Sex-change surgery refers to changing the original external genitalia into a heterosexual structure and removing the gonads. Its landmark operations are vaginal reconstruction and penile reconstruction. At the same time, shape remodeling, such as Adam's apple plastic surgery, breast plastic surgery and so on. , in order to meet the self-gender re-identification. After the operation, the contradiction between conscious gender and biological gender was relieved, the psychology was balanced, and sexual function returned to normal. Patients could get married and start a family, but they could not have children. Male-to-female transsexual surgery includes laryngectomy, breast augmentation, orchiectomy, urethroplasty, labiaplasty and vaginal reconstruction. Vaginal reconstruction can be accomplished by penis flap, scrotal flap or pudendal thigh flap. If conditions permit, surgery can be performed in groups at the same time, and transsexual surgery can often be completed at one time. Male-to-female surgery includes: 1, penis orchiectomy, urethral reconstruction, vaginal reconstruction (can get married) 2. The total cost of breast augmentation surgery and laryngectomy is about 20 thousand yuan (including hospitalization, surgery, treatment, medicine and examination) Excluding living expenses)