Penile Inverted Skin Flap & Recto-Sigmoid Colon Techniques

Dr Kim performs gender reassignment surgery (GRS) at South Korea's National Medical Center (NMC).

Vaginoplasty: Penile Inverted Skin Flap & Recto-Sigmoid Colon Techniques

He accepts HIV-positive homosexual and heterosexual transgender patients seeking male-to-female transsexual sexual reassignment surgery (SRS).

Costs are straightforward and transparent. There are no hidden costs.

The surgeon speaks, understands, reads and writes English well. No communication problems.

There are two basic costs: the surgeon's fee and the hospital fees.

The surgeon's fee is paid in US dollars cash.

The hospital fees can be paid by credit card and the National Medical Center prefers that.

Male to Female Surgery Cost

The surgeon's fee for vaginoplasty from recto-sigmoid segment (including clitoroplasty and labiaplastyis) is US$15000 for patients who have had no previous bottom surgery.

NMC hospital fees are likely to be an additional US$15000, approximately.

NMC charges US$400/night for a private room, US$200/night for a bed in a 6-person ward. There will be various additional charges by the hospital such as anesthesia.

Actual cost depends directly on the strength of the patient and how many nights she must stay in hospital.

Surgery takes eight hours.

The patient is expected to stay approximately six nights in the National Medical Center. Longer stay in hospital is sometimes recommended.

Patients are expected to stay at least 3-4 weeks in Seoul for recovery after surgery. Dr Kim recommends four.

Penile Skin Inversion or Colon?

Male-to-female reassignment is best done using either skin or bowel to create the neovagina.

Vaginoplasty by penile skin inversion with clitoroplasty and labiaplastyis also available. That requires at least two weeks recovery in Seoul.

This procedure is suitable for person's having no sexual intercourse or a sex partner with a relatively small penis.

Surgery from recto-sigmoid segment is less for patients who have already had penile skin inversion vaginoplasty performed but find it provides insufficient vaginal depth for good sexual intercourse.

Surgeons pushing penile skin inversion surgery because of the lower price point often say that postoperative vaginal stenting and periodic dilatation will enable sexual intercourse but many patients find that to be untrue.

The procedure requires less time to perform and is not as challenging and complex as creation of a rectosigmoid vagina which is aesthetically pleasing and much more suitable for sexual activity — including with men who have a 9-11 inch penis.

The surgeon's fee is paid in cash directly to him but a credit card can be used for the hospital, accommodations and almost everything else, including restaurants, taxis, supermarkets and mini-marts.

HIV-positive patients should get the four major categories of blood tests done in their hometown and then have a physician issue a medical report stating you are strong enough for surgery. The medical affidavit can be from your endocrinologist, GP, family doctor or any other medical doctor.

Male to Female Transition: How To

To schedule an appointment for surgery, Dr Kim requests provide him with:

  1. a surgery date proposal at least one weekin advance;
  2. a medical history;
  3. digital copies (scans) of the original letters from psychiatric or mental health professionals to Dr Kim diagnosing you with Gender Identity Disorder (GID) and authorizing surgical correction by male organ removal and vaginoplasty (if it is your first bottom surgery).

    These signed documents on the mental health professional's official stationary and containing full contact information are required by The World Professional Association for Transgender Health (WPATH) Standards of Care (SOC) to which Dr Kim chooses to adhere. You hand-deliver the original letters to the surgeon when you meet him in Seoul.

    The latest version of the Standards of Care in PDF format are available in these languages. Click to download.
  4. No scheduling fee is charged.

Of course, male to female transsexual patients coming for revision or corrective vaginoplasty no longer need psychiatric authorization for gender reassignment, as in the case of vaginoplasty from recto-sigmoid segment to replace penile skin inversion vaginoplasty.