Gastroesophageal reflux disease (GERD) is a chronic digestive disease. GERD occurs when stomach acid or, occasionally, stomach content, flows back into your food pipe (esophagus). The backwash (reflux) irritates the lining of your esophagus and causes GERD. Both acid reflux and heartburn are common digestive conditions that many people experience from time to time. When these signs and symptoms occur at least twice each week or interfere with your daily life, or when your doctor can see damage to your esophagus, you may be diagnosed with GERD.
In Pennsylvania, the Philadelphia Center for Transgender Surgery posts cost estimates for different procedures. Its price list mentions estimates of $140,450 to transition from male to female, and $124,400 to transition from female to male.
1 However, most procedures will typically be between the $10,000 to $30,000 range. 2  According to Surgeryencyclopedia.com, the average cost for a male-to-female reassignment is $7,000 to $24,000. 3  The cost for female-to-male can exceed $50,000.4  Tgender.net claims that the average cost for male-to-female is around $17,000. Patients should expect to spend $25 to $150 per month for hormone therapy. 2  The costs, as stated above, will greatly depend on which hormones are prescribed. 3  If psychotherapy is needed, this can cost an additional $100 to $225 per session.