Genital Nullification
Genital nullification removes the external genitals to create a flat genital area, with no penis or vulva. It is for non-binary people with a confirmed diagnosis of gender dysphoria. Dr. Jesús Lago performs the procedure at Clínica 3 de Mayo in Madrid, for patients from the UK, Ireland and beyond.
- All-inclusive price
- €12,950
- Hospital stay
- 3 nights
- Recovery
- 30 days
How Genital Nullification Works
We plan the result with you. It is unique to each person, and it is irreversible.
We remove the external genitals and give the area a flat appearance. Before surgery, we agree on the final shape together, and you decide whether sensation in the area is preserved or removed. The operation is done under general anesthesia.
- Duration
- 8 h
- Anesthesia
- General
Our Complication Rates
We publish our complication rates by procedure and by specialty on a dedicated page, which we update regularly.
See our complication ratesOur Ethical Framework
Genital nullification is irreversible. Before any decision to operate, we follow a seven-step decision-making process. It includes the diagnosis of gender dysphoria, an assessment consultation and making sure you understand that the result cannot be reversed in the long term.
Read our ethical frameworkFrequently Asked Questions
The price of genital nullification covers your preoperative tests, the assessment consultation, the operation and hospital stay, follow-up appointments, laboratory analysis of the tissue removed and, if needed, a blood test and an ultrasound.
You need an established diagnosis of gender dysphoria. Dr. Jesús Lago then operates after a consultation that confirms your wish to go ahead and your understanding that it cannot be reversed in the long term.
Read our ethical frameworkNo, it is irreversible. That is why we take the time to make sure of your decision before surgery.
Yes, sitting down. During genital nullification we shorten the urethra (the tube that carries urine), but it stays long enough for you to urinate.
That is your choice. During genital nullification, we can either preserve sensation in the area or remove it.
No. We plan your result with you, combining several shape options: there is no standard result.
Yes. Depending on your situation, the process can involve the genital area, the chest, or both. Genital nullification covers the genital area only, and chest surgery has its own page.
About top surgeryYes. Depending on your situation, an orchiectomy can be part of the same process. Genital nullification covers the genital area only, and each operation is planned individually.
About orchiectomyTraveling from Abroad for Surgery
If you are coming from abroad, we organize your stay in Madrid and handle your follow-up remotely.
The Medical Team
Dr. Jesús Lago, lead surgeon in practice since 2000, heads a team that has worked together for almost a decade at Clínica 3 de Mayo. All our doctors are fully qualified and registered with the Madrid College of Physicians (Colegio de Médicos de Madrid).
- Dr. Jesús LagoLead surgeon
- Dr. Iordan Minchev IordanovHead of anesthesia and team coordinator
- Dr. Werner Engel EspinosaAnesthesiologist
- Dr. Sara Vázquez AmigoCoordination and follow-up
- Dr. Álvaro Henríquez DaoAssistant surgeon
- Gonzalo Chorén PiermateiNurse
Our Centers
Clínica 3 de Mayo Hospital Fuensanta
Calle Arturo Soria 17, 28027 Madrid
Where your operation takes place. Operating rooms, inpatient ward, 24/7 emergency department, intensive care.
Consultations and follow-up
Clínica 3 de Mayo · Calle Apodaca 4, 28004 Madrid
Also at the Hospital Fuensanta outpatient clinic on Thursdays.
Clínica 3 de Mayo S.L. · CIF B83091363
Explore our centers
Book Your First Consultation
We reply within 24 hours on weekdays, then see you in Madrid or by video call for your first consultation.