Data

Surgeries

M2F Surgeries in Australia

Number of Male to Female Surgeries performed in Australia based on HIC statistics of penis amputations maried with vaginal reconstructions:

Year/Age	0-24	25-34	35-44	45-54	55-64	65-74	Total
1993	0	1	0	0	0	0	1
1994	2	1	0	0	0	0	3
1995	0	0	1	0	0	0	1
1996	0	2	2	2	0	0	6
1997	2	6	12	5	4	0	29
1998	5	6	8	10	1	1	31
1999	0	6	6	6	1	0	19
2000	3	14	11	8	3	0	39
2001	1	10	12	9	4	2	38
2002	3	7	15	10	8	1	44
2003	4	10	9	13	3	2	41
Total	20	63	76	63	24	6	252

Note: Billing Medicare for "vaginal reconstructions" on biological males was disallowed by the government up until 1997 which would account for the low numbers in previous years. Never the less, it appears from HIC records that a few of these operations still managed to get though Medicare.

Surgeries performed through Monash Gender Clinic

Number of sex change surgeries performed through Monash Medical Centre from 1978 - 1999

Years	M2F	F2M	TOTAL	Per Year
1978 - 1990	168	4	172	14
1990 - 1996	179	17	196	28
1997 - 1999	71*	8*	79	26
TOTAL	418*	29*	447	23

*Estimated

Estimation of number of sex change surgeries performed through Monash Medical Centre from 2000 - 2004 inclusive:

M2F 18 per year x 5 years = 90

F2M 2 per year x 5 years = 10

Total = 100

Total number of operations since establishment at Monash Medical Centre: Approximately 520

|Surgeries| |Medicare|

Medicare

Medicare billing of Surgeries

Medicare codes used for Sex-Change operations and some of the associated costs on 2003 figures.

Male to Female Codes

Code	Description	Cost
45563	Neurovascular island flap, including direct repair of secondary cutaneous defect if performed, excluding flap for male pattern baldness (Anaes.)(Assist.)	$869.60
37405	PENIS, complete or radical amputation of (Anaes.) (Assist.)	$768.40
37342	Urethroplasty single stage operation (Anaes.)(Assist.)	$658.95
35565	VAGINAL RECONSTRUCTION for congenital absence, gynatresia or urogenital sinus (Anaes.) (Assist.)	$568.30
30644	EXPLORATION OF SPERMATIC CORD, inguinal approach, with or without testicular biopsy and with or without excision of spermatic cord and testis (Anaes.) (Assist.)	$433.15
45206	SINGLE STAGE LOCAL FLAP where indicated to repair 1 defect, on eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals (Anaes.)	$318.80
30055	WOUNDS, DRESSING OF, under general anaesthesia, with or without removal of sutures, not being a service associated with a service to which another item in this Group applies (Anaes.)	$61.40

Female to Male Codes:

Code	Description	Cost
45503	Micro-arterial or micro-venous graft using microsurgical techniques	$1606.05
45565	FREE TRANSFER OF TISSUE reconstructive surgery for the repair of major tissue defect due to congenital deformity, surgery or trauma, involving anastomoses of vessels using microvascular techniques and including raising of tissue on a vascular or neurovascular pedicle, preparation of recipient vessels, transfer of tissue, insetting of tissue at recipient site and direct repair of secondary cutaneous defect if performed, not being a service associated with a service to which item 30165, 30168, 30171, 30174, 30177, 45501, 45502, 45504, 45505 or 45562 applies - conjoint surgery, conjoint specialist surgeon (Assist.)	$1,587.10
45502	Microvascular anastomosis of vein using microsurgical techniques, for re-implantation of limb or digit (Anaes. 17743 = 10B + 33T) (Assist.)	$1,381.75
39300	PERIPHERAL NERVES CUTANEOUS NERVE (including digital nerve), primary repair of, using microsurgical techniques (Anaes.) (Assist.)	$293.70
37011	SUPRAPUBIC STAB CYSTOTOMY, not being a service associated with a service to which items 37200 to 37221 apply (Anaes.)	$77.50
37342	Urethroplasty single stage operation (Anaes.)(Assist.)	$658.95
45051	CONTOUR RECONSTRUCTION for pathological deformity, insertion of foreign implant (non biological but excluding injection of liquid or semisolid material) by open operation (Anaes.) (Assist.) (See para T8.70 of explanatory notes to this Category)	$393.75
45203	SINGLE STAGE LOCAL FLAP, where indicated to repair 1 defect, complicated or large, excluding flap for male pattern baldness (Anaes.) (Assist.)	$337.40
45206	SINGLE STAGE LOCAL FLAP where indicated to repair 1 defect, on eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals (Anaes.)	$318.80

Note, some items are charged more than once (eg. there are 2 x 30644 - one for each testicle in Male To Female operations)