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How Much Does Bottom surgery Cost in Spain?

The cost of bottom surgery in Spain typically ranges from $15,000 to $25,000. Prices can vary depending on the specific procedure type (vaginoplasty, phalloplasty, metoidioplasty), the clinic, surgeon experience, and whether additional procedures (like breast augmentation or facial surgery) are included. In the United States, the average cost is $45,000 (according to ASPS). Bottom surgery in Spain is about 56% less than in the U.S.

Spanish clinics usually include the initial consultation, pre-op blood tests, post-op medication, follow-up visits, English-speaking staff, personalized care plans, post-op instructions, meals during clinic visits, and 24/7 patient support. In the U.S., prices often cover only the surgeon’s fee, with anesthesia, hospital stay, and post-op care billed separately. Always confirm what’s included with your chosen clinic.

Key Benefits

Why choose Spain for bottom surgery?

  • Accredited clinics: JCI-certified hospitals offer exceptional care and comply with international safety standards.
  • Innovative methods: Spain employs pioneering techniques such as phalloplasty with ALT flap and vaginoplasty with peritoneal pull-through. These methods ensure excellent aesthetic and functional results.
  • High success rates: Bottom surgery in Spain demonstrates a 95% efficacy in patient satisfaction and complication-free recovery.
  • Expert surgeons: Renowned surgeons, certified by the European Board of Plastic, Reconstructive and Aesthetic Surgery (EBOPRAS), have successfully performed over 500 procedures. This highlights their expertise and experience.

Access advanced Bottom surgery solutions in trusted clinics .

SpainTurkeyThe USA
Bottom surgeryfrom $15,000from $9,000from $30,000
Data verified by Bookimed as of February 2026, based on patient requests and official quotes from 24 clinics worldwide. Median costs are based on real invoices (2024–2026) and updated monthly. Actual prices may vary.
Authored by Anna Leonova
Head of Content Marketing Team

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Transparent Prices & Flexible Installments

No hidden fees – just official clinic prices. Pay at the clinic for Bottom surgery upon arrival and use a flexible installment plan if needed.

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Bookimed is committed to your safety. We only work with medical institutions that maintain high international standards in Bottom surgery and have the necessary licenses to serve international patients worldwide.

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Bookimed offers free expert assistance. A personal medical coordinator supports you before, during, and after your treatment, solving any issues. You're never alone on your Bottom surgery journey.

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  • Supports you at every stage
  • Helps choose the right clinic and doctor
  • Ensures quick and convenient access to information

Discover the Best Bottom surgery Clinics in Spain: 1 Verified Option and Prices

The Bookimed clinic ranking is based on data science algorithms, providing a trusted, transparent, and objective comparison. It takes into account patient demand, review scores (both positive and negative), the frequency of updates to treatment options and prices, response speed, and clinic certifications.

Bottom surgery Overview in Spain

Takeaways
Related procedures & Costs
How it works
Benefits
Payment
patients recommend -
85%
Surgery Time - 5 hours
Stay in the country - 14 days
Rehabilitation - 42 days
Anesthesia - General anesthesia
Requests processed - 110449
Verified patient reviews - 17
Bookimed fees - $0

Our Trusted Doctors

View all Doctors
verified

Josep Torremade Barreda

18 years of experience

Dr. Torremade leads the Andrology Department at Teknon Medical Centre and Hospital Clínic of Barcelona – specializing in male reproductive and sexual medicine.

  • 15+ years of experience in urology and andrology
  • Trained at Memorial Sloan Kettering Cancer Center in New York
  • Editor of the International Journal of Andrology
  • Head of Andrology at two major Barcelona hospitals
verified

Antonio Fernandez Oliva

16 years of experience

Dr. Fernandez Oliva specializes in gynecological surgery with advanced training in robotic and laparoscopic techniques at Hospital Vall d'Hebrón.

  • Graduated with honors from Universitat Autònoma de Barcelona
  • Residency in Obstetrics and Gynecology at Hospital de la Vall d'Hebrón
  • Lecturer at CTO Medical Academy
  • Participant in European Society for Gynaecological Endoscopy congresses
verified

Isabel Maria Blanco Herraez

22 years of experience

Head of the Obstetrics and Gynaecology Unit at Quirónsalud Marbella, Dr. Blanco Herraez specializes in humanized childbirth and low-intervention obstetric care.

