I am a male-to-female transsexual needing a bilateral orchiectomy at an affordable price. I have been on hormone replacement therapy for two years with anti-androgens (Spironolactone) and estradiol valerate (Progynova). What are the cheapest options?
The cheapest option is a simple bilateral (scrotal) orchiectomy as a day-case under local/regional anaesthesia rather than more complex procedures. Look for care at public teaching hospitals, government hospitals, LGBTQplus clinics, or NGO-supported surgical camps for lower fees, and discuss anaesthesia choice, perioperative HRT plan, and exact costs with your surgeon.