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MTF Top Surgery: A Guide to Transgender Surgery Abroad

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Gender-affirming surgery can be a life-changing milestone for many transgender women. At Medical Travel Market, we collaborate with international plastic surgery centers and specialist clinics that are experienced in supporting LGBTQ+ individuals through every step of their journey. This article focuses specifically on MTF top surgery, a common transgender surgery, and what to expect if you’re considering treatment abroad.

What Is MTF Top Surgery?

MTF top surgery is a gender-affirming breast augmentation procedure for transgender women or transfeminine individuals. It involves the surgical placement of breast implants to create a more traditionally feminine chest contour.

This form of transgender surgery plays a significant role in aligning one’s physical appearance with their gender identity, contributing to improved self-esteem, body image, and emotional well-being.

How Is the MTF Surgery Procedure Performed?

MTF top surgery typically involves inserting silicone or saline implants, often through incisions made in the infra mammary fold (under the breast), around the areola, or in the armpit. Plastic surgeons assess factors such as skin elasticity, chest width, desired breast size, and overall anatomy to determine the best technique for each patient.

Patients may also be advised to begin or maintain hormone replacement therapy (HRT) prior to surgery to enhance breast tissue and optimize results.

How Long Is Recovery from MTF Surgery?

Recovery time varies, but most patients can expect:

  • 1–2 weeks off work for initial recovery

  • Light activities after the first week

  • Avoiding strenuous physical activity for 4–6 weeks

  • Final results visible in 3–6 months as swelling subsides

How Much Does MTF Top Surgery Cost?

The cost of MTF top surgery can vary widely based on the surgeon’s experience, location, type of implants used, and aftercare needs.

As a general guide prices in Thailand and Turkey start at approximately $4,000 USD. 

Costs may or may not include anesthesia, hospital fees, post-operative care, and accommodation if traveling abroad for transgender surgery, so it’s best to discuss these details when having a consultation.

Is MTF Surgery Covered by Insurance?


In some countries, MTF top surgery may be covered by insurance if it’s considered medically necessary. In the United States, many private insurers and some Medicaid programs offer partial or full coverage for gender-affirming procedures, provided certain criteria and documentation are met. Public healthcare systems in the UK, Canada, and parts of Europe may also include coverage for transgender surgery under specific conditions. If you’re planning to travel abroad for the procedure, you will likely be paying out of pocket.

Thinking About It? 

If you’re considering MTF top surgery, follow these steps:

  • Schedule a consultation with a board-certified plastic surgeon who specializes in gender-affirming care. An in-person or virtual consultation helps clarify goals, risks, and procedural details.

  • Connect with peer communities and support groups who’ve undergone similar procedures. Hearing real experiences can help set expectations and ease emotional concerns.

  • Plan for recovery, including time off work, access to post-op care, and emotional support.

At Medical Travel Market, we help you compare options from vetted, LGBTQ+ friendly clinics worldwide.

Best Countries for Transgender Top Surgery

Many countries offer safe, high-quality gender-affirming surgery options. Leading destinations include:

  • Thailand – Home to world-renowned gender reassignment surgeons and trans-friendly clinics with decades of experience.

  • United States – Offers high surgical standards and legal protections, though often at a higher cost.

  • South America – Countries like Colombia provide affordable, quality care with a welcoming LGBTQ+ culture.

  • Turkey – A growing medical tourism hub for high quality cosmetic and transgender surgery, with competitive prices and English-speaking clinics.

  • United Kingdom – Excellent surgical standards and legal protections, though often at a premium price point compared to medical tourism destinations like Turkey, Thailand and Colombia.

Whatever your needs may be, we’re here to make things easier for you. Our friendly medical travel team are ready to guide you every step of the way, helping you find the right clinic and surgeon that fits both your treatment needs and your budget.

To speak to one of our medical travel advisors, please click here to schedule a callback.

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