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Even a routine medical procedure can break the bank, but the price of mending a broken bone or removing an appendix pales when compared to the process of transitioning between genders.

While the Caitlyn Jenners and Chaz Bonos of the world may be able to afford all the involved expenses, people of more modest means often struggle.

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According to The Philadelphia Center for Transgender Surgery, these surgeries, (along with a cosmetic procedure to complete the effect, such as rhinoplasty) cost approximately $35,000.

A female transitioning to a male may elect for top procedures such as the removal of breasts with a bilateral mastectomy, then reconstructive surgery to simulate a more masculine chest.

Creating a penis, called a phalloplasty, is the lower body modification.

The average cost range for the top and bottom combination is broad, at $12,000 to over $25,000, since there are multiple types of genital surgery.

What it is and how much it can be To start, some clarification.

Transgender, as defined by Merriam-Webster, is "relating to, or being a person who identifies with or expresses a gender identity that differs from the one which corresponds to the person's sex at birth." Which is where sex reconstruction surgery (SRS) comes in. But to simplify, think upper and lower body modifications -- commonly referred to as top and bottom procedures.

SRS helps a person born male or female switch their gender by changing outward appearances. For males transitioning to females, top modifications include breast augmentation and facial feminization.

Bottom modification consists of constructing female genitalia with a vaginoplasty.

Both men and women receive hormone therapy and extensive counseling before any medical procedure is performed, with ,000 being a low annual estimate.

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