In short
- The quotation is a fixed figure and it is given after the first consultation, with everything included: theatre, anaesthetist, later check-ups, compression garment and VAT.
- There are no items that turn up afterwards. What is left out is stated up front.
- What moves the range is the surgical complexity: the type of anaesthetic, whether gland has to be removed as well as fat and whether skin has to be removed.
- Outside the quotation are the optional post-operative treatments —radiofrequency, massage, lymphatic drainage—, which are recommended case by case and quoted separately.
- If a complication arises, the surgery is not charged for again: treating it normally involves only materials and theatre.
- Minor refinement touch-ups are usually included, at a minimal cost.
- None of this is a guarantee of a result: medicine is an obligation of means, and that is how it is explained and signed.
The range is wide and it is worth explaining why before giving the number: what changes from one case to another is not how you are treated, it is the surgery. A chest resolved by suctioning fat under local anaesthetic and one that requires removing gland, removing skin and a general anaesthetic are two different operations, with different theatre time and a different team.
What is the same in every case is how the quotation is presented: a fixed figure, in writing and with everything included, after the first consultation and not before. A price given over the phone without an examination is not a price: it is a number.
This page sets out the financial side of the general guide to gynaecomastia. To understand what determines the complexity —and therefore the price—, the reference page is the one on gland, liposuction or a combined technique.
The range, and why it is so wide
The price falls, as a guide, between €3,000 and €6,500 (2026).
That the range is more than double from end to end is not vagueness: it is that operations that are very different indeed fit under the same name.
- At the lower end are the cases that can be resolved under local anaesthetic, and those in which the component is essentially fatty and liposuction is enough. Less theatre time, fewer staff, simpler recovery.
- At the upper end, those requiring wide glandular excision, skin removal and a general anaesthetic. More time, a full anaesthetic team and a longer follow-up.
Between the two lie most cases, which combine liposuction and glandular excision. Which yours is does not depend on the apparent size of the chest but on the proportion of gland to fat and on how the skin behaves as the volume is reduced — which is exactly what is determined by examining.
What the quotation includes
All of this goes inside the figure you are given:
- Theatre.
- The anaesthetist, with the type of anaesthetic the case calls for.
- Later check-ups.
- The compression garment, the chest binder worn after surgery.
- VAT.
The reason it is given that way, as a fixed figure, is simple: it is the only way you can compare. A price that does not say whether it includes the anaesthetist or the check-ups cannot be compared with one that does.
What it does not include
It is stated up front, because it is where the surprises tend to appear elsewhere:
- The optional post-operative treatments: radiofrequency, massage or lymphatic drainage. They are not compulsory; they are recommended according to what each patient needs and quoted separately.
- Investigating the cause, where appropriate. If hormone blood tests or a testicular ultrasound are needed to find out why it has appeared, that is a prior medical assessment and it follows its own pathway.
What happens if there is a complication or a touch-up is needed
It is the question that weighs most in the decision and the one least often answered in writing, so here is the criterion, which is assessed case by case:
- If a medical complication arises, treating it normally involves only the costs of materials and theatre, so that the cost works out very small compared with that of a standard operation: the surgery is not charged for again.
- Minor refinement touch-ups are usually included, at a minimal cost.
And the qualification that has to be said out loud: this is not a guarantee of a result. Medicine is an obligation of means, not of results. It is the commitment that, if something requires a second operation, that possibility will be made as easy as possible so that any problem can be dealt with.
That a second operation is a real possibility is not theoretical: in a ten-year surgical series, the revision rate was 4.8%, and in a cohort of young patients the commonest problems were residual tissue (12.6%) and contour irregularities (9.2%). They are low figures, but not zero, and that is why it matters to know in advance who takes on what.
Is it covered by the public health service or by insurance?
In all honesty: as a general rule, no. Correcting gynaecomastia for aesthetic reasons is considered aesthetic surgery and falls outside the usual cover, both public and with most private insurers.
There are situations in which a medical indication may be considered —persistent pain, an underlying cause requiring treatment, cases with a major functional impact—, but that assessment is made by the public system or by the insurer, not by the clinic. If you think your case might fit, the route is to put it through that channel, and from here whatever clinical report is needed will be provided.
What we are not going to do is promise you cover that does not depend on us.
