Body Feminization Surgery (BFS) refers to a series of surgical procedures designed to make a person’s body more typically feminine. It’s often sought by transgender women as part of their transition but can also be pursued by cisgender women seeking a more traditionally feminine figure. The surgeries aim to modify the body’s contours and proportions to fit the individual’s gender identity or desired aesthetic.

Some commonly pursued procedures for body feminization include:

  1. Breast Augmentation: To enhance breast size and shape using saline or silicone implants.
  2. Buttock Augmentation (Brazilian Butt Lift or Implants): Fat from other parts of the body can be liposuctioned and then grafted into the buttocks (Brazilian Butt Lift) to achieve a rounder, fuller appearance. Alternatively, silicone implants can be used.
  3. Hip Augmentation: This can be done using fat grafting to make the hips appear wider, thus creating a more hourglass figure.
  4. Liposuction: Used to remove unwanted fat from specific areas of the body, such as the abdomen, flanks, or thighs. This can help accentuate a feminine waist-to-hip ratio.
  5. Tummy Tuck (Abdominoplasty): This procedure removes excess skin and tightens the abdominal muscles, resulting in a flatter, more toned abdomen.
  6. Thigh Lift: It involves removing excess skin and fat from the thighs, making them appear more toned.
  7. Tracheal Shave (Adam’s Apple Reduction): While not a body contouring procedure, it’s often pursued to reduce the prominence of the Adam’s apple, giving the neck a smoother, more feminine appearance.
  8. Voice Surgery: Some seek surgeries to feminize the voice, though non-surgical voice training is often the first choice.


  • Personal Goals: It’s essential to discuss your desired outcomes and expectations with the surgeon to ensure the best possible results tailored to your body and wishes.
  • Safety: As with any surgery, there are risks involved. It’s crucial to choose a board-certified plastic surgeon with experience in body feminization procedures.
  • Recovery: Recovery time varies depending on the procedures chosen. Some procedures, like liposuction or breast augmentation, may require several weeks of downtime. It’s crucial to follow post-operative care instructions for the best results and to reduce complications.
  • Cost: BFS can be expensive, especially when multiple procedures are done. Some insurance plans might cover surgeries deemed medically necessary for gender dysphoria, but many body feminization procedures are considered cosmetic and might not be covered.
  • Realistic Expectations: While these surgeries can significantly enhance feminization, it’s essential to have realistic expectations and understand that everyone’s body is different. Achieving the “ideal” feminine figure may not be possible for everyone based on their starting anatomy.

For those considering BFS, a consultation with an experienced plastic surgeon is essential. They can provide more detailed information, tailor recommendations to individual needs, and offer guidance on the best procedures to achieve desired outcomes.