Whether or not you can have MTF top surgery if you have a history of autoimmune diseases depends on the type of surgery you want and the severity of your condition. In general, autoimmune diseases are not a contraindication for MTF top surgery, but it is important to talk to your surgeon about your specific situation.

If you have an autoimmune disease, your surgeon will need to assess your overall health and determine if you are a good candidate for surgery. They may also recommend that you see a rheumatologist or other specialist before surgery to make sure that your condition is well-managed.

Here are some things to keep in mind if you are considering MTF top surgery and you have a history of autoimmune diseases:

• Your surgeon will need to assess your overall health and determine if you are a good candidate for surgery.
• You may need to see a rheumatologist or other specialist before surgery to make sure that your condition is well-managed.
• You may be at an increased risk of complications during and after surgery.

If you are concerned about MTF top surgery and autoimmune diseases, be sure to talk to your surgeon. They will be able to answer any questions you have and help you understand your risk.

Here are some additional resources that may be helpful:

• The Trevor Project: https://www.thetrevorproject.org/: A national organization that provides crisis intervention and suicide prevention services to LGBTQ youth.
• Trans Lifeline: https://www.translifeline.org/: A national organization that provides crisis intervention and suicide prevention services to transgender people.
• The National Center for Transgender Equality: https://transequality.org/: A national organization that advocates for transgender rights.

The decision to proceed with MTF top surgery when you have a history of autoimmune diseases depends on several factors, including the specific autoimmune disease you have, its activity level, and its impact on your overall health. It is important to discuss your medical history and current health status with your surgeon during the pre-operative consultation. Here are some considerations:

1. Autoimmune Disease Management: The management and control of your autoimmune disease are crucial before considering any surgical procedure. Your surgeon will assess the stability of your condition and collaborate with your rheumatologist or other specialists involved in managing your autoimmune disease. They will evaluate whether your disease is well-managed and if it is safe for you to undergo surgery.

2. Medications and Immunosuppression: Many autoimmune diseases are managed with immunosuppressive medications to control symptoms and prevent disease flare-ups. It is important to disclose all the medications you are taking to your surgeon, as they may have implications for the surgical process, anesthesia management, and post-operative care. Your surgeon will work with you and possibly your rheumatologist to optimize your medication regimen and minimize any risks associated with surgery.

3. Increased Risk of Complications: Autoimmune diseases can increase the risk of surgical complications and impair the healing process. Your surgeon will consider the potential impact of your autoimmune disease on the surgical procedure, anesthesia, and recovery. They will discuss the potential risks and benefits of surgery, taking into account your individual case.

4. Pre-operative Evaluation: Your surgeon may request additional evaluations, such as blood tests or consultations with specialists, to assess the current activity and impact of your autoimmune disease on your health. These evaluations will help determine if you are a suitable candidate for MTF top surgery and identify any necessary precautions or adaptations.

Each case is unique, and decisions regarding surgery are typically made on an individual basis. Your surgeon will evaluate your overall health, assess the specific autoimmune disease you have, and determine if it is safe for you to undergo MTF top surgery. Open and honest communication with your surgeon and other healthcare providers is crucial to ensure that your unique needs and concerns are addressed effectively.

Collaborating closely with your surgeon, rheumatologist, and other healthcare professionals involved in your care is essential to optimize your surgical experience and minimize the potential risks associated with autoimmune diseases. By working together, you can develop a comprehensive plan that prioritizes your safety and well-being throughout the surgical process and recovery.