Gynecomastia Surgery Cost in Canada: 2026 Prices, OHIP and HST
Medically reviewed by Dr. Mark McRae, board-certified plastic surgeon. Updated October 2026.
Gynecomastia surgery cost in Canada starts between $5,500 and $13,800 before tax, based on the starting prices 29 Canadian clinics publish on their websites. The median starting price is $9,000. At McRae Plastic Surgery in Toronto and Burlington, gynecomastia surgery starts at $9,500 before HST, or about $10,735 with HST. That fee covers your surgeon, anaesthesia, the operating facility and follow-up care.
Gynecomastia is enlarged gland tissue in the male chest, often with extra fat and sometimes loose skin. What your chest contains decides the technique, and the technique decides the price.
Quick answer | 2026 figure |
|---|---|
McRae starting cost, gland and fat | $9,500 before HST |
McRae starting cost, fat only | $6,200 before HST |
McRae starting cost, with skin removal | $10,500 before HST |
Published starting prices across Canada | $5,500 to $13,800 before tax |
HST in Ontario | 13%, added to cosmetic surgery |
OHIP coverage | Not for cosmetic surgery |
Financing | Medicard Finance Inc. and Beautifi |
Time off work | 1 to 2 weeks for most jobs |
See real results in our gynecomastia before and after gallery, or read about the procedure itself on our gynecomastia surgery page.
How much does gynecomastia surgery cost at McRae Plastic Surgery?
Gynecomastia surgery at McRae Plastic Surgery starts at $9,500 before HST, which is about $10,735 once 13% HST is added. Fat-only correction starts at $6,200, and side chest fat removal starts at $3,500. Surgery that also removes loose skin, with free nipple grafting, starts at $10,500. Every figure below comes from our 2026 price list for Toronto and Burlington.
Procedure | What it treats | Surgery time | Main recovery | Starting cost before HST | With 13% HST |
|---|---|---|---|---|---|
Gynecomastia Surgery | Glandular tissue and fat | 2 to 3 hours | 3 to 6 weeks | $9,500+ | $10,735+ |
Gynecomastia Liposuction with Gland Pull-Through | Gland removed through small liposuction incisions | 2 to 3 hours | 3 to 6 weeks | $9,500+ | $10,735+ |
Gynecomastia Excision with Grafting | Gland plus loose skin, with free nipple grafting | 2 to 3 hours | 3 to 6 weeks | $10,500+ | $11,865+ |
Pseudogynecomastia Correction | Fat only, no firm gland | 2 to 3 hours | 2 to 4 weeks | $6,200+ | $7,006+ |
Puffy Nipple Correction | Puffy, cone-shaped nipples | 1 to 3 hours | 2 to 4 weeks | $6,200+ | $7,006+ |
Side Chest Fat Removal | Fat at the outer chest near the armpit | 1 to 2 hours | 2 to 4 weeks | $3,500+ | $3,955+ |
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Most men need a combination of techniques: liposuction for the fat and direct removal of the firm gland behind the nipple. Where you land above the starting cost depends on how much tissue comes out and how long you are in the operating room. Your surgeon confirms the fee in writing after examining you in person. Gym workouts and compression can take 4 to 8 weeks, a little longer than the main recovery shown in the table.
What does the gynecomastia surgery fee include?
A McRae quote for gynecomastia surgery is all-in. The surgical fee covers:
- Your surgeon’s professional fee
- Anaesthesia and the anaesthetist’s fee
- The accredited operating facility fee
- Pre-operative planning and preparation
- Post-operative visits and follow-up care
- Surgical garments and dressings where required
Two charges are added on top: 13% HST and the consultation fee, which our team confirms when you book. Also plan for time off work, which no surgical fee can cover.
When you compare clinics, ask each one for the same all-in figure. A quote for the surgeon’s fee alone can look much lower than the real total, because anaesthesia and the operating room are billed on top.
What makes gynecomastia surgery cost more or less?
The type of tissue in your chest is the biggest price factor, because it decides the technique. A fatty chest needs liposuction only. A firm gland needs gland removal, where the surgeon cuts it out. Loose skin needs to be removed, and the nipple is moved as a free nipple graft.
These things move your final number:
- The tissue in your chest. Fat alone, treated with pseudogynecomastia correction, starts at $6,200, while gland plus fat starts at $9,500.
- Loose skin. Removing skin with free nipple grafting adds about $1,000 to the starting cost, taking it to $10,500. It is often needed after major weight loss.
- Time in the operating room. More tissue means more time under anaesthesia and in the facility, and both are part of the fee.
- Other areas treated at the same time. Adding flank or abdominal liposuction, or a tummy tuck, raises the total, but it usually costs less than two separate operations.
- Earlier surgery. Correcting a previous gynecomastia operation takes longer when there is scar tissue, so revision is priced on what needs fixing.
Yes. Gynecomastia surgery done for cosmetic reasons is taxable, so 13% HST is added to the fee in Ontario. A $9,500 surgery becomes $10,735 once HST is added. Since March 2010, federal law has excluded cosmetic procedures from the GST/HST exemption for health care. Surgery done for medical or reconstructive purposes stays exempt.
Every price on our pricing page is shown before HST, and HST is added on top of your quoted fee. Outside Ontario, the tax changes with the province: Nova Scotia clinics add 14% HST, Quebec clinics add GST and QST, and clinics in Alberta, British Columbia and Manitoba add at least the 5% GST.
