MTF Gender Affirmation Surgery - MADRID
Confidently take
the next step in your
MTF Transition
Internationally renowned surgeon PD Dr Richard Fakin performs the full range of MTF surgeries in Madrid. Experience Swiss surgical precision and the warmth of the Spanish capital as you take the next step towards living as your true self.
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MTF Gender Affirmation
Surgery ·
MADRID
Confidently take
the next step in your
MTF Transition
Certified Specialist in Plastic Surgery
Reply in English · Confidential consultations
Free initial consultation · Aftercare included
World-class MTF procedures performed by the internationally renowned surgeon PD Dr Richard Fakin – a board-certified plastic and reconstructive surgeon with over a decade of specialist experience in gender affirmation. Two exclusive clinics in Madrid and Zurich.
Virtual Consultation
PD DR. RICHARD FAKIN
World-class expertise.
Uncompromising Results
MTF gender-affirming surgery requires a unique combination of rigorous reconstructive expertise and profound aesthetic artistry. As a Swiss-trained, board-certified plastic surgeon and academic lecturer (Privatdozent), PD Dr Richard Fakin brings world-class expertise to your journey. Having completed advanced training in Bangkok, Thailand—under the guidance of global pioneer Dr Preecha Tiewtranon—he combines pioneering Asian surgical innovations with the highest European clinical standards to deliver safe, harmonious and life-changing results.
PIONEER THAI TRAINING
He mastered advanced, natural-looking MTF surgical techniques at the world-renowned Preecha Aesthetic Institute (PAI) and King Chulalongkorn University Hospital in Thailand.
SWISS ACADEMIC PRECISION
Rigorous surgical practice as an Associate Professor (Privatdozent) at the University of Zurich, operating in accordance with the strictest European medical guidelines.
ADVANCED TRANSITION SPECTRUM
Comprehensive surgical care tailored to your individual needs, ranging from specialised primary vaginoplasty to complex revision and facial feminisation procedures.
CORE FTM PROCEDURES
Fully Customised
Surgical Solutions
From facial harmony to full-body alignment, we offer the full range of advanced transfeminine procedures.
Vaginoplasty
(Gender Reassignment Surgery)
The most transformative MTF procedure. Dr Fakin performs gender reassignment surgery using advanced penile inversion and alternative techniques, tailored to your anatomy. Every aspect is handled with precision, discretion and deep respect for the significance of this moment.
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Facial
Feminisation
Brow contouring, hairline lowering, rhinoplasty, jaw and chin reshaping, tracheal shave, and lip lift — either individually or combined as part of a comprehensive facial feminisation surgery (FFS) plan. Each procedure is tailored to achieve a more feminine appearance whilst preserving your natural features.
Book a consultationBreast
Augmentation
Breast augmentation tailored specifically for MTF patients, taking into account chest anatomy that has developed without oestrogen. Dr Fakin works with you to choose the ideal implant type, size and placement for a natural, proportionate and feminine result.
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Feminisation
Waist contouring, hip augmentation, buttock enhancement, and fat redistribution to sculpt a feminine silhouette. These procedures are designed to complement hormonal changes, creating curves that feel natural for your body shape and identity.
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Corrections
Revisions and corrections for patients who have previously undergone gender-affirming surgery elsewhere. Dr Fakin has extensive experience in revision surgery — addressing complications, asymmetry, scarring, or results that fell short of expectations.
Book a consultationVirtual
Consultation First
Not ready to travel just yet? Start with a confidential video consultation with Dr Fakin’s team. Discuss your goals, receive a personalised treatment plan, and get a detailed cost estimate — all from the comfort and privacy of your own home.
Book OnlineVaginoplasty
(Gender Reassignment Surgery)
The most transformative MTF procedure. Dr Fakin performs gender reassignment surgery using advanced penile inversion and alternative techniques, tailored to your anatomy. Every aspect is handled with precision, discretion and deep respect for the significance of this moment.
