Spain, Madrid
Bottom surgery in Hospital Ruber Internacional
155
patients
chose clinic for Plastic Surgery
98% Patients
recommended this clinic
About the clinic
FTM phalloplasty is a gender-affirming bottom surgery available at Hospital Ruber Internacional in Madrid, Spain. The procedure may cost around 30,000 EUR and is performed by Dr. César Casado, a plastic surgeon specializing in complex genital reconstruction. The hospital is JCI-accredited and part of Quirónsalud, Europe's largest hospital group.
About the Procedure
FTM phalloplasty creates male genitalia using tissue grafts. Dr. Casado offers two surgical approaches: radial forearm flap or anterolateral thigh flap. The method depends on individual anatomy and patient preferences. Urethral lengthening and penile prosthesis can be included if needed.
Treatment Process
The surgery follows WPATH standards for gender-affirming care. Patients need psychiatric evaluation and hormone therapy verification beforehand. The process includes:
- Personalized surgical plan
- Choice of flap type
- Optional urethral lengthening
- Optional penile prosthesis
Doctor's Expertise
Dr. Casado has _doctor_10804_years_ of experience in plastic and reconstructive surgery. He specializes in microsurgery and gender-affirmation procedures. His expertise includes complex genital reconstruction cases.
Patient Support
The hospital provides full international patient assistance. This includes visa invitation letters and travel guidance. Continuous communication is maintained throughout the treatment process.
Contact the clinic for a personalized consultation and detailed cost breakdown based on your specific needs.
Highlights
1942
Year of foundation
800 doctors
Most Popular Clinic for Bottom surgery
25000 patients per year
Leading doctor for Bottom surgery
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Hospital Ruber Internacional
Individual treatment program and cost estimate
Average answering time – 5 minutes
Accepted payment methods
No payment is needed now. You will be charged directly at the clinic when you arrive.
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Treatments prices in the clinic
Last price update — 29.03.2025. Prices can be changed depending on the medical case and doctor's recommendations.
Cardiology
| diagnostics | Price | |
|---|---|---|
| Coronary angiography | $2280 - $3990 | |
| Echocardiography | $290 - $510 |
Clinic Doctors
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Licences
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Joint Commission International
US,
Joint Commission International certificate for Hospital Ruber Internacional
International Organization for Standardization
CH,
International Organization for Standardization certificate for Hospital Ruber Internacional
Hospital Ruber Internacional: more details about the clinic
Spain, Madrid
Hospital Ruber Internacional – Private Medical Center in Madrid, Spain
Hospital Ruber Internacional is a leading private hospital in Madrid, Spain, specializing in neurosurgery, orthopedics, and cardiology. The hospital serves both adults and children, treating around 25,000 patients annually, with most visitors from CIS countries, Europe & Commonwealth, and the USA, Canada, and Australia.
- Achievements & Recognition: Ranked among Spain’s top 6 hospitals by Forbes, with over 93,000 consultations and 6,000+ surgeries performed in 2022. Certified with ISO 9001, ISO 14001, and ISO 50001, reflecting a commitment to quality, environmental, and energy management.
- Facilities & Departments: 108 private rooms, 15 luxury suites, an 8-bed day hospital, 6 oncology treatment rooms, 16 adult ICU beds, 26 neonatal units, and 7 observation beds. Specialties include cardiology, neurology, oncology, traumatology, surgery (general, vascular, plastic), obstetrics & gynecology, ophthalmology, urology, pediatrics, ENT, and more.
- Star Doctors: Includes Dr. Javier Álvarez-Linera (neuroradiology), Dr. Roberto Martínez Álvarez (Gamma Knife ICON neurosurgery), and Dr. Inmaculada Gómez Arrayás (orthopedic surgery and joint replacement). They bring national and international recognition, advanced expertise, and extensive surgical experience.
- Advanced Technology: 3-Tesla MRI Magnetom Prisma, PET-CT, Gamma Knife ICON, CyberKnife, and Da Vinci Xi robotic surgery system for precise, minimally invasive treatments.
Why Choose Ruber Internacional? Integrated medical care; world-class specialists; advanced technology; 24/7 emergency services; international recognition. The hospital combines innovation, expertise, and patient-centered care, making it one of Spain’s most trusted medical centers.
Additional services
Transfer
Airport to clinic
$100 -
$200
Clinic to airport
$100 -
$200
Language assistance
Available
free
Accommodation
Hotel (apartments) near the clinic, billed daily
Requirements for admission
Payment methods
Cash
Credit cards
Age
0 -
100
Patient reviews
1 star
0%
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0%
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0%
5 stars
100%
Hospital Ruber Internacional overall rate includes
Support
Anonymous • Penis enlargement Armenia
Sep 9, 2026
Verified review.
40, 416114,-3.714781, Centro, 28013 Madrid, Испания
updated 9/30/2026
Get a free consultation
Hospital Ruber Internacional
Individual treatment program and cost estimate
Average answering time – 5 minutes
How it works:
- We find a medical coordinator familiar with the matter
- You get a personal offer with a step-by-step guide and the cost estimate
- We arrange your travel including appointment scheduling and flights booking
- You arrive at the hospital, we support you 24/7