No. OHIP does not pay for gynecomastia surgery done to change how your chest looks. The Ontario government lists cosmetic surgery among the services OHIP does not cover, and liposuction of chest fat is not an insured service.
Removing the gland itself may be insured when the gynecomastia has a medical cause, such as a hormone disorder, a genetic condition or cancer treatment. If you think your case has a medical cause, start with your family doctor, who can look for that cause and refer you to a plastic surgeon.
At McRae, we check whether any part of your care may be covered before you commit to anything. Alberta and British Columbia follow the same basic rule: surgery done only to change appearance is not covered by AHCIP or MSP.
How much does gynecomastia surgery cost across Canada?
Published starting prices for gynecomastia surgery in Canada range from $5,500 to $13,800 before tax, and the median is $9,000. City by city, the lowest starting price runs from $5,500 in Toronto and Winnipeg to $12,400 in the Calgary area. We checked clinic websites across Canada in October 2026 and recorded every gynecomastia price a clinic publishes.
City or region | Clinics with a published price | Lowest starting price | Top of published price ranges |
|---|---|---|---|
Toronto and GTA | 14 | $5,500 | $14,500+ |
Ottawa | 4 | $7,000 | $10,000 |
Montreal | 6 | $7,800 | $15,775 |
Vancouver area | 2 | $9,000 | $12,000 |
Calgary area | 2 | $12,400 | $15,900 |
Winnipeg | 1 | $5,500 | $8,000 |
Edmonton | 0 | No published price | No published price |
Halifax | 0 | No published price | No published price |
The spread inside Toronto alone, $5,500 to $14,500, is wider than the gap between cities. So the city matters less than two other things: the technique the clinic is quoting for, and whether the price includes anaesthesia and the operating facility. Many clinics do not say. One Ottawa clinic states that facility and anaesthesia fees are extra, so its listed price is not the full cost. The last column shows the top of each clinic’s price range, not a starting price.
Many prices you find online are American, quoted in US dollars, and many count the surgeon’s fee only. The American Society of Plastic Surgeons lists an average of $5,587 USD for male breast reduction. The society notes that this average leaves out anaesthesia, the operating room and other related costs.
A Canadian quote in Canadian dollars that covers the whole operation will look higher next to that number, because it counts more of the bill. When you research costs, use Canadian clinic prices in Canadian dollars.
How do you compare gynecomastia surgery quotes?
Compare quotes line by line. Ask every clinic these questions:
- Does the price include the surgeon, anaesthesia, the operating facility, garments and follow-up visits?
- Is HST included, or added on top?
- Is the surgeon certified in plastic surgery by the Royal College of Physicians and Surgeons of Canada (FRCSC)?
- Is the surgery done in an accredited facility?
- Which technique is planned: liposuction only, gland excision, or skin removal?
- What happens, and what does it cost, if you need a revision?
The technique question matters most, because liposuction alone will not remove a firm gland, and leftover gland tissue can mean a second operation. At McRae, revision is priced on what needs correcting, and changes from later weight gain or loss count as a new procedure with a new fee.
Gynecommastia Before & After
See the incredible results of gynecomastia surgery at McRae Plastic Surgery in Toronto and Burlington.
How can you pay for gynecomastia surgery?
You can pay for gynecomastia surgery up front or in monthly payments through Medicard Finance Inc. or Beautifi, the two financing companies McRae Plastic Surgery works with. Medicard plans run from 6 months to 6 years. You apply directly with the provider, and the provider decides on approval. We also accept credit card, debit, certified cheque and cash. See our financing and insurance page for details.
What to know before surgery day:
- Consultation fee. A consultation fee applies. It varies by procedure and surgeon, and our team tells you the amount when you book.
- Deposit. A deposit secures your surgery date, and the balance is due before surgery. Our team explains the payment schedule and cancellation policy when you book.
- Quote validity. Your written surgical quote stays valid for one year, so you have time to plan.
Get the Chest You’ve Been Waiting For!
Despite diet and exercise, some men struggle with persistent chest fullness. Dr. Matthew McRae’s advanced gynecomastia surgery removes excess tissue, reshapes the chest, and restores definition. Book a consultation to explore your options.
Is it cheaper to combine gynecomastia surgery with other procedures?
Combining procedures usually costs less than booking them as separate operations, because anaesthesia and facility time are shared. A multi-procedure discount may apply, but it is not guaranteed. It depends on your health and how long the combined surgery would take.
The most common pairing with gynecomastia surgery at McRae is a tummy tuck, especially after major weight loss. Flank liposuction or abdominal liposuction can also be added. These are the standalone starting costs:
Procedure | Starting cost before HST |
|---|---|
Male Tummy Tuck | $12,500+ |
Abdomen and Flank Liposuction | $10,500+ |
Love Handle Liposuction | $7,500+ |
Abdominal Liposuction | $7,000+ |
Your combined quote is set at your consultation. One operation also means one recovery period and one block of time off work instead of two.
How much time off work does gynecomastia surgery need?
Most men return to desk work about a week after gynecomastia surgery, to most jobs within 1 to 2 weeks, and to the gym after 4 to 8 weeks once their surgeon clears them. Build that time into your budget, especially if you are self-employed or do physical work.
You go home the same day as surgery. You wear a compression garment day and night for 4 to 8 weeks. Swelling settles over 3 to 6 months, and that is when the final chest contour shows. Physical jobs and heavy lifting may need more time off, and your surgeon sets that date with you.