All the Money! (Tran$ isn’t cheap!)

So The Advocate writes

Undergoing all the procedures listed by the Philadelphia Center for Transgender Surgery would total more than $100,000, Reuters notes.

Wow! That’s a lot of money! Not many of us have 100K taking up space in our pockets. This is pretty dire and if you are thinking about being trans, you just forget it now. You can’t afford to be trans. You’re too poor and are probably “four times more likely than other Americans to live in extreme poverty.” That’s, of course, if you are already living the life transtastic. I wonder if the same goes towards people who have been circling the gravity well of trans, hanging out on the event horizon and not quite fully committing. Are you also living in extreme poverty?


Statistics…generalities. We are painting dire pictures of our realities, dissuading you cosmic travellers reticent to get fully sucked into the trans money pit from committing because even after you’ve lost all your friends and families and jobs and stuffs, you will be faced with impossible transition costs and it’s not like you can take out a personal line of credit to pay for this stuff (well, actually, there are ways…). In any event, or at any event horizon, it is good to know what you are up against.

Now the Advocate writer blindly quotes a Reuters article who haphazardly calculated the costs of transition based on Dr. McGinn’s MTF price list (because we all know that FTM transition isn’t worth talking about, amirite?). So I went on over to Dr. McGinn’s site to have a looksee at the high costs of trans, because I didn’t pay 100K for my surgery (I only had the one…there are so many more I could have…I need to get Ubering!). Here’s the list:

Facial Feminization Surgery

Description Surgery Hospital/Anesthesia Total
Blepharoplasty (eyelids upper and lower) $ 6,000 $1,700      2.0 hr $ 6,700
Blepharoplasty (upper or lower)   3,500   1,400      1.5 hr  4,400
Rhinoplasty   5,500   2,000      2.5 hr  7,500
Rhinoplasty  w/Septoplasty   6,500   2,300      3.0 hr  8,800
Facelift (Rhytidoplasty)   8,000   2,600      3.5 hr 10,600
Mini Facelift   5,500   2,300      3.0 hr  7,800
Liposuction of neck   1,500   1,100      1.0 hr  2,600
Chin augmentation   2,500   1,100      1.0 hr  3,600
Cheek augmentation   3,500   1,700      1.5 hr  5,200
Forehead/brow lift with brow bone
    reduction and hair line advance   4,500   1,700      2.0 hr  6,200
Thyroid cartilage reduction   2,500   1,100      1.0 hr  3,600
Upper lip shortening   3,000   1,100      1.0 hr  4,400

Top (Breast) and Body Surgery

Breast Augmentation $6,500 $1,700      2.0 hr $8,200
Liposuction 1,000-1,500/area varies w/ size &  # of areas
Abdominoplasty (tummy tuck)  6,200  2,300      3.0 hr 8,500
    mini-Abdominoplasty (tummy tuck)  2,500  1,700      2.0 hr 5,300
Buttock Augmentation (implants)  7,500  2,000      2.5 hr 9,500
Buttock Augmentation (fat transplant)  4,500  2,000      2.5 hr 6,500
Calf Augmentation (implants)  5,000  1,700      2.0 hr 6,700
Orchiectomy  3,500  1,100      1.0 hr 4,600

Bottom Surgery (GRS/SRS) 

Vaginoplasty (one-stage with penile inversion,  clitoroplasty, and labiaplasty)  12,600  7,150*       5.5 hr $19,750

*(Anesthesia $1,800;  OR $2,350; 3 nights in hospital $3,000.)

Prices above are current and may vary depending on which hospital is utilized and if hospital or anesthesia fees are changed.


 The bolded text is their emphasis, but do note that there are discounts for multiple procedures. 

Wow! That’s a lot. There are so many procedures I didn’t even think of getting, such as a $6,700 Calf Augmentation! Now I added all these procedures up and got a grand total of $140,450. Now remember, there will be discounts on multiple procedures, so…

But wait a second! Do you really need that calf augmentation? What about the $17,000 worth of Kardashian Ass Plumping? Now you certainly don’t need a $5,000 orchiectomy if you are getting GRS. Testicle removal is free with every new vagina! (and no, you cannot sell them for $50,000). Perhaps you can avoid the $18,400 facelife and mini-facelift combo (do you need both?).

And you see where I’m going with this. That $100,000 price tag begins to shrink when you get rid of some of the luxury items. Yes, some FFS might be necessary and perhaps a breast augmentation might be nice. Heck, this doesn’t even have hair transplantation, which is often more expensive than GRS (I know this from pricing…).

I don’t want you to think I am making light of the costs of being trans (okay, I’m making a little light…so much doom and gloom needs a little bit of sunshine…and we all should spread a little sunshine). It is really expensive and painful and will make you feel amazing and not fix all your problems. Seriously, don’t go under the knife if you think a new vagina or bigger breasts are going to make everything better, because it won’t. Life gets better, yes, but not all parts of life. For one, try peeing to discover no toilet paper…grrrr!

What the surgeries do (for those who have many…some of just have the one) is unmask all the other problems that were hiding out behind the trans. All the other crap that you didn’t deal with because trans was demanding all your time. And yes, I’m speaking to the binary and for you folks who live outside of the binary, well, you just go on and do that and you probably aren’t spending as much money on surgeries anyhow, so stop hassling me, ok?

Oh, and none of this takes into account the money spent on hair removal or voice training or hormones or clothes or shoes (clothes and shoes are different categories, thank you!), or make-up or all the various costs of replacing one gendered life with another. But life isn’t cheap and trans life certainly isn’t cheap and you will probably be in debt at the end of the day, which will depress you some more (because you need more reasons to be troubled) and you may wonder at the end of the day if it was all worth it…

I can’t answer that for you. That’s a you thing. For me it was. but’s that’s me.

(oh, and for those of you wondering, the costs of FTM procedures will run you $115K if you select the whole menu)