Male-to-Female (MTF) Sex Reassignment Surgery

Sex Reassignment Surgery (SRS) – Male to Female (MTF) in San Francisco

Gender Identity Disorder (GID) or gender dysphoria is defined by strong, persistent feelings of identification with the opposite gender and discomfort with one’s own assigned sex.

Sex reassignment surgery (SRS) involves multiple procedures and can be performed on males or females who are transitioning into the opposite gender, respectively.

Male to Female (MTF) Transformation

Surgery on the top half of the body may involve breast augmentation, and rhinoplasty which can provide a more feminine appearance. Other options are facial fillers and a lip liftLiposuction  and Laser hair removal is an additional procedure to create a more feminine physique.

Breast Augmentation for MTF Transformation

Male-to-female breast augmentation transformation

Male-to-female breast augmentation transformation

The hormone Estrogen can develop some growth of breast tissue, but results vary from patient to patient. Another option to achieve fuller breasts include breast augmentation. The surgical techniques used for this procedure are not different for genetically born males or genetically born females. Read more about breast augmentation and the different options provided by Dr.Usha Rajagopal here.

Rhinoplasty for MTF Transformation

This procedure can be done to feminize facial features of the patient. The proportions of a male and female nose differ by size and width. The male nose may be thicker, and wider where as the female nose may have more soft features, including more tip elevation. Dr. Rajagopal will work with patients individually to find the gender appropriate nose that will fit their new aesthetic appearance. Read more about rhinoplasty here.

Lip Lift for MTF Transformation

Female upper lips are usually shorter than male upper lips and expose the upper teeth. This trait is also a sign of youthfulness.This procedure may be done to feminize facial features of the patient. Dr. Rajagopal creates an incision right underneath the nose and removes a piece of skin and muscle(shaped like a bull horn). The remaining skin is stitched together, resulting in a more feminized appearance. If you’re in the process of considering a lip lift, short term options include lip fillers. Read more about lip augmentation and fillers here.

Sex reassignment surgery is often performed as a part of the entire process to change someone’s look, which comprises multiple surgeries. The timing and overall cost differs depending on several physical and physiological factors.

Are there risks?

For vaginoplasty involving male to female transformation, it is important that you choose your surgeon carefully, or else there are serious risks of infection, bleeding, postoperative pain, and loss of some of the grafted skin.

Complications associated with the sex reassignment surgery are rectovagina fistula, a condition where a hole develops between the colon and the vagina, pulmonary thromboembolism and extensive bleeding. Temporary inability to urinate and wound disruptions can also occur after the surgery. It all depends upon the surgeon, their prior experience, and skill, so make well-informed decisions.

Men who have always felt like prisoners in their current body can undergo male to female sex reassignment surgery as it gives them a new lease in life and let them adapt to a lifestyle of their choice.

Who is a candidate for sex reassignment surgery (SRS)?

Candidates for transgender surgery understand their gender identity. Patients must be at least 18 years old, responsible, and display stable mental health. Patients must understand the benefits and risks of hormone therapy. Patients must have a minimum of 12 months of real life experience in their new gender identity.

Learn about financing options and discounts on our costs & financing page.

Dr. Rajagopal is a featured surgeon on and featured on Trans Media Network.

If you have any questions regarding any of these procedures or wish to schedule a consultation with Usha Rajagopal, MD, please call the San Francisco Plastic Surgery & Laser Center at 415-392-3333. Your search for a male to female surgeon in San Francisco can stop here.

Watch Dr. Usha Rajagopal discuss her treatment of transgender patients at SFPS, including procedures such as breast implants, body contouring and facial reconstruction.