  • Promotes the Humanised C-section protocol for active patient participation
  • Leads the Multidisciplinary Breast Unit focusing on comprehensive breast cancer care
  • Member of the Spanish Society of Obstetrics and Gynaecology since 2008
  • Over 11 years of experience in obstetrics and gynaecology
verified

Antonio Rivera Munoz

19 years of experience

Dr. Rivera specializes in advanced plastic and reconstructive surgery at Quirónsalud Marbella, with over 10 years of experience in the field.

  • Co-director of Plastic Surgery Units at two Quirónsalud hospitals
  • Trained in Tissue Engineering at the University of Granada
  • Participates in national and international surgical conventions
  • Works with multidisciplinary teams for comprehensive care

Video Stories from Bookimed Patients

Jamie
Bookimed made this medical trip a breeze.
Procedure: Sex reassignment surgery

Reviews about Bookimed: Discover Patients' Insights

All reviews
Mohammed Aldeeb • Rhinoplasty (nose job)
Spain
Dec 26, 2022
Verified review.
"I highly recommend him to anyone considering a rhinoplasty procedure
I am so grateful to Dr. Paloma for his fantastic work on my rhinoplasty procedure. He was professional, compassionate, and thorough from the initial consultation to the post-operative care. I had always been self-conscious about my nose, and Dr. Paloma helped me feel more confident and comfortable in my own skin. The results of the surgery were precisely what I wanted, and I couldn't be happier with the outcome. Thank you, Dr. Paloma, for your excellent skills and dedication to your patients. I highly recommend him to anyone considering a rhinoplasty procedure.
About Bookimed service
"I am extremely grateful to the Bookimed team for their excellent customer support. From the very beginning, they were helpful and professional, answering all of my questions and concerns promptly and thoroughly.
Lyubov • Lipofilling (Fat Grafting)
Ukraine
Sep 28, 2025
Verified review.
I am very satisfied with the quality of service I will definitely recommend to my relatives and myself to apply again!
Everything went just fine! I am very happy that I trusted Bookimed, because the operation was completely successful and the supervisor Irina Bulgakova was in touch with me throughout the whole time from start to finish and consulted me on any questions, was polite and courteous, which is very pleasant for me as a client. I am very satisfied with the quality of service I will definitely recommend to my relatives and myself to apply again!
Quality of work
Everything was great!
About Bookimed service
Really enjoyed it all! Responsible qualified supervisors who are really keen to help and make it easy to find a doctor and everything that goes with it.
Svetlana Rubel • Revision rhinoplasty
Russian Federation
Nov 2, 2019
Verified review.
перация прошла хорошо
перация прошла хорошо. Сейчас у меня период восстановления. Я уже во Владивостоке. Большое Вам спасибо в выборе доктора, а так же огромное спасибо за Вашу поддержку, что помогали по всем вопросам и спасибо за Ваше тёплые отношения.
About Bookimed service
Буду рекомендовать своим знакомым Ваш Международный центр Bookimed.
Mark • Rhinoplasty (nose job)
United Kingdom
Aug 14, 2021
Verified review.
Trustworthy, reassuring and all round lovely Dr and person About the Doctor: Trustworthy, reassuring and all round lovely Dr and person About the Clinic: Yes - overall support was brilliant
Trustworthy, reassuring and all round lovely Dr and person Thank you - excited be able to enjoy life again! Yes - overall support was brilliant. Fouad from Bookimed was so patient with me and so helpful, and not sure Teresa ever sleeps. Thank you both! However due to timing I think the initial 24 hours I assume would be better usually, but it is holiday season - I think better expectation setting there and having someone on hand at departure who could inform me of the steps and answer my questions - but despite this I am sure the follow up for me in that short window would not being the usual experience as otherwise the support was amazing and I was given time during holidays by Dr G which I value and appreciate - it is an important time of the process though so I would recommend having someone like Mercedes on hand! It’s scary seeing yourself after surgery and I was left feeling very unaware for nearly 48 hours! I do want to highlight that everyone in the hospital was great and professional the two nurses who looked after me directly after the surgery were so lovely and obviously all involved in the surgery and end to end treatment - but extra special thanks to you Mercedes - a really special human and very valuable member and representative of the organisation and hospital! Thank you
About Bookimed service
Yes - overall support was brilliant. Fouad was so patient with me and so helpful, and not sure Teresa ever sleeps. Thank you both! However due to timing I think the initial 24 hours I assume would be better usually, but it is holiday season - I think better expectation setting there and having someone on hand at departure who could inform me of the steps and answer my questions - but despite this I am sure the follow up for me in that short window would not being the usual experience as otherwise the support was amazing and I was given time during holidays by Dr G which I value and appreciate - it is an important time of the process though so I would recommend having someone like Mercedes on hand! It’s scary seeing yourself after surgery and I was left feeling very unaware for nearly 48 hours! I do want to highlight that everyone in the hospital was great and professional the two nurses who looked after me directly after the surgery were so lovely and obviously all involved in the surgery and end to end treatment - but extra special thanks to you Mercedes - a really special human and very valuable member and representative of the organisation and hospital! Thank you
Anonymous • Rhinoplasty (nose job)
Russian Federation
Jun 11, 2019
Verified review.
There was only one seal, so I advise you to make the documents more official, so that you would not be so scared to pay for the consultation
Passed online consultation. After the consultation, a treatment plan was created, which we will undergo, further consultations will continue. Online consultation is very convenient and of course there were some doubts, especially when the invoice was billed, because it was a bit confusing, there was only one seal, so I advise you to make the documents more official, so that you would not be so scared to pay for the consultation.
Ирина • Blepharoplasty (Eyelid correction)
Ukraine
May 27, 2022
Verified review.
Thank you very much to Olga and Ostap who helped me in communication and decision-making))
Beautiful and modern Clinic, friendly staff)) Thank you very much to Olga and Ostap who helped me in communication and decision-making)) I hope that everything will be as planned))
About Bookimed service
Yes, sure))
Judy • Plastic Surgery Consultation
France
Dec 23, 2019
Verified review.
"I will undergo surgery within the next 2 months and feel that I am with one of the best plastic surgeons available
I was very impressed by the staff at Clinic Teknon. They were very helpful and accommodating. I managed to get a very last minute consultation with Dr Vincent’s Paloma who I immediately felt at ease with. He explained everything in depth and I left the consultation feeling completely satisfied and in good hands!! I will undergo surgery within the next 2 months and feel that I am with one of the best plastic surgeons available. Lucky me!!
Nataliya • Arm lift (brachioplasty)
Turkey
Mar 31, 2024
Verified review.
I liked the consultation
I enjoyed the consultation. The doctor explained everything in detail
Doctor's competence
Feedback from the clinic, they don’t respond to emails
About Bookimed service
Great platform. Courteous treatment, always have feedback. Will answer any and all questions.

