Why Spain?

Why Spain for gender affirming surgery?

Spain has come a long way since the 1970s, when sexual diversity was repressed under the military dictatorship. Today, it is recognized as one of the world´s leaders in LGTBIQ+ rights. This progress has been achieved thanks to the bravery of those who lived on the margins or in hiding, as well as through a series of progressive laws that have reshaped the country’s legal and social landscape.

Here are some key reasons why Spain stands out as the ideal destination for your gender-affirming surgery:

1. Advanced legal framework and LGTBIQ+ protections

Spain has developed a robust and progressive legal framework that protects and promotes the rights of LGTBIQ+ individuals. Some key milestones include:

2005: legalization of same-sex marriage, granting equal adoption rights. This was a crucial milestone for LGTBIQ+ equality and visibility, affirming the principle of equality in love and family.
2007: trans individuals were granted the right to change their name and gender on official documents without undergoing surgery, requiring only a gender dysphoria report. This marked an important step toward the de-pathologization of transgender identity by removing medical and legal barriers.
2018: several regional laws against discrimination based on sexual orientation and gender identity, establishing penalties and promoting inclusion. These laws strengthen local protections and advanced the right to live free from discrimination.
2023: law 4/2023, also known as the "trans law", eliminated medical and psychological requirements for legal gender change, recognizing gender self-determination. It represents a major step toward full equality, allowing individuals to define their gender identity without legal obstacles. The law also prohibits conversion therapies and reinforces gender self-determination, de-pathologizing transgender identity.

Protections for minors under law 4/2023

The law 4/2023 also includes provisions for minors, ensuring they can live according to their gender identity as early as possible. These measures aim to prevent suffering and discrimination, ensuring the well-being and development of trans minors. Minors as young as 12 can change their names on their National ID document with parental consent. Between the ages of 12 and 14, judicial authorization is required for gender registration changes. Between 14 and 16, the legal gender change can be carried out with the consent of parents or legal guardians.

The law also includes important provisions for minors, ensuring they can live according to their gender identity as early as possible. These measures aim to prevent suffering and discrimination, safeguarding the well-being and development of trans youth:

2. High-Quality medical care

Spain is renowned for its excellent healthcare system, both public and private. The country’s healthcare professionals are highly skilled and have extensive experience in gender-affirming surgeries. Specialized hospitals and clinics provide state-of-the-art technology and multidisciplinary approaches, including psychological support and comprehensive postoperative follow-up services.

3. Competitive costs

Compared to other Western European countries, the cost of gender-affirming surgery in Spain can be more affordable without compromising the quality of medical care, specially with Safe Rebirth. This, combined with Spain’s high standard of healthcare, makes it an attractive option for many individuals seeking these procedures.

At Safe Rebirth, we believe everyone deserves access to gender-sffirming care. That is why we offer a limited number of reduced-cost surgery packages for patients who are open to supporting educational or awareness efforts. These options are ideal for those fundraising for gender affirming surgery or seeking more affordable solutions. We support your ´GoFundMe´ campaign with Safe Rebirth.

Financial Planning

We understand that financial planning takes time, and we don´t believe you should have to wait to begin your journey. That´s why Safe Rebirth offers early access to consultations, surgery planning, and paperwork support before full payment is made. This includes a free consultation to clarify your options and a flexible planning timeline as you move towards surgery.

Surgery reimbursements: If you are applying for reimbursement through the NHS based on medical necessity or have a private insurance, we provide:

A signed medical report stating the clinical indication for surgery.
An official surgery quote.
A signed and stamped final invoice.
A surgical report or discharge summary if needed.
Translation support.

4. Inclusive and welcoming environment

Spanish society is widely recognized for its inclusive and welcoming attitude toward diversity. In major cities like Madrid and Barcelona, LGTBIQ+ communities find a safe and open environment. This positive social environment is crucial for the emotional and psychological recovery of individuals undergoing gender-affirming surgery.

5. Strong legal and social support

Spain offers robust legal and social support for trans individuals. Spanish legislation not only allows legal gender changes on official documents without surgery, but also provides protections against discrimination in employment, housing, and other areas of public life. This comprehensive support ensures that trans individuals can fully integrate into society with dignity and respect.

Comparison with other countries

United Kingdom

Legal recognition: Gender change is allowed legally, but the process can be lengthy and requires medical and psychological evidence.
Social and Legal Support: while there have been significant advances, there are still bureaucratic and social barriers that can make the transition process difficult.
Cost and Medical Quality: the cost of surgery may be higher, and the availability of specialists may be more limited compared to Spain.

