★★★★★
"Dr. Agarwal made me feel confident at every step. The team called to check on me even after I went home — that meant a lot."
Female To Male
Female to male surgery in Lucknow at Kayakriti is staged FTM gender reassignment performed with full privacy and respect. Dr. Agarwal, FRCS Edinburgh, works alongside endocrinology and mental health colleagues to plan a complete pathway including chest reconstruction, hysterectomy through gynaecology partners, phalloplasty or metoidioplasty, and scrotal reconstruction. Each stage is decided with you.
Female To Male — explained on video
Procedure explainers, surgeon Q&A, and patient stories — straight from Dr. Amit Agarwal.
This video is for educational purposes only. Treatments are individualised according to each patient's condition and needs. Similar results cannot be guaranteed for every individual.
About Female To Male
Gender dysphoria, the experience of incongruence between biological sex and gender identity, is not a mental illness. The most effective treatment combines counselling, hormone therapy, and, for those who choose it, surgery. Some individuals are well served by hormones and counselling alone; others choose to proceed through surgical stages. We do not push patients towards surgery, and irreversible procedures require appropriate referrals.
Female to male gender reassignment at our centre is a staged pathway. Most patients begin with chest reconstruction, also called top surgery, where breast tissue is removed and a male chest contour is created. Hysterectomy and oophorectomy follow with gynaecology colleagues. Phalloplasty or metoidioplasty and scrotal reconstruction are the most complex stages and are planned later in the pathway.
Hormone therapy plays a central role in transgender FTM surgery. Testosterone, taken orally or by injection, drives many of the visible male changes including voice deepening, body hair, and muscle distribution. Some individuals find hormone therapy sufficient. Others choose to proceed to surgical masculinization surgery, including chest, genital, and facial procedures, in stages over 12 to 24 months.
During consultation Dr. Agarwal reviews medical history, hormone status, mental health and endocrinology referrals, and personal goals. Each stage of gender transition surgery FTM is explained in detail with realistic outcomes, recovery times, and risks. Photographs are taken with consent and stored on encrypted systems. Decisions are never rushed, and we encourage time between consultation and surgery.
Recovery in Lucknow is supported by a single experienced team across the full pathway. Most patients take two to four weeks off work for chest surgery and longer for genital procedures. We schedule reviews at one week, one month, three months, six months, and twelve months for each stage. Privacy is strict throughout, and notes are stored separately with restricted access.
What to expect
- Private consultation with mental health and endocrinology referrals reviewed
- Staged pathway covering chest, genital, and facial procedures
- Coordination with gynaecology colleagues for hysterectomy
- General anaesthesia in our day-care or overnight setting
- Compression garments and prescribed medications after each stage
- Written aftercare and clear stage-by-stage timeline
- Reviews at one week, one month, three, six, and twelve months per stage
Recovery
- Two to four weeks off work after chest surgery
- Six to twelve weeks recovery for genital surgery stages
- Compression vest for four to six weeks after chest surgery
- Light exercise after four weeks for chest, longer for genital surgery
- Heavy exercise after eight to twelve weeks per stage
- Avoid smoking before and after every surgical stage
See the difference
Before & After — Female To Male
Drag the handle to compare. All photos are real patients shared with consent.
Images shown are intended to provide general treatment insight only. Every patient is unique, and outcomes may vary depending on individual condition and treatment plan.
Common questions
Frequently asked questions
Do I need referrals before FTM surgery?
Yes. We follow internationally recognised standards of care, which usually require letters from mental health professionals and endocrinologists before irreversible surgery. This protects patients from regret and ensures genuine readiness. We can advise on referral pathways during your initial consultation if you have not yet started this process in Lucknow or elsewhere.
How long is the full pathway?
Most patients complete the surgical pathway over 12 to 24 months across multiple staged operations. Hormone therapy continues throughout. Chest surgery is usually first, followed by hysterectomy with gynaecology colleagues, then phalloplasty or metoidioplasty. Dr. Agarwal, FRCS Edinburgh, plans each stage with you so timelines are realistic and unhurried.
Is the surgery safe?
Yes, when performed by an experienced team in a properly equipped facility. Each stage carries specific risks of bleeding, infection, healing problems, scarring, and stage-specific issues such as fistula or sensation changes after genital surgery. We discuss each risk in detail at consultation and work alongside anaesthesia and nursing teams trained for complex cases.
What does FTM surgery cost in Lucknow?
Cost varies significantly depending on the procedures chosen and the staging plan. Total cost in India is meaningfully lower than in many Western countries while maintaining international standards. After consultation we share a written, stage-by-stage estimate covering surgery, theatre, anaesthesia, hospital stay, and follow-up reviews. There are no hidden additions.
Am I a candidate for genital surgery?
Candidates for genital surgery are usually adults with stable hormone therapy, mental health and endocrinology clearance, completion of any required living-as-experience period per international guidelines, and stable health. We avoid surgery during active infection or unstable medical conditions. A consultation with Dr. Agarwal confirms candidacy and the right staging for your situation.
Real stories
Patients who trusted us with their female to male
★★★★★
"Researched a dozen clinics before picking Kayakriti. The honesty about expectations is what won me over. The result speaks for itself."
★★★★★
"I went in nervous and came out grateful. Painless, professional, and the recovery was much smoother than I expected."
★★★★★
"The pre-op consult covered everything — risks, recovery, alternatives. No pressure to upgrade or decide on the spot. That kind of honesty is rare."
★★★★★
"Travelled from Delhi for the procedure. The clinic team coordinated my stay, follow-ups via video call, and I never felt forgotten after surgery."
★★★★★
"Six months on and the results still look natural. Friends notice I look refreshed but can't put their finger on why — that was the whole point."
★★★★★
"They explained the procedure in plain Hindi for my mother and in English for me. Felt heard at every appointment, not rushed."
Names changed where requested. All stories shared with patient consent.
Explore more
Other Sex Reassignment Surgery procedures
Have a question about Female To Male?
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or call us at +91 96959 40009