A Complete Guide to Masculine Reconstruction
Phalloplasty is completed in three main stages over 9–12 months. Each phase builds upon the last, allowing your body time to heal and prepare safely for the next step.
At Now Be You (NOWBU), we help coordinate every visit—from hospital admission to recovery and follow-up—so you can focus on your transformation with confidence.
Step 1 – Hysterectomy
Estimated Cost: 4,573 – 6,240 AUD
Hospital Stay: 2 nights
Interval before next step: 2-3 months
This initial procedure removes the uterus and, where appropriate, the ovaries and fallopian tubes. It prepares the pelvic anatomy for future urethral and genital reconstruction.
Most clients recover within a few weeks but should allow at least three months for full internal healing before proceeding.
Step 2 – Vaginectomy + Urethral Lengthening + Forearm Preparation
Estimated Cost:
• Vaginectomy + Urethral Lengthening – 8,621 – 10,526 AUD
• Urethral Prefabrication (Forearm) – 4,050 AUD
Hospital Stay: 6 nights
Interval before next step: 6 months
This stage creates the foundation for the final phalloplasty:
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Vaginectomy removes and closes the vaginal canal.
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Urethral lengthening extends the urinary passage to the perineum.
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Forearm prefabrication forms a future urethral channel under the skin of the donor site.
Six months of healing allow the tissues to mature and lower the risk of complications.
Step 3 – Total Phalloplasty (Radial Forearm Free Flap)
Estimated Cost: 17,670 AUD
Hospital Stay: 14 nights
The final step uses microsurgery to sculpt the new phallus from the prepared forearm tissue. Surgeons connect blood vessels and nerves to provide circulation and potential sensation.
This stage may also include scrotoplasty or plans for future erectile implants, depending on your goals.
🧭 Overall Timeline & Travel
Most clients complete all three stages over 9–12 months, requiring three separate trips to Thailand.
NOWBU assists with scheduling, travel coordination, and follow-up so your journey stays organised and stress-free.
👩⚕️ Alternative Approach – Dr Poonpisamai’s “All-in-One” Phalloplasty
Dr Poonpisamai offers an innovative single-stage option that combines:
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Vaginal closure
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Phallus and urethral reconstruction
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Scrotoplasty with coronal creation
Requiring around 7 nights in hospital, this method suits selected candidates and provides a streamlined recovery.
