
Cost of Top Surgery in London: Gender Affirmation Surgery Prices in the UK
Top Surgery, a crucial gender affirmation procedure, plays a pivotal role in reshaping and resizing the chest to align with one’s gender identity. It is a procedure commonly sought by transgender men and women, as well as those who identify as non-binary.
Top Surgery can take two forms: Male-to-Female (MTF) Top Surgery and Female-to-Male (FTM) Top Surgery, catering to the unique needs of transgender women and men, respectively.
MTF Top Surgery employs saline or silicone implants to augment the size and alter the shape of the breasts, creating a more feminine appearance.
FTM Top Surgery focuses on creating a more masculine-looking chest. It involves removing breast tissue and contouring the chest.
At Centre for Surgery, a specialist plastic surgery clinic in London, we have a long-standing reputation for providing high-quality gender affirmation surgeries.
RELATED: Transgender Surgery FAQs – What to Consider Before Getting Top Surgery
How do I get top surgery in the UK?
Getting top surgery in the UK involves several steps, and certain criteria must be met:
Persistent and Well-Documented Gender Dysphoria
You must provide evidence of persistent, well-documented gender dysphoria. You will typically need a formal diagnosis from a mental health professional to meet this requirement.
RELATED: WPATH Letter for Top Surgery in London
Informed Decision Making
You need to demonstrate the capacity to make a fully informed decision about undergoing surgery and the ability to give consent for treatment.
Age
You must be at least 18 years old to access top surgery in the UK.
Control of Medical or Mental Health Concerns
If there are significant medical or mental health concerns present, they must be reasonably well controlled before undergoing top surgery.
Top Surgery Prices London

Navigating the financial aspect of top surgery requires an understanding of the various components that contribute to the overall cost. In general, here are the main constituents that make up the cost of top surgery:
Medical Examinations and Radiology
Before your top surgery, a series of medical tests and X-rays will need to be carried out.
Surgeon’s Fees
The surgeon’s experience and expertise determine this cost component.
Surgical Facility Charges
The surgical facility where the procedure will be carried out also significantly contributes to the overall cost.
Anaesthetist Fees
The fees charged by the anaesthetist form part of the total cost.
Medications
Antibiotics and pain relievers are typically administered during and after the surgery. The cost of these medications will also be included in the overall cost.
Post-Surgery Garments
Following the surgery, you’ll be required to wear special post-operative garments to reduce swelling and expedite recovery.
Selecting the Ideal Surgeon for Your Gender Affirmation Surgery in London

Choosing an appropriate surgeon for your gender affirmation surgery is a significant decision. Below are some strategies to aid you in making an informed choice:
Solicit Referrals
A simple yet effective initial step is to ask your local general practitioner for recommendations.
Verify the Surgeon’s Credentials
Use online resources to scrutinise the surgeon’s qualifications, ensuring that they hold relevant certifications and are registered with appropriate regulatory bodies, like the General Medical Council (GMC) in the UK.
Opt for a Surgeon with a Wealth of Experience
The surgeon’s experience is crucial when it comes to gender affirmation surgery. It’s therefore advisable to choose a surgeon who has vast experience specifically in top surgeries.
Consider the Surgical Facility
Evaluate the surgical facility that your prospective surgeon operates in. It should be equipped with state-of-the-art technology.
Assess Communication Skills
Building a rapport with your surgeon is essential. During your consultation, evaluate their communication style, attentiveness to your concerns, and willingness to discuss the procedure in depth.
FAQs about Top Surgery – MTF Surgery – FTM Surgery
Can I get Top surgery on the NHS?
Yes, you can access top surgery via the NHS in the UK. However, due to the high demand and limited resources, there may be a long waiting time.
Can you get top surgery in the UK?
Yes, top surgery is available in the UK, both through the NHS and private healthcare providers.
What do I need to have top surgery?
You need to meet certain criteria, including being over 18 years old, having a well-documented and persistent gender dysphoria, and having the ability to make a fully informed decision and give consent for treatment.
What is gender dysphoria?
Gender dysphoria refers to the psychological distress that a person may feel due to a mismatch between their gender identity and their sex assigned at birth.
How long does it take to get diagnosed with gender dysphoria?
This can vary widely from person to person and depends on several factors, including the availability of healthcare providers and the individual’s personal circumstances.
Can you get top surgery if you are overweight?
Generally, being overweight can increase the risk of complications during and after surgery. You should have a BMI below 30.
Do you need to be on hormones to get top surgery?
Not necessarily. WPATH guidelines do not require people to be on hormones before getting Top surgery.
How long do you need to be on hormones to get top surgery?
This depends on the individual’s health condition and the recommendations of their healthcare provider.
Can breasts grow back after top surgery?
In most cases, breasts do not regrow following top surgery. However, significant weight gain could potentially cause some increase in breast size.
Is Top surgery painful?
Post-operative pain is expected after top surgery, but it can be managed effectively with pain medications prescribed by your surgeon.
Can you get top surgery without scars?
Most top surgery techniques will result in some scarring, but the location and visibility of scars will vary depending on the surgical technique used.
What should I wear after top surgery?
Comfortable, loose clothing that doesn’t need to be pulled over the head is usually recommended.
Will I have to stay overnight in the hospital after top surgery?
No. Top surgery is a day case procedure which means you will be able to go home later the same day and recover in the comfort of your own home.
Do I need physiotherapy after top surgery?
Physiotherapy may be beneficial for some patients after top surgery to help restore mobility and strength in the chest and upper body.
When can I sleep on your side after top surgery?
Typically, patients are advised to sleep on their backs for a few weeks after top surgery to avoid pressure on the surgical area.
Is Top surgery reversible?
Generally, top surgery is considered a permanent procedure.
Why choose Centre for Surgery for Top Surgery?
Choosing Centre for Surgery for your top surgery comes with several key advantages:
- Experience: Our surgeons at Centre for Surgery are highly trained and experienced in performing top surgery.
- Patient-Centred Approach: We are committed to providing individualised, patient-centred care.
- High-Quality Facilities: Our state-of-the-art facilities are equipped with the latest surgical technologies.
- Follow-up Care: We offer comprehensive follow-up care to monitor your recovery and ensure the best possible outcome.
- Accessibility and Affordability: We offer a range of payment options and can help you navigate any insurance questions.
- Emphasis on Education: We believe that an informed patient is a confident patient.
Choosing the right facility and surgeon for your top surgery is a significant decision, and at Centre for Surgery, we’re committed to making that journey as smooth, secure, and comfortable as possible.

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