OrchiectomyFeminization Surgeries

Orchiectomy in transsexual women is a surgical procedure that involves the removal of the testicles.

Through orchiectomy, we aim to eliminate the production of male hormones for better hormonal control in transsexual women who do not want to undergo a vaginoplasty or who plan to postpone it.


What is orchiectomy?

Orchiectomy is a simple surgical technique, it is generally performed under regional or general anesthesia and basically consists of removing both testicles. With this procedure, male hormones and sperm will stop being produced permanently.

It is a highly requested intervention in transfeminine people for better hormonal control.

It can be associated with performing a scrotoplasty to regularize the area and prevent the persistence of the skin bag under the penis.

This scrotoplasty should only be performed on people who are never going to undergo a vaginoplasty, since otherwise we will lose the tissue necessary to create the labia majora and labia minora.




Surgical time

Surgical time

1/2 hour.

Admission time

Admission time

Major Ambulatory Surgery (less than 12 hours).

Type of anesthesia

Type of anesthesia

Regional o General.

Type of surgery

Type of surgery

About the Scrotal Bag.

Recovery time

Recovery time

24 hours.



3.800 €

This price includes:

Preoperative studies

Evaluation consultation

Surgical intervention and hospitalization

Follow up

Pathological exam

And if necessary in the follow up:

Blood analysis evaluation

Ultrasound evaluation

Orchiectomy Explanatory Video

Dr. Jesús Lago explains the orchiectomy technique.

Orchiectomy Video

Any trans woman who has decided to postpone vaginoplasty or who has decided never to have it can undergo an orchiectomy.

In the same intervention, orchiectomy and scrotoplasty can be performed to leave the area below the penis flat. It must be taken into account that once a scrotoplasty has been performed and if you want to do a vaginoplasty, the preparation of the labia majora and minora would be difficult, so a scrotoplasty should only be done in people who never want to undergo a vaginoplasty.

The most common complication is inflammation or hematoma and both are resolved simply by waiting for the body to reabsorb them.

Major complications are very rare. It must be taken into account that orchiectomy is an irreversible process, which eliminates the production of testosterone and sperm.

No, once the orchiectomy is performed, sperm production ceases, so the possibility of having biological offspring with our own genetic load would not be possible.

Yes, sperm freezing can be performed prior to surgery to guarantee this possibility in the future.

The best professionals for your peace of mind

The Jesus Lago Institute team is made up of highly experienced and qualified doctors and healthcare personnel and has an Outpatient Surgery Support Center with state-of-the-art equipment for monitoring their patients.
IMPORTANT: The information contained in this web is only for guidance and general purposes. In no case is it intend to replace a personal consultation where your particular case is evaluated and where an accurate diagnosis will be obtained. If you wish, you can request a consultation without any commitment to evaluate your case. We are concerned that the provided information is the correct one for you. If you don't understand any word or explanation, please don't hesitate to contact us.
Last update / January 8, 2024
Clínica Fuensanta
Miembro SECE
Centro autorizado por la Comunidad de Madrid
Miembro SECO
Miembro SEEDO
AE Cirujanos
World Professional Association for Transgender Health
Sociedad Española de Directivos de la Salud
International Federation for the Surgery of Obesity
European College of Aesthetic Medicine & Surgery