Italy

Legal Recognition: while progress has been made in LGTBIQ+ rights, bureaucracy and the lack of specific laws on gender self-determination can complicate the process.
Social and Legal Support: italian society may be less inclusive in some regions, which could negatively impact the experiences of trans individuals.
Cost and Medical Quality: although there are qualified professionals, infrastructure and access to high-quality services may be harder to find and less accessible than in Spain.

A progressive and inclusive society

Spanish society has demonstrated an open and receptive attitude toward the recognition of LGTBIQ+ rights. The widespread acceptance of these rights is based on the understanding that recognizing the rights of others does not diminish one’s own.

This inclusive mindset has been key to legislative and social progress in Spain, creating an environment where trans individuals can live with dignity and respect.

By choosing Spain for your gender-affirming surgery, you are not only selecting a country with high medical standards and a welcoming society, but also one that is firmly committed to protecting and advancing the rights of LGTBIQ+ individuals. Spain offers a safe, affordable, and supportive environment for those seeking gender-affirming care.

Patient testimonials

Real stories, real transformative experiences.

At Safe Rebirth, we are honored to be part of so many life-changing journeys. Every patient has a unique story, and we take pride in providing the care, support, and expertise they need to feel truly themselves.

Safe Rebirth

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Lea B.

11:16 17 Feb 26

I arranged my FFS in Spain with Aida and Oscar and it was really a great experience - in fact I'm not sure it could have been better. They really smoothed the process for me, all the way from choosing the right option for my surgery - and choosing the right surgeon and acquiring quotes, through to after-surgery care. They are very experienced in negotiating the Spanish healthcare system, and facilitated all of my various pre-operative tests and hospital appointments which I would not have been able to do without them. Everything went off without a hitch, I was super-happy with the surgeon and with the results achieved. I would highly recommend Safe Rebirth for any trans person considering surgery.

Rachael M.

13:14 21 Jan 26

I met Aida about 10 months ago when I was considering my gender reassignment surgery. Right from the first contact there was absolutely no pressure and everything was at my own pace. There was no sales hype or anything to pressure me into any decisions, Aida instead showed me a logical and caring pathway to be able to achieve what I wanted. They work with some if the best and most talented people on the medical team, DracAna Vega my surgeon is truly a talented and amazing doctor and the results are incredible. I’m so happy that I chose Safe rebirth as my partner in my transition, the whole team, Aida, Oscar and the lovely Geri my gender nurse and of course the incredible Dra Ana Vega have been totally amazing. I love them all and they have made my journey into this most important area the best, most comfortable and safest it could have benn. Thank you xx

elle

14:20 22 Dec 25

I worked with Aida of Safe Rebirth while organizing my colovaginoplasty in Spain. She and Oscar are very easy to work with. They were quick to answer my questions and Aida was able to arrange my first consult with my surgeon very quickly. She was also on the video call consult. My surgeon spoke very good English, but alas there were a few times where Aida had to step in to translate. She was wonderful at keeping everything on track from the consult, the paperwork, making sure I scheduled the right pre-surgery tests, following up on the results to make sure they had been sent to the surgeon, and the payments. While in Barcelona for the surgery, Aida and Oscar helped my check-in to the clinic go smoothly. They go above and beyond to make sure the patients have a good experience. They stayed and visited with me for a bit after my check-in. I was there by myself and a little anxious about the surgery, so this was very much appreciated. They also checked in on me with WhatsApp almost every day to see if there was anything I needed including helping me communicate with the nurses. Most nurses spoke some English and could lean on colleagues for help if there was something that we couldn't communicate. But it was nice knowing that Aida and Oscar could help if I needed it. And finally, when it was getting close to the day I would leave to fly home, Aida and Oscar came to see me at my hotel near the clinic. It was a social visit as well as to get feedback on what went well and what could be done differently to improve the experience. I thought that was really good. I know that I was the benefactor of a previous patient providing feedback about including supplies for dilation with the dilator kit the surgeon was already providing. That was very much appreciated as it made the experience so much easier for me.

If you are considering surgery in Spain, you should contact Safe Rebirth. They not only represented the plastic surgeon that did my colovaginoplasty, but they represent doctors for other specialties as well. I found the prices for doctors in Spain are much more reasonable than in the USA where I am from. And, my experience with my surgeon was very very good.

