Metoidioplasty
Metoidioplasty creates a penis from the clitoris, which grows on hormone therapy. The result is smaller than with phalloplasty, but no tissue needs to be taken from elsewhere on your body. Dr. Jesús Lago performs the procedure at Clínica 3 de Mayo in Madrid, for patients from the UK, Ireland and beyond.
- All-inclusive price
- €14,450 to €15,950
- Hospital stay
- 3 to 4 days
- Recovery
- 30 days
How Metoidioplasty Works
We create the penis from the clitoris, so it keeps its sensation. It measures 4 to 7 cm when the clitoris has grown significantly on hormone therapy. We can also lengthen the urethra (the tube that carries urine) so you can urinate standing up, but this carries a risk of leaks or narrowing. The two options differ in one respect only: whether a hysterectomy (removal of the uterus) is included.
For patients whose uterus has already been removed. In a single operation, we create the penis, close the vaginal canal and form the scrotum (scrotoplasty).
- Price
- €14,450
- Duration
- 6 h
- Approach
- Open surgery
- Hospital stay
- 3 to 4 days
- Anesthesia
- General
- Recovery
- 30 days
In a single operation, we first remove the uterus (hysterectomy), then close the vaginal canal and create the penis.
- Price
- €15,950
- Duration
- 6 h
- Approach
- Open surgery
- Hospital stay
- 3 to 4 days
- Anesthesia
- General
- Recovery
- 30 days
Before and After Gallery
Further examples are available on request. Please ask the medical team at your consultation.
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
We assess every request on its own merits: the need, the expected benefit weighed against the risks, your health, and how well you understand what cannot be reversed.
Read the ethical frameworkFrequently Asked Questions
The price of metoidioplasty 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.
No. The result depends on how much your clitoris has grown on hormone therapy. We assess this at your consultation, and it determines the size we can achieve.
Around 4 to 7 cm in length, when the clitoris has grown significantly on hormone therapy. This depends on your starting anatomy, not on anything decided at your consultation.
In principle, yes. You keep both touch and erogenous sensation, because the penis is created from your own clitoris. Orgasm is possible, but we cannot guarantee it.
Possibly, if we reconstruct the urethra (the tube that carries urine), but this is not guaranteed. Without this reconstruction, you will urinate sitting down, but you avoid the risk of leaks (fistulas) and narrowing (strictures).
No. Metoidioplasty costs the same with or without urethral reconstruction. Few patients choose this option, and those who do avoid urethral fistulas and strictures.
Metoidioplasty works with your own tissue: erections come from the clitoral tissue itself, with no implant. Phalloplasty gives natural length, but erections need an implant, fitted in a separate operation. It comes down to a trade-off between size and function.
About phalloplastyYes. If you prefer not to combine them, we can perform the hysterectomy and vaginal closure in a separate operation before your metoidioplasty.
About hysterectomyTraveling 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



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