MTF Gender Affirmation Surgery · MADRID
Confidently take
the next step in your
MTF Transition
Internationally renowned surgeon PD Dr. Richard Fakin performs the full spectrum of MTF surgeries in Madrid. Experience Swiss surgical precision and the Spanish capital’s warmth as you take the next step toward living as your authentic self.
Book Your Virtual Consultation
MTF Gender Affirmation
Surgery ·
MADRID
Confidently take
the next step in your
MTF Transition
Certified Specialist in Plastic Surgery
Responds in English · Discreet Consultations
Free First Consultation · Aftercare Included
World-class MTF procedures performed by internationally renowned surgeon PD Dr. Richard Fakin – a board-certified plastic and reconstructive surgeon with over a decade of specialised experience in gender affirmation. Two exclusive clinics in Madrid and Zürich.
Virtual Consultation
PD DR. RICHARD FAKIN
World-Class Expertise.
Uncompromised Results
MTF gender affirmation surgery requires an elite blend of rigorous reconstructive mastery and deep aesthetic artistry. As a Swiss-trained, board-certified plastic surgeon and academic lecturer (Privatdozent), PD Dr. Richard Fakin brings world-class specialisation to your journey. Having completed advanced specialisation in Bangkok, Thailand—under global pioneer Dr. Preecha Tiewtranon—he bridges pioneering Asian surgical innovations with the highest European clinical standards to deliver safe, harmonious, and life-changing results.
PIONEER THAI TRAINING
Mastered advanced, natural-outcome MTF surgical techniques at the world-renowned Preecha Aesthetic Institute (PAI) and King Chulalongkorn University Hospital in Thailand.
SWISS ACADEMIC PRECISION
Rigorous surgical execution as an Associate Professor (Privatdozent) at the University of Zurich, operating under the strictest European medical guidelines.
ADVANCED TRANSITION SPECTRUM
Comprehensive surgical care tailored to your identity, from specialized primary Vaginoplasty to intricate revision and facial feminization procedures.
Consultation languages
English
Spanish
German
Italian
Czech
PROFESSIONAL ACCREDITATIONS
CORE FTM PROCEDURES
Fully Customized
Surgical Solutions
From facial harmony to complete body alignment, we offer the full spectrum 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 managed 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 — individually or combined as a comprehensive facial feminisation surgery (FFS) plan. Each is custom-designed to feminise while preserving your natural character.
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Breast
Augmentation
Breast augmentation tailored specifically for MTF patients, accounting for chest anatomy developed without oestrogen. Dr. Fakin works with you to choose the ideal implant type, size, and placement for a natural, proportional, and feminine result.
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Body
Feminisation
Waist contouring, hip augmentation, buttock enhancement, and fat redistribution to sculpt a feminine silhouette. Procedures are designed to complement hormonal changes, creating curves that feel natural to your proportions and identity.
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Secondary MTF
Corrections
Revisions and corrections for patients who have had previous gender affirmation procedures elsewhere. Dr. Fakin has extensive experience in secondary surgery — addressing complications, asymmetry, scarring, or results that fell short of expectations.
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Virtual
Consultation First
Not ready to travel yet? Begin with a confidential video consultation with Dr. Fakin's team. Discuss your goals, receive a personalised procedure plan, and get a detailed cost estimate — all from the comfort and privacy of your home.
Schedule Online
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 managed with precision, discretion, and deep respect for the significance of this moment.
Book Consultation
Facial
Feminisation
Brow contouring, hairline lowering, rhinoplasty, jaw and chin reshaping, tracheal shave, and lip lift — individually or combined as a comprehensive facial feminisation surgery (FFS) plan. Each is custom-designed to feminise while preserving your natural character.
Book Consultation
Breast
Augmentation
Breast augmentation tailored specifically for MTF patients, accounting for chest anatomy developed without oestrogen. Dr. Fakin works with you to choose the ideal implant type, size, and placement for a natural, proportional, and feminine result.
Book Consultation
Body
Feminisation
Waist contouring, hip augmentation, buttock enhancement, and fat redistribution to sculpt a feminine silhouette. Procedures are designed to complement hormonal changes, creating curves that feel natural to your proportions and identity.
Book Consultation
Secondary MTF
Corrections
Revisions and corrections for patients who have had previous gender affirmation procedures elsewhere. Dr. Fakin has extensive experience in secondary surgery — addressing complications, asymmetry, scarring, or results that fell short of expectations.
Book Consultation
Virtual
Consultation First
Not ready to travel yet? Begin with a confidential video consultation with Dr. Fakin's team. Discuss your goals, receive a personalised procedure plan, and get a detailed cost estimate — all from the comfort and privacy of your home.
