I had a friend who transitioned a few years ago put together a list of the approximate costs. Here’s the breakdown:
- Uncovered therapy (primary therapist–until surgery date): $2000
- Uncovered therapy (second therapist–Randi Ettner): $450
- Orchiectemy: $2000
- HRT (uncovered amount until surgery): $600
- Electrolysis (up and down god damn it): $17,000
- Genital surgery & breast implant surgeries (round one): $25,000
- Round 2 of surgeries: $2500
Estimated total not covered by any insurance: $49,550.
Costs not included:
- voice (dvd)
- entire new working wardrobe
- moving out and setting up new apartment
- legal fees for name change
- eating awful hospital food for a week.



Less than I thought, actually, but still a small fortune. My FTM friends have it worse, however…
If anyone else would like to email me their total costs list, FTM or MTF, please do, & I’ll post them.
Of course, my costs aren’t anywhere near complete, but the one that I have different is that none of my hormones, blood tests, or T-related doctor visits are covered, and those come to about $5k a year (for 2.5 years, at this point).
My electro has been less, but also face only. (And I’ve been getting a lot of it free. I let the new electrologists train on me.)
Gender Clinic Fees: $1100 (rest covered by insurance, got me two letters)
HRT (uncovered amount until surgery): $400
Electrolysis: $12,000
Genital surgery (round one): $7,500
Round 2 of surgeries: $1200
Estimated total not covered by any insurance: $
Costs not included:
voice (dvd)
entire new working wardrobe
moving out and setting up new apartment
legal fees for name change
eating awful hospital food for a week.