Cost Of Surgery | FTM Top Surgery ® | Dr. Charles Garramone The Best Surgeon

Cost Of Surgery

GenSculpt® FTM Top Surgery® Procedure
(Female To Male Transgender Chest Surgery)
ManSculpture® Procedure
(Body Masculinization or ManSculpting)

Cost of Surgery For “Self-Pay” Patients

All GenSculpt® FTM Top Surgery® Procedure costs are estimates for information purposes only and are subject to change without prior written notification.

All surgeries are performed as an outpatient procedure and do not require an overnight stay in a hospital unless otherwise notified. If you are traveling from out of town, Dr. Garramone requests you stay in our local area for at least one week so he may monitor you during the early postoperative period.

All costs include preoperative consultation fee, postoperative physician care, and a letter written by Dr. Garramone stating you have had irreversible sexual reassignment surgery. Revision surgery is only covered if related to the prior surgery performed by Dr. Garramone. If revisions must be performed in a hospital or surgery center, only Dr. Garramone’s fee may be waived. The patient is responsible for all outside operating room, pathology, and anesthesia fees.

GenSculpt® FTM Top Surgery® Procedure Double Incision Method, or “Keyhole” Method, or “Peri-areolar” Method

    • $6,500 is Dr. Garramone’s Surgical Fee for “self-pay” patients (the Keyhole or Peri-areolar Method may cost and additional $500 to $1,000 depending on the specific case). The Hospital & Anesthesia Fee is usually $1,625 to $1,900. The hospital requires all breast tissue to be sent for pathology examination, this will be billed to the patient at a later date which can cost about $270. The estimated total fees are around $8,125 to $8,400, which include the hospital facility fee, anesthesia fee, and Dr. Garramone’s Surgical Fee. Prices can vary depending on hospital, when the procedure is scheduled, or if the hospital increases their fees. This applies to all Breast sizes and includes liposuction of the lateral breast if necessary. Dr. Garramone’s fee of $6,500 must be paid to our office at least 4 weeks prior to the surgery date.The Hospital & Anesthesia Fees must be paid directly to the hospital by the patient on the date of surgery. The Hospital & Anesthesia Fees include 120 minutes of Operating Room time. For most patients the average surgery time is 60 to 70 minutes. If the surgical procedure takes longer than 120 minutes to perform, the Hospital will charge the patient an additional $200 to $300 for each 30 minutes above the allotted time. This is rare, but we must be clear with you about the Hospital Fees. The Hospital or Surgery Center Fees can vary by date and availability.

ManSculpture® Procedure Body Masculinization (liposuction of abdomen, love handles, and outside hips) also known as MaleSculpture

      • $2,500 to $6,000 additional: This is in addition to Top Surgery when performed at the same time. Many patients choose to have this be performed at the same time to better contour their body to a more masculine form. ManSculpting is also more cost effective to have performed at the same time as Top Surgery. The Hospital & Anesthesia Fees must be paid directly to the hospital by the patient. You will be given the total amount due to our office 4 weeks prior to the date of surgery, and the amount due to the Hospital on the day of surgery. Pricing is per area. Typical areas are the abdomen, flanks, and outside thighs. Dr. Garramone’s surgcial fee for one area is $2,500, two areas are $4,000, and three areas are $6,000. The additional time for hospital fees will be added during your consultation for accuracy.


***To reserve a surgical date for GenSculpt® FTM Top Surgery® a $500.00 (U.S. Funds) Non-refundable deposit is required. To reserve a surgical date for the ManSculpture® Procedure an additional $500.00 (U.S. Funds) Non-refundable deposit is required. Upon making a reservation we will email you a preop packet with our financial policy, which must be signed and returned to our office immediately to confirm your scheduled reservation. Final payment is due four weeks prior to surgery. We accept all major credit cards, certain medical loan payments, or cash. We do not accept Personal Checks or medical insurance. All preop labs, prescription medications, mammograms, pathology fees, and postoperative compression garments are not included in the above fees. The hospital requires all breast tissue to be sent for pathology examination which can cost $270 USD or more. We will provide prescriptions (to be filled by the patient) for all medications, labs, and mammogram studies. All specimens of breast tissue removed during surgery must be sent to pathology for microscopic evaluation to rule out any evidence of breast tissue disease.

While we do try to keep the costs for surgery low, we do not have any control over changes in the hospital, anesthesia, or pathology fees; nor do we have any control of increased costs to our practice and overhead from  city, state, and county regulations, along with medical services and medical suppliers. These entities provide a service for our practice and are not owned or operated by our practice. All fees are subject to change without notice. In the event of any fee changes, we will update this page and contact patients as appropriate. If you receive a bill from the Hospital, please contact the Hospital first, and please understand it is your responsibility to settle any bills received from outside our office which may include Hospital or Pathology Fees.

If you are trying to get out of network coverage from your insurance company for Dr. Garramone’s services, please ask us to become an out of network provider for your surgery.