The following is a minimum requirement to start the hormonal therapy:

• You must be above 18 years or have a parental release form.

• You must be in a stable frame of mind and be living in society as the new desired external appearance for at least 3 months.

• You have done a consultation & counselling with a psychiatrist for at least 3-months in order to rule out any abnormal mental condition.

• If you have an approval of psychiatrist to undergo hormonal therapy.

• You should have an affidavit (notarized) citing that you are a major and you truly understand the surgery.

The following is a minimum requirement to start the genital surgery:

• You must be above 18 years or have a parental release form or spouse release form if married.

• You must be in a stable frame of mind and be living in society as the new desired external appearance for at least 12 months.

• You have done a consultation & counselling with a psychiatrist for at least a year and have approvals from two independent psychiatrists to rule out any abnormal mental status.

• You should have an affidavit (notarized) citing that you are a major and you truly understand the surgery and can take decisions for the same.

Female to Male or F to M (Trans Male)

It has the following stages:

• Excision of breast, salpingo-oophorectomy, hysterectomy & excision of vagina (in Single or two stage, depending on completion of formalities).

• Penile reconstruction / Metoidioplasty.

• Placement of penile implants for penile erection.

Each stage has a gap of 4 to 6 months to make sure each area is properly healed. Further stages may be required to fine tune the primary results.

Male to Female or M to F (Trans Female) GAS

It has the following stages:

• First stage surgery involves – orchiectomy, creation of vagina/labia/clitoris from penile skin / scrotal skin/glans, creation of neourethral opening (+ breast implants if required).

  Note: feminization/masculinization surgeries are considered cosmetic.

• Feminization Procedures.

• Body contouring (liposuction of the waist).

• Breast implant.

• Rhinoplasty.

• Blepharoplasty.

• Thyroplasty.

• Facial bone reduction.

• Laser hair removal.

• Lip augmentation ( fat / filler ).

• Skin resurfacing.

• Hair Transplant.

• Masculinization Procedures.

• Chin/jaw implants.

• Lip reduction.

• Masculinization of torso.

• Hair Transplant (beard/moustache).