Male to Female Vaginoplasty (Conventional)                          ($19,500) 
                 (financially subsidized and limited for self pay)               

Male to Female Vaginoplasty is offered as a safe effective and economical option.  To achieve more favorable price, aesthetic enhancements of the MAERCKS Sexual Reassignment Vaginoplasty are not performed including the structural fat transfer sculpting, labia majora and mons enhancement maneuvers and additional labia minora work.  These enhancements can be performed at a later date if desired.  We are offering a limited number of Male to Female Vaginoplasties at the discounted rate of $14,500 for patients willing to release anonymous photos for use on our websites and scientific presentations when Dr. Maercks is invited to demonstrate his techniques.






MAERCKS SRS Vaginoplasty                                               $39,500.00

The Maercks Sexual Reassignment Vaginoplasty involves a state of the art sensation preserving creation of a self lubricating neovagina with maximal depth and a fully sensate neoclitoris with extended mucosal flaps and MACIE labiaplasty style labia majora and minora sculpting with structural fat grafting to ensure the most beautiful feminine form for male to female transformation.  Mons area is treated with both surgical redraping and structural fat grafting to ensure the best feminine aesthetics.


(ANY NECESSARY REVISIONS IN THE FIRST TWELVE MONTHS ARE PERFORMED WITHOUT SURGICAL FEES.  IF GENERAL ANESTHESIA IS REQUIRED (RARELY) PATIENT IS ONLY RESPONSIBLE FOR ANESTHESIA/FACILITY FEE OF $2,850)




Vaginoplasty Revision                                                      $7,500-25,000

Dr. Maercks welcomes patients with unsatisfactory results from other practices and revises based on the patient's individual needs and findings.  These revisions may include adding depth, widening, tightening, treating pathological scars and very commonly aesthetic revision of the external appearance.  MACIE style Labia Majora and minora refinement and structural fat grafting are commonly used.  



Female to Male Phalloplasty                                          $37,500-68,500

The Maercks Institute transgender surgery phalloplasty involves sensate neophallus with microsurgical flap and nerve coaptation or local groin flap including double flap procedures


​(ANY NECESSARY REVISIONS IN THE FIRST TWELVE MONTHS ARE PERFORMED WITHOUT SURGICAL FEES.  PATIENT IS ONLY RESPONSIBLE FOR ANESTHESIA/FACILITY FEE OF $2,850.  MICROSURGICAL REVISIONS REQUIRE AN 8,750 ANESTHESIA/FACILITY FEE)




Phalloplasty Revision                                                       $7,500-60,000

Dr. Maercks welcomes patients with unsatisfactory results from other practices and revises based on the patient's individual needs and findings.  These revisions may include tissue rearrangement, urethra repair, improved contouring, revised flaps and other needs.


Orchiectomy Only                                                                        $10,500

Removal of testes without further reassignment surgery.


Cold-Subfascial Breast Augmentation                                       $15,000

The Cold-Subfascial Breast Augmentation was created by Dr. Maercks to provide an elegantly sloped and supported natural appearance without stigmata of surgery.  This technique is particularly well suited to transgender females as it avoids the breast separation and bottoming out that is usually more evident in transgender augmentaitons.


Cold-Subfascial Breast Revision                                                $15,000

Dr. Maercks commonly revises typical submuscular breast augmentations to the Cold-Subfascial Plane for patients who have the typical outcomes of submuscular placement such as bottoming out, wide separation of the breasts and muscular animation or "muscle jumping."


Facial Feminization Surgery                                             $5,000-42,000


Aesthetic Facial Balancing                                               $5,000-20,000

Although Dr. Maercks provides fulll spectrum facial feminization procedures including osteotomies and bone reshaping, composite facelifting, compex rhinoplasty and blepharoplasty with eye reshaping, Dramatically feminizing changes can be attained with what is called "Aesthetic Facial Balancing" with Volume alone.  Dr. Maercks has mastered attaining surgical changes without incision and in many patients this nonsurgical approach may be all that is needed.


Composite Facelift                                                                  $15,000


Dr. Maercks relies on his heavy craniofacial and aesthetic experience to provide a safe and amazingly feminizing composite facelift to complement facial feminization in transgender patients.  The composite facelift allows Dr. Maercks to create a lasting naturally suspended facelift and avoid stigmata such as strange vectors and stretched appearing results associated with conventional facelifts and the ever popular vertical superficial facelifts.


Rhinoplasty                                                                             $12,500

Years of craniofacial and aesthetic training and experience have led Dr. Maercks to perfect structurally supported nasal interventions that take into account gender, ethnicity and the patient's own individuality.  A nasal shape is designed and crafted to amplify the patient's gender specific beauty.


Blepaharoplasty, Eye and Brow Reshaping                        $4,000-12,000

Male and female eye shapes and brow relationships are very different.  Dr. Maercks carefully adjusts brow position, height and angle as well as upper and lower lid dimensions and angles to complement the patient's beauty without any additional scalp or hairline incisions.  All work is completed through hidden eyelid incisions.


​Facial Fat Grafting                                                                   $12,700

Dr. Maercks uses his principles of "Aesthetic Facial Balancing" to bring all features of the face in to better harmony to unlock the individual patient's beauty.


Genioplasty                                                                           $6,000-8500


​Jaw Reshaping                                                                    $6,000-12,000





The Maercks Institute Sexual Reassignment Surgery

Maercks SRS