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

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 neurologist or other specialist before surgery to make sure that your epilepsy or seizures are well-managed.

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

• 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 neurologist or other specialist before surgery to make sure that your epilepsy or seizures are well-managed.
• You may be at an increased risk of complications during and after surgery.

If you are concerned about MTF top surgery and epilepsy or seizures, 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 epilepsy or seizures depends on several factors, including the frequency and severity of your seizures, the control of your condition, and 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. Seizure Control: The control of your epilepsy or seizures is crucial before considering any surgical procedure. Your surgeon will assess the stability of your condition and collaborate with your neurologist or epileptologist to ensure that your seizures are well-managed. It is important to be in a stable state with a low risk of seizures before undergoing surgery.

2. Medications and Interactions: It is important to disclose all the medications you are taking to your surgeon, including those for epilepsy or seizure control. Some antiepileptic medications can interact with anesthesia or other medications used during and after surgery. Your surgeon will work with you and possibly your neurologist to optimize your medication regimen and minimize any risks associated with surgery.

3. Seizure Precautions: Your surgical team will take necessary precautions during the procedure to minimize the risk of seizures. This may include using seizure pads, ensuring adequate hydration, and adjusting medication schedules to maintain stable seizure control during the surgery.

4. Anesthesia Management: The anesthesia team will consider your history of epilepsy or seizures when planning and administering anesthesia. They will evaluate the appropriate anesthesia technique, medications, and monitoring to minimize the risk of seizures during and after surgery.

5. Post-operative Care: After surgery, close monitoring and appropriate post-operative care are essential, especially if you have a history of epilepsy or seizures. Your surgeon will provide specific instructions on post-operative care and may collaborate with your neurologist to ensure a smooth recovery process.

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 epilepsy or seizure disorder you have, and determine if it is safe for you to undergo MTF top surgery. Open and honest communication with your surgeon, neurologist, and other healthcare providers is crucial to ensure that your unique needs and concerns are addressed effectively.

By working closely with your healthcare team, maintaining seizure control, and having appropriate support systems in place, you can optimize your surgical experience and minimize the potential risks associated with epilepsy or seizures. It is important to prioritize your health and well-being throughout the surgical process and recovery.