Surgery

Gyotoku Gender Center

Website

Location: Chiba

There isn’t a direct email contact form on this page, but the clinic itself has an online form.

  • Psychiatric Diagnosis? [Not Provided]
    • "Therefore, approval and a certificate from the Gender Committee that complies with the guidelines are required. A mere opinion or diagnosis certificate is not acceptable"
  • Two diagnoses needed.
  • Wait Time: [Unknown]
  • Doctors/Surgeons: [2]
    • Plastic Surgery: Dr. Toru Sakurai
    • Gynecology: Dr. Aiko Sakamoto
  • Surgeries Offered & Costs:
    • Vulva feminization (vaginal flap procedure) — ¥ 2,090,000
    • Vulva feminization (penile inversion procedure) — ¥ 2,090,000
    • Vulva feminization (peritoneal inversion) — ¥ 2,530,000

Kazuki Private Clinic Mens

Website

Location(s): Shimane and Tottori Prefectures

A translator is required.

  • Psychiatric Diagnosis? [Unknown]
  • Wait Time: [Unknown]
  • Doctors/Surgeons: [1]
    • Shimizu Kazuki
  • Surgeries Offered & Costs:
    • "Vaginoplasty after surgery at another clinic or as a standalone treatment"
      • "Mild" — ¥550,000
      • "General" — ¥935,000
      • "Aggressive" — ¥1,320,000
    • "Vaginoplasty is performed together with gender reassignment surgery at our hospital"
      • "Mild" — ¥275,000
      • "General" — ¥550,000
      • "Aggressive" — ¥990,000

Nagumo Clinic

Website

Location: Nagoya

Be sure to select the Nagoya clinic when you reach out, as the other clinics don’t offer SRS “If you are consulting about surgery, please visit our hospital or make an appointment for online consultation. Our hospital is only available in Japanese, so please be sure to accompany an interpreter at the time of consultation.”

  • Psychiatric Diagnosis? [Unknown]
  • Wait Time: [~3 Months]
  • Doctors/Surgeons: [5]
    • Satoru Yamaguchi
  • Surgeries Offered:
    • Total SRS (orchiectomy, penectomy, vaginoplasty, vulvoplasty), ¥1,556,500
    • SRS without vaginoplasty
    • Total SRS after orchiectomy: For those whose testicles have already been removed
    • SRS without vaginal formation after orchiectomy, ¥456,500
    • Total SRS using the colonic method: creating a vagina using the sigmoid colon, ¥ 2,530,000
    • Colonic vaginoplasty: A method that aims to improve a narrowed vagina by using the sigmoid colon
    • Vaginoplasty by packing method: A method that aims to improve a once-narrowed vagina by skin grafting and continuous dilation
    • Correction after surgery at another hospital...especially for improving the shape of the vulva
    • Hermaphroditism surgery (*Self-paid treatment)

For more information on this particular hospital, please see this post.

Okayama Gender Center

Website / Pricing Information

  • Psychiatric Diagnosis? [Most likely needed]
  • Wait Time: [Approximately 2 years]
  • Doctors/Surgeons: [Unknown]
  • Surgeries Offered & Costs:
    • Vaginoplasty — ¥2,000,000
    • Vasectomy
    • Penis removal
    • Spermatozoa removal
    • Vagotomy
    • Vulva feminization
    • Vaginogenesis

Tokyo Meguro-Ku

Website

University of Yamanashi

Website

Location: Yamanashi

  • Psychiatric Diagnosis? [Not Provided]
  • Wait Time: [~7 Months]
  • Doctors/Surgeons: [Unknown]
  • Hospital stay: [~2 weeks]
  • Pre-operative examination fee: ¥25,000
  • Vaginoplasty (Penile Scrotum Skin Inversion only)
  • Surgeries Offered & Costs:
    • MTFSRS（造膣、除睾する場合) - refers to male-to-female sex reassignment surgery (genital feminization surgery) with vaginoplasty and orchiectomy. This is the standard surgical procedure that includes vaginoplasty.
      • ¥1,600,000
    • MTFSRS（造膣しない場合) - refers to male-to-female sex reassignment surgery (genital feminization surgery) without vaginoplasty. This procedure applies to individuals who do not wish to undergo vaginoplasty.
      • ¥1,500,000
    • MTFSRS（造膣なし、除睾なしの場合) - refers to male-to-female sex reassignment surgery (genital feminization surgery) without vaginoplasty and orchiectomy. This procedure applies to individuals who have already undergone orchiectomy and do not wish to undergo vaginoplasty.
      • ¥1,470,000
    • FFS

University of Toyama Hospital

Website

Location: Toyama

  • Psychiatric Diagnosis? [Unknown]
  • Wait Time: [Unknown]
  • Doctors/Surgeons: [Unknown]
  • Surgeries Offered:
    • FTM surgeries are only currently offered.
    • Mastectomy
    • Uterine Ocular

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Version 71 · Created Dec 17, 2025 · Modified Jul 20, 2026
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