Matt B.

13:20 15 Dec 25

I first saw Aida on their TikTok channel. She gave great information there and when I asked questions, she invited me to chat with her in a more private venue. She answered all my questions no matter how silly they seemed to me. When it came time for my surgery consultation, she helped facilitate and aided with communication, as I don't speak Spanish very well, and Catalan not at all. Safe Rebirth has been a supportive and consistent presence in my transition journey. I honestly don't know what the process would look like without them.

Ari C.

08:23 15 Dec 25

Safe Rebirth was really helpful in connecting me with a surgeon, even having a free consultation with the surgeon so I could ask any questions. They answered all my questions in depth and made me feel really cared for.

Anna M.

16:57 01 Dec 25

I spotted Aida and her service while I was researching where I could find a clinic for my surgery. After reading the website I thought, that this is too good to be real. But after contacting Aida, she responded super fast and I directly could feel, that this is not a fake 🙂

Aida is such a lovely person. I felt instantly safe with her while talking to her on the phone. She‘s incredible helpful, understanding and guided me trough the process.

She organized two video consultations with different surgeons, she was always part of the consultations and helped out a bit with language problems (really only just a few, tiny times).

I only can recommend Aida if someone is thinking about getting the surgery in Spain. Do not hesitate to contact her, she‘s absolutely helpful and knows all about it.

Isabella L.

14:49 12 Nov 25

Amazing service, everyone is so nice and a pleasure to deal with.

Danielle B.

14:38 22 Oct 25

I have for years suffered with my body, my dysphoria has at times been so bad that I couldn't even force myself to take a bath for days, Safe Rebirth helped me get the surgery that I needed to finally just live my life, they helped through the entire process and after, I highly recommend getting in touch with Safe Rebirth.

Response from the owner 18:46 25 Oct 25

We are so thrilled you felt supported your dysphoria is completely gone and you can finally live at peace Danielle!

Alessandra P.

17:09 29 Sep 25

I met Aida through a mutual friend, and we hit it off right away. She assisted me throughout my surgical journey, from my arrival in Zaragoza until the day of my departure, accompanying me to various appointments and acting as my interpreter with the various specialists and the surgeon. She also cared about my health post-op. I'm very grateful to her.

Sandra

Response from the owner 10:44 14 Oct 25

Che bello leggere le tue parole e che ti abbia sentita accompagnata nel tuo percorso!. É stato un vero piacere accompagnarti in Zaragoza!. Porterò nel cuore la nostra visita al Pilar!.

Pauline S.

15:06 27 Aug 25

Extremely helpful advocate for the procedures I needed, as a English speaker it was great having them walk me through the process

Response from the owner 10:51 14 Oct 25

Thank you so much for your kind words!. We're truly glad to hear you felt supported and well guided throughout your journey. Helping English speaking patients feel comfortable and informed at every step is exactly what we are here for!. I hope you use your fan! 😉

Giovanni C.

16:25 12 Aug 25

I contacted Safe Rebirth to help me choose a clinic where I could have top surgery. I felt very apprehensive about having surgery abroad but Safe Rebirth made everything easy. They arranged online consultations with different surgeons in Spain and they helped me every step of the way. I felt safe and confident because Aida answered every question I had, even providing information for travel and accommodation. My experience in the clinic was very positive and I am very happy with the result. I would really recommend Safe Rebirth to anyone who is considering having surgery abroad.

Response from the owner 10:57 14 Oct 25

Thank you so much for sharing your experience!. We know how important it is to feel safe and supported when planning surgery abroad, and we’re truly happy to know that you felt confident and cared for throughout the process. It was a pleasure to join you in Zaragoza, and we’re delighted that you’re happy with the surgeon results!. Wishing you Gio the best in his recovery and we will keep you and Gio in our hearts!. We are in touch! 🙂

Lia G.

20:49 11 Aug 25

I didn't know where to start to organize the surgery that would align everything.
I met Aida over the phone, she was super empathetic, and by the end of the call I felt like I'd known her forever!!
She helped me with everything, from the organization to the moral support, I knew I was in good hands, and most importantly, we weren't alone!!
Aida is a very professional and meticulous person, with a great sense of humanity.
Thank you, Aida 💗

Response from the owner 11:01 14 Oct 25

Crediamo profondamente nell’importanza di un supporto umano, oltre che organizzativo. Grazie di cuore per la fiducia e per aver condiviso la tua esperienza!. Siamo sempre in contatto! 🙂

schlehehe

15:06 10 Apr 25

I had a great experience with Aida, who provided me many options for pursuing voice therapy and vocal surgery options. Aida was always patient and understanding, and was incredibly attentive to my needs as a patient.