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Updated: 09/28/2025
Authored by
Anna Leonova
Anna Leonova
Head of Content Marketing Team
A certified medical writer with 10+ years of experience, developed Bookimed’s trusted content, backed by a Master’s in Philology and medical expert interviews worldwide.
Fahad Mawlood
Medical Editor & Data Scientist
General practitioner. Winner of 4 scientific awards. Served in Western Asia. Former Team Leader of a medical team supporting Arabic-speaking patients. Now responsible for data processing and medical content accuracy.
Fahad Mawlood Linkedin
This page may feature information relating to various medical conditions, treatments, and healthcare services available in different countries. Please be advised that the content is provided for informational purposes only and should not be construed as medical advice or guidance. Please consult with your doctor or a qualified medical professional before starting or changing medical treatment.

Fast Facts about Bottom surgery

Bottom Surgery

Bottom surgery is a gender-affirming procedure to alter genitalia for aligning with one's gender identity.

Pros: Offers significant psychological benefits, improving quality of life for 80% of patients. Allows individuals to feel more congruent with their gender identity.
Cons: Involves complex surgical procedures with a recovery period of up to 3 months. Requires lifelong medical follow-up and potential for multiple surgeries.
Effectiveness: 95% satisfaction rate among patients undergoing surgery.
Duration: 4-8 hours
Recovery: 6-12 weeks
Best for: Individuals experiencing gender dysphoria related to genitalia, seeking gender transition.
Prices: View costs of other techniques

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