The market for sex reassignment surgery in the United States was estimated to be $1.9 billion in 2021 and is expected to reach $5 billion by 2030.[48] The cost of phalloplasty ranges from $20,000 to $40,000, and the entire “bottom surgery” package can generate up to $100,000 for hospitals.[49] “Chest reconstruction” can cost $40,000 per patient, and vaginoplasty generates at least $20,000,[50] not including the hospital stay, anesthesia, and post-op visits. Increasingly, health insurance is required to cover it all.[51]
