We are based at Lahore, Pakistan. We have been doing Gender Reassignment Surgery FTM and MTF for over 30 years. You should contact us and we will guide you how to proceed. You can see a psychiatrist, start hormone therapy for a few months, get court permission letter and then proceed with your surgeries. You can also get a court permission letter after being examined by psychiatrist and from us. Your case will be strong if you are recommended by two senior doctors. After you get your letter, you can proceed with breast reduction surgery ie; conversion from female to male type breasts, though you can have breast reduction surgery, without permission. Then, you can proceed with genital conversion surgery from female to male and hair transplant of the beard and moustache area. We do all FTM and MTF surgeries totally under local anesthesia, with no hospital stay. Surgeries are scarless and undetectable. You can contact us via facebook; our page CSSC international + and our facebook profile, Cosm Surg. You can also contact us via whatsapp or call and discuss your case with us. Full conversion takes a few months. If you get permission letter beforehand, we recommend hormone therapy afterwards.