
At APS, every surgery price includes the following — no surprise add-ons after the fact:
- 2 online psychiatric evaluations (required for MTF vaginoplasties and all FTM procedures)
- All clinic consultations and follow-up appointments
- Airport pick-up and drop-off, and transportation to all appointments
- Surgical team and operating room (clinic or hospital, depending on case complexity)
- Anesthesia (spinal block with sedation or general, depending on technique)
- 1 night post-surgery private clinic room or 4-5 nights post-surgery private hospital room (depending on technique)
- Post-operative medication
- Post-operative compression garments, binders, dilation set, donut pillow (depending on technique)
- Regular nursing team hotel visits throughout your recovery
- Post-operative online follow-ups at 3, 6, and 12 months after surgery
Not included: flights, hotel accommodation, meals, and personal expenses. These are the main variables in your overall trip budget and are covered separately below.
APS Vaginoplasty Prices by Technique (2026)
| Technique | Price (THB) |
|---|---|
| Skin Graft Vaginoplasty | ฿300,000 |
| Open Colon Vaginoplasty | ฿450,000 |
| Laparoscopic Colon Vaginoplasty | ฿550,000 |
| PPV Vaginoplasty | ฿650,000 |
| Zero-Depth Vaginoplasty | ฿250,000 |
| Orchiectomy | ฿100,000 |
Revision surcharges start from ฿100,000 (~$2,800). Zero-depth vaginoplasty can be upgraded to a full-depth technique in a future procedure.
Other Common Procedure Prices at APS
| Technique | Price (THB) |
|---|---|
| Breast Augmentation (Mentor) | ฿120,000 |
| Breast Augmentation (Motiva Ergonomix) | ฿180,000 |
| Forehead Contouring with Sinus Setback | ฿150,000 |
| Scalp Advancement (Hairline Lowering) | ฿150,000 |
| Rhinoplasty (Open, Ear Cartilage) | ฿150,000 |
| Rhinoplasty (Open, Rib Plus) | ฿230,000 |
| Jaw & Chin Contouring | ฿100,000 |
Many patients combine procedures in the same surgical session. Because zero-depth vaginoplasty takes only 2–3 hours, it can be combined with breast augmentation or FFS procedures within APS’s 8-hour safe surgical window. For more detailed pricing, please see our breast augmentation and FFS pricing.
Hotel Costs — What to Budget for Accommodation
APS will recommend staying at one of a few hotels located close to the clinic. Both are within easy reach for the nursing team’s regular visits. Rates typically range from ฿1,500–2,500 per night (~$45–$75) depending on room type and season.
Most patients need to budget for:
- Vaginoplasty (colon or PPV): approximately 16–21 nights total in Thailand
- Vaginoplasty (skin graft or zero-depth): approximately 16–18 nights
- FFS or breast augmentation alone: approximately 16 nights
At ฿2,000/night average, a 16-night stay costs approximately ฿32,000 (~$950).
Real Budget Examples — What to Expect All-In
| Scenario | Surgery | Hotel (est.) | Food (est.) | Flights (est.) |
|---|---|---|---|---|
| Zero-Depth only (UK patient, 14 nights) | ฿250,000 | ฿28,000 | ฿14,000 | ฿55,000 |
| Laparoscopic Colon (AU patient, 18 nights) | ฿550,000 | ฿36,000 | ฿18,000 | ฿30,000 |
| PPV + Breast Aug (US patient, 21 nights) | ฿830,000 | ฿42,000 | ฿21,000 | ฿40,000 |
Why Is SRS So Much Cheaper in Thailand Than in the UK or US?
The price difference isn’t about lower quality — it’s about a fundamentally different cost structure. Thailand’s lower cost of living means clinic overheads, nursing salaries, and facility costs are a fraction of what they are in Western countries. There are no insurance litigation premiums baked into surgical fees. And because Thailand has been performing gender-affirming surgery for over 50 years at very high volume, surgeons here have accumulated case numbers that most Western surgeons never reach — which means better outcomes at lower cost, not a compromise on either.