Response from the owner 11:05 14 Oct 25

Thank you very much!. We always strive to make sure every person feels listened to and guided with care; it means a lot to know this made a difference for you in your voice journey!.

Anna La S.

15:45 05 Feb 25

I met Aida in 2023, as director of the international department. I must say she always answered all my questions; for me, she was someone who did her job. But when I arrived in Spain and met her in person, she really made me feel more at ease.
In every moment of fear, she was able to give me reassuring answers.

The surgeons and nurses were excellent, all professional, but the humanity I found in Aida was unlike any other. In short, it's true that when you have to undergo surgery, you make sure the surgeons are good, but Aida was one of those people you hope to meet.

Thank you, Aida

Response from the owner 11:08 14 Oct 25

Grazie di cuore per queste parole così sentite!!!. Sapere che ti sei sentita tranquilla e sostenuta in ogni momento è la cosa più importante!. Crediamo profondamente nell’unire professionalità e umanità, perché ogni percorso chirurgico è prima di tutto un viaggio personale. Un grande abbraccio!

Andie C.

16:13 04 Feb 25

I decided to have surgery 2 years ago, Aida was my patient liaison. Any questions I had were quickly answered. When I was over in Barcelona, she was there at every step. A year later, I had my second surgery, and again, Aida was there at every step. Aida ticks every box from helping with translation to making your nerves ease away.

Response from the owner 11:12 14 Oct 25

It’s been such an honour to walk this path with you, not once, but twice! Your trust means everything to us. Seeing you feel calmer and more confident through each step is exactly why we do what we do. Thank you for letting Aida and our team be part of your journey!. We will see you again in a few days!. Looking forward to it Andie! 🙂

Victoria T.

17:40 30 Jan 25

I met Aida after a surgery and I not only met a wonderful and professional person but also a friend❤️

Response from the owner 11:16 14 Oct 25

Grazie di cuore! Sapere che hai trovato in Aida non solo professionalità ma anche amicizia è il complimento più bello che potremmo ricevere!.

Tone V.

19:54 20 Jan 25

My first contact with Aida, one of the founders of Safe Rebirth, was back in august 2022. I was in the middle of my very own life changing process, and I had realised I could not wait for the public health care system in Norway to provide the help I needed. The waiting lists were and still are too long. I had to take control over my own life and process. After doing my own research on where I could get help, I had a short list of clinics I rated very similar based on quality of the results, price and recommendations from other patients. Aida worked at one of these clinics. My very first reply from Aida back then was this: «Dear Tone, I hope all is well with you! I’m your International Patient Coordinator and I’ll be guiding you through the whole process». And that was exactly what happened. Long story short, I selected the clinic that Aida worked for, and it was one of the best decisions I have made so far in my life. Aida is a wonderful person with great knowledge and a genuine big heart for the patients who need gender affirming surgery. To have someone like Aida supporting the process takes away a lot of the stress you experience, and it's also a huge quality assurance that takes care of everything you know, you don't know or should know. I cannot recommend Aida and Safe Rebirth enough as a partner to your gender affirming journey. My perhaps most memorable and needed moment from Aida was a reply to a message I sent to her just before I boarded my flight to the clinic: «Don't worry about a thing ... chill, you've got enough on your plate». I highly recommend you to contact Safe Rebirth if you are at a stage in your own life that requires gender affirming care and treatment. You will be in the best hands possible and taken well care of all the way!

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Ready to take the next step?

Your journey to becoming your true self starts here. At Safe Rebirth, we understand the importance of every step in your transition, and we’re here to support you with expertise, care, and personalized guidance.

Talk to our experts today and let’s discuss your needs, answer your questions, and help you find the best surgical options tailored just for you.

Contact us now and start your transformation with confidence!

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Why Spain?

Why Spain for gender affirming surgery?

1. Advanced legal framework and LGTBIQ+ protections

2. High-Quality medical care

3. Competitive costs

Financial Planning

4. Inclusive and welcoming environment

5. Strong legal and social support

Comparison with other countries

A progressive and inclusive society

Patient testimonials

Contact us

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