Surgery Center
Holistic Therapy

Transgender Orchiectomy

The Orchiectomy procedure is an independent procedure that can be performed for those who wish to eliminate testosterone production and achieve some degree of secondary feminization without having complete GCS. It also allows for the discontinuation of costly and/or potentially risky use of anti-androgens and high-dose estrogen.

Two incisions, each approximately 2″ long, are made in the groin area. The testicles are then removed through the incisions and then closed using dissolvable sutures. You will have a minimal amount of discomfort at the incision site; however this will be lessened with the prescribed pain medication. It is also helpful to consider wearing sweatpants or loose fitting pants for a week or two. There may also be numbness of the skin around the incision site for a few months.
We generally recommend a week to recover, however this may differ depending on individual lifestyles.

As this is an irreversible procedure, 2 letters from a licensed therapist and hormone doctor is required.

The International Center for Transgender Care© is a 15,000 square- foot world-class facility; the Center provides plastic surgery services to thousands of patients from around the world. Located in the upscale suburb of Plano, in the Dallas-Fort Worth Metroplex and thirty minutes from DFW International Airport, the Center is conveniently located.

The Center is also home to Surgery Center of Texas, a 10,000 square-foot state-of-the-art ambulatory surgery center with four fully equipped surgical suites dedicated to plastic surgery. Patients can take comfort in the knowledge that Surgery Center of Texas is fully accredited, with licensure through the Texas Department of Health. This is the highest level of accreditation for an ambulatory surgery center.
Surgeries are always performed under general anesthesia and are outpatient (you can go home/or to your hotel the same day of your surgery – if you have help for the first 48 hours after surgery). You MUST have someone with you after surgery, the first 24hrs, since you were given general anesthesia. Otherwise, your surgery will not be performed.

For patients that live out of town, arrangements for consultation, pre-op, surgery and hotels can be made over the phone and usually within the same week – depending on your schedule and how much time you will have to stay in Texas. Generally for out of state patients you will need to stay in town for a couple of days. We have some hotels we recommend to our patients – they will give you a medical discount when you reserve your room. Just make sure you let them know that you are our patient and having surgery with Dr. Raphael. If you need this information just let us know.
At the International Center for Transgender Care, we understand that surgery is a vital component of the male to female transition process.  Because these procedures are so important, it is paramount to choose a surgeon with specialized knowledge and skill. Our board-certified surgeons have more than 20 years of experience treating transgender patients. We are proud to offer all of our services in a respectful, welcoming environment at our world-class surgical center in Dallas, Texas.  We look forward to assisting you in achieving the very best possible results for all of your gender transition procedures. Contact us today to schedule a consultation at (972) 543-2477.

What Do our Patients Say ?

“I was shown the utmost respect by every single person starting with Angela who guided the paperwork and credit card process over the phone to the receptionist, nurses, on-call nurses, and of course Dr. Raphael. This was the first time I have ever had surgery and I am beyond happy with the total experience.”


“This staff and surgeon were top notch. They treated me in such a friendly manner and really took the time to access my individual needs. I left there feeling like I was a part of their family and can not see myself going anywhere else for this procedure.”