Why a much cheaper quotation is not always comparable
It is not about distrusting anyone, but about comparing like with like. Before deciding on price, it is worth asking anywhere:
- Does it include the anaesthetist and the theatre, and what kind of centre is it?
- Does it include the check-ups or are they billed separately?
- Does it include the compression garment?
- Is VAT inside?
- What happens if a touch-up is needed or a complication arises?
- Who exactly operates, and are they a specialist in Plastic, Aesthetic and Reconstructive Surgery?
- Was the figure given after an examination or before?
With those seven answers, two quotations start to be comparable. Without them, the difference between two figures says nothing.
Finance
There is the option of financing the operation. Any specific instalment figure has to come with the lender’s representative example —amount, term, interest rate and total cost—, so the terms are given in writing at the consultation and are not advertised here as a lure.
Book an appointment
You can book your own appointment. Pick the day and time from the free slots in the diary, in a panel that opens right here, without leaving this page.
Frequently asked questions
How much does gynaecomastia surgery cost in Valencia?
As a guide, between €3,000 and €6,500 (2026). The range is wide because operations that are very different indeed fit under the same name: from liposuction under local anaesthetic to a wide glandular excision with skin removal under general anaesthetic.
Why won’t you give me the price over the phone?
Because the price depends on the proportion of gland to fat and on how the skin is expected to respond, and that is determined by examining. A figure given without seeing the case only serves to change later.
Does the quotation include the anaesthetist?
Yes. The quotation is a fixed figure and it includes theatre, anaesthetist, later check-ups, compression garment and VAT.
And if I need a touch-up?
Minor refinement touch-ups are usually included, at a minimal cost. If a medical complication arises, treating it normally involves only materials and theatre: the surgery is not charged for again. Each case is assessed individually and this is not a guarantee of a result.
Is it covered by the public health service?
As a general rule, no: it is considered aesthetic surgery. Certain situations with a medical indication may be considered, but that assessment is for the public system or the insurer, not for the clinic.
Can it be paid in instalments?
Yes. The specific terms, with the lender’s representative example, are given in writing at the consultation.
Is it cheaper to operate on one side only?
Not necessarily as much as it seems: a good part of the cost is theatre, anaesthesia and staff, which do not halve. Besides, operating on one side alone has to be weighed carefully, because the aim is the symmetry of the whole.
Sources
- Li CC, Fu JP, Chang SC, Chen TM, Chen SG. Surgical treatment of gynecomastia: complications and outcomes. Ann Plast Surg. 2012;69(5):510-515. PMID 21712702 — a ten-year series with 41 patients and 75 operations: an overall surgical revision rate of 4.8%; it supports what is said about the real likelihood of a second operation.
- McNamara CT, Nuzzi LC, Firriolo JM, et al. Complications and Quality of Life following Gynecomastia Correction in Adolescents and Young Men. Plast Reconstr Surg. 2022;149(6):1062e-1070e. PMID 35349529 — 145 patients: residual tissue in 12.6% of the breasts and contour irregularities in 9.2%, the two commonest reasons for needing a later adjustment.
- Kanakis GA, Nordkap L, Bang AK, et al. EAA clinical practice guidelines—gynecomastia evaluation and management. Andrology. 2019;7(6):778-793. PMID 31099174 — surgery is the treatment of choice in long-standing gynaecomastia; in recent cases, and once the cause has been treated, watchful waiting is recommended. It justifies a first consultation being able to end without a quotation.
Sources checked one by one against PubMed on 12 August 2026.
Book your consultation
The quotation is given after the first consultation, as a fixed figure and in writing, once it is known what has to be done. At the Instituto de Cirugía Plástica del Mediterráneo, in Valencia, that consultation can also end with the recommendation not to operate yet: if the gynaecomastia is recent and there is a cause to remove, what is indicated is to wait.
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Clinical confirmation by the surgeon
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Educational content reviewed by Dr Alessandro Thione, registration no. 46/4621959, and Dr Alberto Ruiz Cases, registration no. 46/4624050, specialists in Plastic, Aesthetic and Reconstructive Surgery. The figures are indicative for 2026 and do not constitute a quotation: the quotation is issued in writing after an assessment in person.
Registration no. 46/4621959
Registration no. 46/4624050
Last reviewed: 6 September 2026. This content is for information only and does not replace an individual assessment by a healthcare professional.
