Whether or not you can have FTM top surgery if you have a history of substance abuse depends on a number of factors, including the severity of your substance abuse, your current sobriety status, and the policies of your surgeon.

In general, surgeons will require that you be sober for a certain period of time before undergoing top surgery. This is because substance abuse can increase the risks of surgery, such as bleeding, infection, and complications with anesthesia.

The specific requirements for sobriety will vary from surgeon to surgeon. Some surgeons may require that you be sober for 6 months to a year before surgery, while others may be more flexible. It is important to discuss your substance abuse history with your surgeon so that they can make an informed decision about your eligibility for surgery.

If you are currently struggling with substance abuse, there are resources available to help you get sober. You can talk to your doctor, a therapist, or a substance abuse counselor. There are also many support groups available for people who are struggling with substance abuse.

Getting sober before top surgery can be a challenge, but it is worth it. Top surgery can be a life-changing experience, and you want to be sure that you are in the best possible health to undergo the surgery.

Here are some resources that can help you get sober:

  • The National Institute on Drug Abuse: https://www.drugabuse.gov/
  • The Substance Abuse and Mental Health Services Administration: https://www.samhsa.gov/
  • The National Alliance on Mental Illness: https://www.nami.org/
  • 1-800-662-HELP (4357): https://www.samhsa.gov/find-help/national-helpline

If you have a history of substance abuse, it’s important to discuss this with your surgeon and your healthcare team to determine the suitability of FTM top surgery. Having a history of substance abuse may impact the risks associated with surgery and anesthesia, as well as the overall success of the procedure. Here are some important considerations:

  1. Medical Evaluation: Your surgeon will evaluate your medical history, including the specific substance abuse history, its duration, treatment, and management. They may consult with your addiction specialist or primary care physician to gather additional information and ensure proper coordination of care.
  2. Substance Abuse Management: It’s crucial to have your substance abuse well-managed and under control before undergoing FTM top surgery. This may involve engaging in substance abuse counseling, support groups, or rehabilitation programs to ensure that you are in a stable state of recovery.
  3. Anesthesia Considerations: Substance abuse can impact anesthesia management and the response to medications. It’s important to provide your surgical team with accurate and complete information about your substance abuse history to ensure appropriate medication choices and monitoring during the surgical procedure.
  4. Rehabilitation and Recovery Support: Recovery from FTM top surgery may involve pain management and the use of medications. It’s important to work closely with your healthcare team to develop a plan that supports your recovery while minimizing the risks of relapse or medication misuse.
  5. Continued Support: Substance abuse recovery is an ongoing process. It’s important to have a strong support system in place, including access to counseling, support groups, and healthcare professionals who specialize in addiction recovery. Continued support will help you navigate the challenges of recovery during the surgical and post-operative period.

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 substance abuse history. They will provide personalized recommendations and guidance based on their expertise and your specific situation. Working closely with your healthcare providers and support network will help ensure that your substance abuse history is properly addressed throughout the surgical process, minimizing the risks and optimizing your safety and recovery.