At APS specifically, prices are set to match what Thai patients pay. We don’t apply an international patient surcharge.
APS Dilation Schedule — Colon Vaginoplasty
One session of penetrative sexual intercourse also counts as one dilation session.
What About Mucus and Hygiene During Dilation?
Colon tissue naturally produces mucus — this is one of the technique’s advantages (natural lubrication) but also a consideration during dilation. Patients should clean the dilator before and after each session, and practice good post-dilation hygiene to prevent buildup. With proper care, there is no reason for odor concerns — a question patients frequently raise and that resolves with a consistent hygiene routine.
Zero-Depth Vaginoplasty — No Dilation Required
Zero-depth vaginoplasty creates a fully aesthetic external vulva — clitoris, labia majora and minora — with a shallow cosmetic cavity of approximately 1–2 inches, designed for appearance rather than penetrative function. Because there is no full-depth vaginal canal to maintain, dilation is not required.
This is one of the reasons zero-depth vaginoplasty appeals to patients who want a lighter post-operative commitment, or who are combining bottom surgery with other procedures in the same trip and prefer a more straightforward recovery. It also means zero-depth patients can typically be cleared to travel home after just two weeks in Thailand — shorter than the recovery period for full-depth techniques.
For patients who choose zero-depth now and wish to add a full-depth canal in the future, revision to a colon or PPV technique is possible — and dilation requirements would then apply from that point forward.
What Nobody Tells You About Dilation (But Should)
- Regularity matters more than duration. A consistent 30-minute session every day outperforms an occasional hour-long session. The tissue responds to routine, not to intensity.
- The first sessions feel nothing like later sessions. Early dilation can be uncomfortable and unfamiliar — that’s normal. Most patients find it becomes routine and genuinely manageable within a few weeks.
- Skipping “just once” has a compounding effect. Missing the odd session early on isn’t catastrophic, but the pattern matters. Contraction happens quietly — patients rarely notice until it’s already advanced.
- Dilator size progression is gradual on purpose. APS patients start from size 0 and work upward as the tissue accommodates. Rushing the progression doesn’t speed results — it risks trauma and sets back healing.
- Lubrication is non-negotiable. Always use a water-based lubricant. Never silicone-based, as it degrades certain dilator materials and can irritate healing tissue.
- Sensation during dilation changes over time. Early on, there’s little to no sensation. As nerve endings regenerate over months, many patients begin to notice tingling or warmth — a sign of healing, not a problem.
- Sexual intercourse counts. For patients in relationships or sexually active, penetrative intercourse counts as a dilation session. This doesn’t reduce the required frequency — it substitutes for a scheduled session on the same day.
FAQs
Yes — a 20% deposit is required to secure your surgery date and lock in your quoted prices. The balance is due before surgery and can be paid via Wise transfer or in cash or card on arrival.
Prices do increase periodically. Once you’ve paid your deposit, your quoted price is locked in regardless of any subsequent price increases.
Early dilation can feel uncomfortable, particularly in the first few weeks when tissue is still healing. With the correct dilator size, adequate lubrication, and a relaxed body position, it should not be acutely painful. If dilation is painful rather than just uncomfortable, it’s worth flagging with Dr. Ae — it may indicate the size needs adjusting or that something needs clinical review.
Yes — for MTF vaginoplasty procedures and all FTM procedures, both mandatory Thai online psychiatric evaluations are included in the surgery price. If you only want to complete the evaluations without surgery, the cost is ฿6,000 (English-speaking) or ฿12,000 (with interpreter).
Yes — combining procedures in one surgical session saves significantly on anesthesia, operating room time, and the cost of a second trip to Thailand. Zero-depth vaginoplasty in particular is short enough (2–3 hours) to combine with breast augmentation or FFS within a single safe surgical session.
Ready to get an exact quote for your specific procedures? Book a consultation with Dr. Ae — it’s free for English-speaking patients and takes about 30–45 minutes online.