Gender reassignment in Madrid

Let no one tell you what gender you should be or how you should feel.

Being born with a body that doesn’t feel like it belongs to you is a significant challenge for anyone. It is essential to feel that you fit in your own body in order to then fit into society.

That is why today there are effective gender reassignment techniques in Madrid, with or without surgery, that help patients feel comfortable within their own bodies, regardless of their gender or sex.

At Sculpture Clinic we specialize in gender reassignment treatments and genital surgery. Always supported by the best team of professionals. To achieve this, we conduct a detailed assessment of your case so we can determine what needs to be done to satisfy your desires and expectations regarding the procedure.

What does gender reassignment surgery involve?

Gender surgery or sex change surgery is one of the most exceptional specialties within our clinic. It has also become one of the most sought-after treatments due to its effectiveness and outstanding results. Not only for achieving a new aesthetic appearance, but for the emotional benefits this brings to the patient.

Both transgender men and transgender women are individuals who do not identify with their biologically assigned gender, a condition known as gender dysphoria. This, in the short, medium, and long term, results in numerous challenges for patients, as they suffer from feeling trapped in a body they do not consider their own.

One of the misconceptions about sex change is that it only involves modification of the genital area. However, there are several other factors that form part of this process.

Procedures to change physical appearance

Within gender reassignment, there are other procedures that can change the patient’s physical appearance, giving them a much more similar look to the gender with which they identify.

These types of procedures, which years ago were performed in a more complicated manner with poorer results, have experienced tremendous improvement in recent times, offering great success. Additionally, gender reassignment now enjoys tremendous acceptance within society, something that unfortunately was not the case before.

Within medical terminology, there is a series of interventions that can modify the genital area, such as vaginoplasty, penectomy, feminizing genitoplasty, phalloplasty, or orchiectomy.

All these procedures are complex, irreversible in most cases, and should always be carried out under medical guidance. The patient must be certain about their desires and expectations regarding the operation, as it represents a drastic change in appearance and, therefore, in their life.

What types of gender reassignment surgery in Madrid do we offer?

All the different surgical interventions we offer at Sculpture Clinic are designed to provide our patients with the best possible aesthetic results aligned with the gender they seek.

According to the World Association for Transgender Health, gender reassignment surgery is actually a series of aesthetic and surgical procedures, or non-surgical treatments, which serve as treatment for gender identity disorder, transsexuality, and sexual dysphoria.

It is logical that the most popular and sought-after procedure is genital reassignment surgery, although this is certainly not the only one we offer. To modify a patient’s appearance, we can apply other interventions such as lipofilling, mastopexy, and other facial and body surgeries.

The gender reassignment surgeries we offer in Madrid are the following:

  • Gender reassignment surgery, (sex change) from male to female (vaginoplasty), in transgender women.
  • Breast augmentation in transgender women.
  • Facial feminization surgery. Rhinoplasty, frontoplasty and mentoplasty, in transgender women.
  • Body feminization surgery. Liposuction, gluteal lipofilling and gluteal implants in transgender women.
  • Mastectomy with pectoral augmentation in transgender men.
  • Gender reassignment surgery from female to male. Phalloplasty, in transgender men.

Transgender mastectomy in Madrid

During the gender reassignment process, many important decisions must be made. Masculinizing mastectomy is a fundamental step for those transgender men who desire a male-appearing chest. Below, we will address common questions about this surgery, which is essential to achieving the best version of yourself.

What is transgender mastectomy?

It is a surgery indicated in transgender men who want to achieve a masculine appearance of their chest. Hormone replacement treatments achieve a slight reduction in breast volume. However, the existing skin and breast tissue remain on the chest. This represents a problem for the wellbeing and aesthetics of the transgender man.

By eliminating excess skin and glandular tissue from the female breast, we achieve breasts with a masculine shape. Additionally, we achieve nipple-areola proportions typical of the male chest.

The surgical technique varies depending on breast volume and areola position.

When excess skin and gland is minimal, we can perform the surgery with periareolar scars. If the areola is not significantly drooped, we only reduce its size and reposition it on the chest.

However, when tissue volume is greater, we need a larger scar. This scar is concealed within the pectoral fold. These cases are usually associated with lower (ptotic) areolas. Here we need to reposition the areola through grafting. The nipple loses sensation, but we achieve ideal size and position.

Finally, through liposuction we can further define the chest, eliminating small areas of fat to enhance the result.

How much does a transgender mastectomy cost in Madrid?

The cost of a transgender mastectomy in Madrid typically costs approximately 4,200 euros. However, you should know that this figure is approximate. The price varies depending on many factors (patient anatomy, clinic, special needs, etc.).

How long does a transgender mastectomy in Madrid take?

Operating time depends on the technique used and each individual case. It typically takes approximately two to three hours of surgery.

Most patients can go home the same day of the operation. We recommend relative rest during the first few days. You will have a drain in each breast to prevent fluid accumulation.

Normal work life can typically resume during the second week of recovery.

Who is the best transgender mastectomy surgeon in Madrid?

At Sculpture Clinic we are experts in masculinizing mastectomy. Our extensive experience speaks for itself, with over 500 mastectomies performed. We invite you to get to know us; our transgender mastectomy specialists will evaluate your case and offer you the best options.

Frequently asked questions

As this is a surgical intervention with permanent results, the preparation that the patient must undergo beforehand is somewhat more complex. In this case, where we work with a factor of great emotional significance for the person, it is recommended to consult mental health professionals such as psychologists or psychiatrists.

This, combined with professionals in endocrinology or gynecology, can help the patient receive the surgical results more positively since, although we can help assign their desired gender, the change can be impactful for anyone.

It is essential and legally mandatory to first conduct a diagnosis of true transsexuality or gender dysphoria. This process is determined by a mental health professional, who will decide whether gender reassignment surgery can proceed.

The patient with their newly assigned gender should assume their new role during one year. Social changes are gradual and initially it may be difficult to adopt the new identity, as it is a drastic and permanent change.

In addition to sex reassignment surgery, it is usually complemented with hormonal treatment to develop other sexual characteristics that do not require surgery, such as voice feminization or masculinization.

This process can also be applied in transgender children, for whom the use of a hormonal inhibitor is recommended. A specialist should always monitor the process to ensure the most appropriate results.

The postoperative period following sex reassignment surgery varies slightly depending on whether we are discussing a transfemale or transmale patient. In either case, we must follow a soft diet in the first few weeks, until all surgical incisions have completely closed.

In the case of a transfemale patient, the newly created vagina must undergo a dilation process, especially to enable pain-free sexual relations. In the case of phalloplasty, recovery is more complex as this operation is usually associated with mastectomy.

Picture of Dr. Miguel Fernández Calderón – Plastic Surgeon

Dr. Miguel Fernández Calderón – Plastic Surgeon


Graduate in Medicine from the University of Castilla-La Mancha, with specialized training in Plastic, Aesthetic and Reconstructive Surgery at La Paz University Hospital. Member of the Spanish Society of Plastic, Reconstructive and Aesthetic Surgery (S.E.C.P.R.E)