Whether or not you can have MTF top surgery if you have a history of hormonal imbalances depends on the type of surgery you want and the severity of your condition. In general, hormonal imbalances 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 an endocrinologist or other specialist before surgery to make sure that your hormonal imbalance is well-managed.

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

• Your surgeon will need to assess your overall health and determine if you are a good candidate for surgery.
• You may need to see an endocrinologist or other specialist before surgery to make sure that your hormonal imbalance 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 hormonal imbalances, 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 hormonal imbalances will depend on several factors, including the specific hormonal imbalances you have, their impact on your overall health, and the underlying cause of the imbalances. 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. Hormonal Evaluation: Your surgeon may request specific tests to evaluate your hormonal levels and assess the status of your hormonal imbalances. This will help determine if any further medical intervention or management is necessary before proceeding with MTF top surgery.

2. Collaboration with Endocrinologist: If you have a history of hormonal imbalances, your surgeon may collaborate with your endocrinologist or other specialists to ensure that your hormone levels are stable and optimized before surgery. This collaboration may involve adjusting hormone replacement therapy or other treatments to address any underlying imbalances.

3. Impact on Surgery and Recovery: Hormonal imbalances can affect various aspects of the surgical process and recovery. For example, imbalances in estrogen and testosterone levels may influence tissue quality, wound healing, or the desired aesthetic outcome. Your surgeon will evaluate the potential impact of your hormonal imbalances on the surgical procedure, anesthesia management, and recovery.

4. Individual Assessment: 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 hormonal imbalances 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, endocrinologist, and other healthcare professionals involved in your care is essential to optimize your surgical experience and minimize the potential risks associated with hormonal imbalances. By working together, you can develop a comprehensive plan that prioritizes your safety and well-being throughout the surgical process and recovery.