Schedule Onlineyour Journey
A clear path to truly becoming
the person you've always been
real stories
Hear from some of the people
who have trusted us
My transition has given me self-confidence, not only because my body is finally aligned with my innermost feelings, but also because I finally feel credible in my gender expression.
Lynn Bertholet
My transition has given me self-confidence, not only because my body is finally aligned with my innermost feelings, but also because I finally feel credible in my gender expression.
Lynn Bertholet
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 seek value, comfort and excellent recovery conditions. Easily reached from all major European airports with direct flights from numerous cities.
- Direct flights from all major European cities
- Warm recovery climate — highly suited for post-operative healing
- Exceptional private aftercare and accommodation partners
- All MTF procedures available including vaginoplasty and FFS
- Highly competitive pricing
Location
Calle Velázquez, 109 28006 Madrid
Language
English, Spanish, German
Nearest airports
MAD (Barajas) — 30 min
Zürich
Precision, privacy, Swiss excellence.
Zürich’s reputation for medical excellence and absolute privacy makes it the preferred choice for patients who prioritise discretion. The clinic benefits from Switzerland’s world-renowned healthcare infrastructure, rigorous standards, and Dr. Fakin’s academic affiliation with the University of Zürich. Easily accessible from Germany, Scandinavia, and Northern Europe.
- University of Zürich academic affiliation — highest medical standards
- Absolute privacy and discretion guaranteed
- Accessible from Germany, Austria, and Northern Europe by train or air
- World-class recovery facilities in a serene Alpine setting
- Swiss medical precision applied to every procedure
Location
Zürich, Switzerland
Language
English, German, French
Nearest airports
ZRH (Zürich) — 15 min
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 seek value, comfort and excellent recovery conditions. Easily reached from all major European airports with direct flights from numerous cities.
- Direct flights from all major European cities
- Warm recovery climate — highly suited for post-operative healing
- Exceptional private aftercare and accommodation partners
- All MTF procedures available including vaginoplasty and FFS
- Highly competitive pricing
Location
Calle Velázquez, 109 28006 Madrid
Language
English, Spanish, German
Nearest airports
MAD (Barajas) — 30 min
Zürich
Precision, privacy, Swiss excellence.
Zürich’s reputation for medical excellence and absolute privacy makes it the preferred choice for patients who prioritise discretion. The clinic benefits from Switzerland’s world-renowned healthcare infrastructure, rigorous standards, and Dr. Fakin’s academic affiliation with the University of Zürich. Easily accessible from Germany, Scandinavia, and Northern Europe.
- University of Zürich academic affiliation — highest medical standards
- Absolute privacy and discretion guaranteed
- Accessible from Germany, Austria, and Northern Europe by train or air
- World-class recovery facilities in a serene Alpine setting
- Swiss medical precision applied to every procedure
Location
Zürich, Switzerland
Language
English, German, French
Nearest airports
ZRH (Zürich) — 15 min
OUR TEAM
Where expertise
meets human care
At his clinics in Madrid and Zurich, Dr. Fakin leads a highly professional and committed team of specialists who share the same philosophy: to provide rigorous medical care with a warm, human approach. Each patient receives personalised support from the first consultation through to postoperative follow-up.
As a boutique plastic surgery clinic, the 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 precisely adapted to their individual case. This structure allows the clinic to maintain a high level of quality, confidentiality, and attention to detail in every procedure.
Dr. Fakin uses refined surgical techniques that prioritise safety, natural-looking results, and optimised recovery. Meticulous planning and the use of advanced technology make it possible to achieve harmonious results aligned with each person’s identity.
Your first consultation with Dr. Fakin’s team is completely free. Tell us about your goals and we will respond within one working day with a personalised plan and transparent quote.
All enquiries are treated with complete discretion and confidentiality. We will never share your information.
- Response within one working day
- Full consultation — no obligation, no pressure
- English-speaking patient coordinators
- Video consultation available — no travel required 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 respond within one working
day with a personalised plan and transparent quote.
All enquiries are treated with complete discretion and
confidentiality. We will never share your information.
- Response within one working day
- Full consultation — no obligation, no pressure
- English-speaking patient coordinators
- Video consultation available — no travel required yet
- Transparent, all-inclusive pricing. No hidden costs.
START YOUR JOURNEY
Ready to begin your journey? — Book your online consultation and schedule your surgery within weeks.
Ready to begin your journey? — Book your online
consultation and schedule your surgery within weeks.