Book a consultation
Facial
Feminisation
Brow contouring, hairline lowering, rhinoplasty, jaw and chin reshaping, tracheal shave, and lip lift — either individually or combined as part of a comprehensive facial feminisation surgery (FFS) plan. Each procedure is tailored to achieve a more feminine appearance whilst preserving your natural features.
Book a consultationBreast
Augmentation
Breast augmentation tailored specifically for MTF patients, taking into account chest anatomy that has developed without oestrogen. Dr Fakin works with you to choose the ideal implant type, size and placement for a natural, proportionate and feminine result.
Book a consultationBody
Feminisation
Waist contouring, hip augmentation, buttock enhancement, and fat redistribution to sculpt a feminine silhouette. These procedures are designed to complement hormonal changes, creating curves that feel natural for your body shape and identity.
Book a consultationSecondary MTF
Corrections
Revisions and corrections for patients who have previously undergone gender-affirming surgery elsewhere. Dr Fakin has extensive experience in revision surgery — addressing complications, asymmetry, scarring, or results that fell short of expectations.
Book a consultationVirtual
Consultation First
Not ready to travel just yet? Start with a confidential video consultation with Dr Fakin’s team. Discuss your goals, receive a personalised treatment plan, and get a detailed cost estimate — all from the comfort and privacy of your own home.
Book OnlineYour Journey
A clear path to truly becoming
the person you've always been
My transition has given me self-confidence, not only because my body is finally in tune with my deepest feelings, but also because I finally feel authentic in my gender expression.
Lynn Bertholet
My transition has given me self-confidence, not only because my body is finally in tune with my deepest feelings, but also because I finally feel authentic in my gender expression.
Lynn Bertholet
EXCELENTE A base de 48 reseñas Publicado en GoogleN I cannot speak highly enough of my surgery experience with Dr. Fakin, Dr. Mattia, and their exceptional team, including nurse Ainhoa and office staff, Rubèn. From the initial consultation through post-operative care, the level of expertise, attentiveness, and genuine compassion I received was truly life-changing. Dr. Fakin took the time to understand my goals, ensuring we were fully aligned on the desired outcome while setting clear, realistic expectations for a significant breast reduction. The team handled my anxiety with remarkable sensitivity, providing reassurance at every step and making me feel completely safe. The surgical results speak for themselves, executed with precision and a clear mastery of technique, particularly in the attention to scarring and long-term outcome. Equally important, Dr. Fakin remained highly involved in my follow-up care, reinforcing his commitment to his patients beyond the operating room. Ainhoa is an exceptionally compassionate and attentive nurse who upholds a high standard of clinical attentiveness, she ensured my comfort at every stage of the process. It is rare to find a medical team so deeply committed to both clinical excellence and patient care. I am incredibly grateful and would recommend them without hesitation.Publicado en GoogleMarcos Me operé para quitarme el pecho, una mastectomía, y el resultado ha sido fabuloso. La atención que te dan tanto antes, durante y tras la operación, y el cariño con el que te tratan es de agradecer. Son unos profesionales excelentes.Publicado en GoogleOxabel I had Vaginoplasty with Dr Richard Fakin in February 2026, 8 days after my 60th birthday. Prior to the surgery I had three free consultations, two online and one in person where I also chatted to Ainhoa, Richard’s nurse specialist. When I arrived in Spain for the surgery, Ainhoa explained everything to me and after pre op checks at Vithas Hospital Aravaca I was admitted the next day. My surgery went very well and I was kept in bed for 5 1/2 days, with some swelling but no bruising. I was treated like a princess, the hospital is in an exclusive part of Madrid and I was extremely well cared for, I have no complaints at all, everyone was lovely. I saw Richard before surgery but not Ainhoa, which would have been nice and the anaesthetic was like an off switch, I struggled with my feelings about that for a couple of days post op. These were the only operation day niggles that I had and might be due to circumstances that I don’t know about. Dr Fakin told me that once discharged I would be walking to the clinic to see Ainhoa every other day for dressing changes, I really doubted this as no one in the UK had said that