How to Pay for Facial Feminization Surgery Medically reviewed by Jennifer Richman on January 17, 2025. Understanding Facial Feminization Surgery Costs Facial feminization surgery (FFS) refers to a collection of procedures that reshape the face’s bone and/or soft tissue to help a patient experience greater gender alignment with their facial features. Common procedures include the brow bone reduction, the hairline advancement, and the tracheal shave. For many patients who seek out FFS, understanding the cost of these surgeries can be overwhelming. Depending on the number of procedures, FFS can cost anywhere from $4,500 to $100,000 for patients paying out of pocket. Insurance coverage can drastically reduce the cost of this …