Yes, you can have FTM top surgery if you have a history of bleeding disorders. However, it is important to be aware of the risks involved and to work with a surgeon who is experienced in performing surgery on people with bleeding disorders.

The most common risk associated with FTM top surgery is hematoma, which is a collection of blood under the skin. Hematomas can occur in anyone, but they are more likely to occur in people with bleeding disorders. If a hematoma occurs, it may need to be drained surgically.

In addition to the risk of hematoma, people with bleeding disorders may also be at increased risk of other complications, such as infection. It is important to discuss these risks with your surgeon before making a decision about surgery.

If you have a history of bleeding disorders, your surgeon will likely recommend that you have some additional testing before surgery. This testing may include blood clotting studies and a consultation with a hematologist. The results of this testing will help your surgeon to develop a plan to manage your bleeding risk during surgery.

With careful planning and management, people with bleeding disorders can safely undergo FTM top surgery. If you are considering surgery, be sure to talk to your surgeon about your bleeding disorder and the risks involved.

Here are some additional resources that you may find helpful:

  • The Trevor Project:
  • The Human Rights Campaign:
  • The American Society of Plastic Surgeons:
  • The National Center for Transgender Equality:

If you have a history of bleeding disorders, it’s important to discuss this with your surgeon and your healthcare team to determine the suitability of FTM top surgery. Having a bleeding disorder may increase the risk of complications during and after surgery, but it doesn’t automatically exclude you from undergoing FTM top surgery. Here are some important considerations:

  1. Medical Evaluation: Your surgeon will evaluate your medical history, including the specific bleeding disorder, its severity, treatment, and management. They may consult with your hematologist or primary care physician to gather additional information and ensure proper coordination of care.
  2. Bleeding Risk Assessment: The potential risks associated with FTM top surgery will be assessed based on your individual circumstances. This includes evaluating the impact of the bleeding disorder on wound healing, infection risk, and the overall safety of undergoing surgery. Your surgeon will consider factors such as the type of bleeding disorder, its control, and any necessary management strategies.
  3. Consultation with Hematology Team: Your surgical team may need to consult with your hematologist to ensure that your bleeding disorder is adequately managed before, during, and after surgery. This may involve adjusting medications or implementing additional precautions to minimize bleeding risks.
  4. Surgical Planning: The surgical planning for FTM top surgery may need to take into account the potential impact of the bleeding disorder on bleeding control, surgical technique, and wound closure. Your surgeon may use specialized techniques or approaches to minimize bleeding risks and optimize surgical outcomes.
  5. Anesthesia Considerations: A bleeding disorder may have implications for anesthesia management. Your surgical team will work closely with the anesthesia team to ensure that bleeding risks are minimized and that appropriate monitoring and interventions are in place.

It’s important to have open and honest discussions with your surgeon and healthcare team to assess the potential risks, benefits, and implications of FTM top surgery in the context of your bleeding disorder. They will provide personalized recommendations and guidance based on their expertise and your specific situation. Working closely with your healthcare providers will help ensure that your bleeding disorder is properly managed throughout the surgical process.