this would happen. In fact, I walked back to my apartment after my first dressing change, about 800m, with no problem. I continued to see Ainhoa for dressing changes and suture removal over the next ten days and saw Dr Fakin twice for internal examinations. Apart from a little bit of wound separation that just required iodine application, I have had no post op complications at 3 1/2 weeks. Aesthetically, it still looks a bit surgical due to the fact it is, but I really like what I see and can’t wait for the months to tick away and the final result is revealed. Dilation? This has been uneventful; sure, it’s not comfortable, but it’s not painful and Richard/Ainhoa’s protocol is 30 minutes twice a day, leaving more time for other things during the day: I mov up to the second size next week, a month post op. I don’t douche, the protocol is iodine solution and saline irrigation, it goes all over the bath but I’ve had no smells or infections. I am far more recovered and capable than I thought I would be and have to make sure that I lie down enough to avoid swelling. I’m amazed. I chose Dr Fakin because I was impressed from my first contact with Ruben, the clinic admin manager, price came into it and it’s competitive because hospital care in Spain is lower than in the UK or Switzerland where Richard also works. But the quality of clinical and emotional care is far better than I found in the UK when researching surgeons. My more complex medical history was thoroughly checked and taken into account, especially as, as an amputee, I was anxious about walking post surgery I have been a nurse, radiographer and medical science lecturer, I know what good healthcare looks like and this was probably the best that I have ever experienced. I’m getting nothing from this, it is honestly the experience that I had and that’s why this is long. If I decide to have further surgery, I will be going back to Dr Fakin, Ainhoa and Ruben, no question. Jane.Publicado en GoogleRóisín Grannell Dr. Fakin & his team were really supportive. The whole process was well-coordinated, I'm really happy with how the process was handled & attentiveness to post-surgery care. I'm really happy with the results & would absolutely recommend this clinic!Publicado en GoogleCris Buenas tardes, estoy encantada con mi reducción de pecho, he pasado de una 95C a no tener que necesitar llevar sujetador, estaba en buenas manos con el Doctor Richard y el resultado es inmejorable, ahora me miro al espejo y me gusta lo que veo, la ropa te sienta genial, la espalda mejora y el Doctor cariñoso, profesional, todo de 10, su enfermera, Ruben, muy profesionales y muy atentos, agradecida, Cristina OPublicado en GoogleSilvia y luna Parral y bonafuente Estoy súper contenta una vez que desperté de la anestesia. El cirujano Richard es muy profesional! No os preocupéis por la cicatriz. Su firma es fantástica! Casi dos semanas y en mi seno izquierdo ya no tengo herida. Resultado deseado, con el canalillo que quería. Aun me quedan semanas para verme definitivamente. Pero lo que ha sido de post-operatorio ha sido fantástico. Se lo recomiendo a cualquier persona que esté pensando en operarse. A mi me costó 11 años decidir con qué profesional operarme. Lo recomiendo 💯! Feliz año equipazo!Publicado en GoogleCristina Gomez Mi experiencia en esta clínica ha sido excepcional de principio a fin. Desde el primer momento me sentí en las mejores manos, gracias a un equipo que destaca, no solo por su profesionalidad, sino también por su trato cercano, amable y atento. Todo el personal de la clínica se preocupó desde el primer día por que mi experiencia fuera la mejor resolviéndome dudas y transmitiéndome tranquilidad en el proceso que iba a hacer. Sin duda, recomiendo esta clínica al 100%.Publicado en GooglePaloma Quesada Aguirrebeña Estoy completamente encantada con la intervención y con el trato recibido por el doctor y todo su equipo. Lo recomiendo totalmente.
real stories
Madrid
Sun, warmth and world-class care.
Conveniently located in the heart of Madrid, this clinic is the ideal choice for patients from across Europe and beyond who are looking for value, comfort and excellent recovery conditions. It is easily accessible from all major European airports, with direct flights available from numerous cities.
- Direct flights from all major European cities
- A warm recovery environment — ideal for post-operative healing
- Exceptional private aftercare and accommodation partners
- All MTF procedures are available, including vaginoplasty and FFS
- Highly competitive pricing
Location
109 Calle Velázquez, 28006 Madrid
Language
English, Spanish, German
Nearest airports
MAD (Barajas) — 30 mins
Zurich
Precision, privacy, Swiss excellence.
