For transmasculine individuals, hysterectomy with oophorectomy removes the internal reproductive organs that can be a persistent source of dysphoria. By eliminating the uterus, fallopian tubes, and ovaries, this procedure ends menstruation permanently, removes the need for hormonal suppression of the menstrual cycle, and may simplify long-term testosterone therapy. Performed laparoscopically, it involves small incisions and a relatively quick recovery.
What Is Hysterectomy & Oophorectomy?
A total hysterectomy with bilateral salpingo-oophorectomy (TH-BSO) removes the uterus, cervix, both fallopian tubes, and both ovaries. For transmasculine patients, this procedure addresses dysphoria related to internal reproductive anatomy, permanently stops menstruation, and eliminates the body's primary source of endogenous oestrogen and progesterone. After surgery, testosterone therapy remains necessary for maintaining masculinising effects and overall hormonal health, but is no longer working against an endogenous oestrogen source.
The procedure is most commonly performed laparoscopically, using small abdominal incisions and a camera, which results in less pain, shorter hospital stays, and faster recovery compared to open surgery. In some cases, it may be combined with vaginectomy or performed alongside other gender-affirming procedures such as metoidioplasty or phalloplasty. Under WPATH Standards of Care (SOC 8), hysterectomy for gender affirmation requires documentation of persistent gender incongruence and typically one referral letter from a qualified mental health professional.
Common Concerns Hysterectomy & Oophorectomy Can Address
- Ongoing distress caused by menstruation despite testosterone therapy
- Dysphoria related to the presence of internal reproductive organs
- Desire to eliminate the need for medications that suppress menstruation
- Preparation for further genital reconstruction such as phalloplasty or metoidioplasty
Are You a Good Candidate?
- Persistent gender dysphoria with at least one referral letter per WPATH SOC 8
- A period of continuous testosterone therapy (unless medically contraindicated)
- Good overall health with no active pelvic infections or uncontrolled medical conditions
- Clear understanding that the procedure permanently ends fertility
Techniques & Options
Hysterectomy can be performed using several surgical approaches. Laparoscopic and robotic-assisted methods are strongly preferred for gender-affirming cases due to their minimally invasive nature, reduced scarring, and faster recovery. The most appropriate approach depends on your anatomy, prior surgical history, and any concurrent procedures planned.
Two principal techniques are offered:
Laparoscopic Hysterectomy
Three to four small incisions (each 5–12 mm) are made in the abdomen, through which a laparoscope (camera) and specialised instruments are inserted. The uterus, cervix, fallopian tubes, and ovaries are detached from their attachments and removed through one of the small incisions or through the vaginal canal. This minimally invasive approach results in less post-operative pain, smaller scars, and a faster return to daily activities.
- Minimally invasive with 3–4 small incisions
- Significantly less post-operative pain than open surgery
- Faster recovery and shorter hospital stay (2–3 nights)
Robotic-Assisted Laparoscopic Hysterectomy
A robotic surgical system (such as the da Vinci platform) provides enhanced 3D visualisation and wristed instrument movement, allowing the surgeon to perform precise manoeuvres within the confined pelvic space. The same small incisions are used as in standard laparoscopy, but the robotic instruments offer greater dexterity. This may be particularly advantageous in patients with adhesions from prior surgeries or complex pelvic anatomy.
- Enhanced surgical precision with 3D visualisation and articulating instruments
- Same minimally invasive incisions as standard laparoscopy
- Particularly useful for complex cases or patients with prior pelvic surgery
Recovery Timeline
Days 1–2
You will remain in hospital for observation after surgery. Some abdominal bloating, shoulder-tip pain from residual gas, and mild to moderate incisional discomfort are expected in the first 48 hours. Pain is managed with oral analgesics. You will be encouraged to walk gently on the first day to reduce the risk of blood clots.
Week 1
You return to your accommodation and attend a follow-up appointment. Bloating subsides, and most patients feel well enough for gentle walks and light self-care. Avoid lifting anything heavier than 5 kg. The small incision sites heal quickly under adhesive dressings.
Weeks 2–4
Energy levels improve steadily. You can resume most daily activities, light work, and short outings. Continue to avoid heavy lifting, strenuous exercise, and sexual intercourse until cleared by your surgeon. Your testosterone regimen may be reviewed during this period.
Weeks 4–6
Most patients are fully recovered by week 6. You can resume all normal activities including exercise, heavy lifting, and sexual activity with your surgeon's approval. Internal healing is complete, and you should schedule a follow-up with your hormone prescriber to review your testosterone dose.
What to Expect
Safety & Risks
Laparoscopic hysterectomy is a well-established, commonly performed procedure with a strong safety record. As with any abdominal surgery, there are risks that your surgeon will discuss with you in detail.
- Injury to adjacent organs (bladder, bowel, ureters) during surgery (rare)
- Post-operative bleeding requiring transfusion (uncommon)
- Infection at incision sites or pelvic cavity
- Blood clot formation (deep vein thrombosis or pulmonary embolism)
- Vaginal cuff dehiscence (wound separation at the top of the vagina, rare)
- Conversion to open surgery if laparoscopic access is not feasible
- Anaesthesia-related complications
Minimally invasive techniques have significantly reduced the complication rates associated with hysterectomy. Our partner surgeons have extensive experience performing laparoscopic procedures and operate in fully equipped, JCI-accredited facilities. Pre-operative assessment includes thorough imaging and blood work to identify and mitigate any individual risk factors.
How Much Does Hysterectomy & Oophorectomy Cost in Thailand?
Our pricing is transparent and all-inclusive, and your quote covers everything from surgeon fees to hospital stay.
Hysterectomy & Oophorectomy
All-inclusive surgical package- Board-certified surgeon fee
- Anaesthesia & operating theatre
- Hospital stay & nursing care
- Post-operative medications
- Follow-up appointments
- Dedicated care coordinator
Common Questions About Hysterectomy & Oophorectomy
Everything you need to know before your procedure
Dr. Kanokwan Pattanaporn
MEDICALLY REVIEWEDDr. Kanokwan Pattanaporn
MEDICALLY REVIEWEDGender Affirmation Surgeon · Bangkok
Last reviewed: February 24, 2026
Medical References
- WPATH Standards of Care for the Health of Transgender and Gender Diverse People, Version 8 (2022)
- Obedin-Maliver J & Makadon HJ. Transgender Men and Pregnancy — Obstetric Medicine (2016)
- American College of Obstetricians and Gynecologists — Health Care for Transgender and Gender Diverse Individuals (2021)
- Buncamper ME et al. Surgical Considerations for Gender Affirming Hysterectomy — Current Opinion in Obstetrics and Gynecology (2021)
Medical disclaimer: Content on this site is provided for informational purposes and should not be treated as medical advice. Outcomes, timelines, and eligibility differ from person to person. Speak with an experienced gender-affirming surgeon before proceeding with any procedure.
What's Included
- Board-certified surgeon fee
- Anaesthesia & operating theatre
- Hospital stay & nursing care
- Post-operative medications
- Follow-up appointments
- Dedicated care coordinator
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