Zurich’s reputation for medical excellence and absolute privacy makes it the preferred choice for patients who value discretion. The clinic benefits from Switzerland’s world-renowned healthcare infrastructure, rigorous standards, and Dr Fakin’s academic affiliation with the University of Zurich. It is easily accessible from Germany, Scandinavia and Northern Europe.
- Affiliated with the University of Zurich — the highest medical standards
- Absolute privacy and discretion guaranteed
- Accessible from Germany, Austria and Northern Europe by train or plane
- World-class recovery facilities in a peaceful Alpine setting
- Swiss medical precision applied to every procedure
Location
Zurich, Switzerland
Language
English, German, French
Nearest airports
ZRH (Zurich) — 15 mins
Madrid
Sun, warmth and world-class care.
Conveniently located in the heart of Madrid, this clinic is the ideal choice for patients from across Europe and beyond who are looking for value, comfort and excellent recovery conditions. It is easily accessible from all major European airports, with direct flights available from numerous cities.
- Direct flights from all major European cities
- A warm recovery environment — ideal for post-operative healing
- Exceptional private aftercare and accommodation partners
- All MTF procedures are available, including vaginoplasty and FFS
- Highly competitive pricing
Location
109 Calle Velázquez, 28006 Madrid
Language
English, Spanish, German
Nearest airports
MAD (Barajas) — 30 mins
Zurich
Precision, privacy, Swiss excellence.
Zurich’s reputation for medical excellence and absolute privacy makes it the preferred choice for patients who value discretion. The clinic benefits from Switzerland’s world-renowned healthcare infrastructure, rigorous standards, and Dr Fakin’s academic affiliation with the University of Zurich. It is easily accessible from Germany, Scandinavia and Northern Europe.
- Affiliated with the University of Zurich — the highest medical standards
- Absolute privacy and discretion guaranteed
- Accessible from Germany, Austria and Northern Europe by train or plane
- World-class recovery facilities in a peaceful Alpine setting
- Swiss medical precision applied to every procedure
Location
Zurich, Switzerland
Language
English, German, French
Nearest airports
ZRH (Zurich) — 15 mins
OUR TEAM
Where expertise
meets human care
At his clinics in Madrid and Zurich, Dr Fakin leads a highly professional and dedicated team of specialists who share the same philosophy: to provide rigorous medical care with a warm, personalised approach. Each patient receives personalised support from the initial consultation right through to post-operative follow-up.
As a boutique plastic surgery clinic, our approach is neither high-volume nor standardised. The team takes the time to understand each patient’s expectations, carefully analyse their anatomy, and design a surgical plan tailored precisely to their individual case. This structure enables the clinic to maintain high standards of quality, confidentiality and attention to detail in every procedure.
Dr Fakin employs sophisticated surgical techniques that prioritise safety, natural-looking results and a smooth recovery. Meticulous planning and the use of advanced technology make it possible to achieve harmonious results that complement each individual’s unique features.
Your first consultation with Dr Fakin’s team is completely free. Tell us about your goals and we will get back to you within one working day with a personalised plan and a clear quote.
All enquiries are treated with the utmost discretion and confidentiality. We will never share your information.
- We will reply within one working day
- Full consultation — no obligation, no pressure
- English-speaking patient coordinators
- Video consultations available — no need to travel just yet
- Transparent, all-inclusive pricing. No hidden costs.
Your first consultation with Dr Fakin’s team is completely free.
Tell us about your goals and we will get back to you within one working day
We’ll get back to you within a day with a personalised plan and a transparent quote.
All enquiries are treated with the utmost discretion and
confidentiality. We will never share your information.
- We will reply within one working day
- Full consultation — no obligation, no pressure
- English-speaking patient coordinators
- Video consultations available — no need to travel just yet
- Transparent, all-inclusive pricing. No hidden costs.
START YOUR JOURNEY
Ready to start your journey? — Book your online consultation and arrange your surgery within weeks.
Ready to start your journey? — Book online
consultation and book your surgery within weeks.