Whether or not you can have MTF top surgery if you have a history of mental health issues depends on the surgeon and your individual circumstances.

Some surgeons may require you to have a certain amount of time of stability before they will perform MTF top surgery. This is because they may be concerned about the impact of surgery on your mental health.

Other surgeons may be willing to perform MTF top surgery on people who have a history of mental health issues. However, they may require you to be under the care of a mental health professional before and after surgery.

It is important to talk to your surgeon about your mental health history and their recommendations. They will be able to advise you on the best course of action for you.

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

  • You may need to have a certain amount of time of stability before surgery.
  • You may need to be under the care of a mental health professional before and after surgery.
  • You may need to have a support system in place to help you through your recovery.

If you are concerned about your mental health history and MTF top surgery, be sure to talk to your surgeon. They will be able to answer any questions you have and help you understand what to expect.

Here are some 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.

Having a history of mental health issues does not necessarily preclude you from undergoing MTF top surgery. However, it is important to approach the decision in a holistic manner, considering both your mental health and well-being alongside your physical transition. Here are some considerations:

  1. Mental Health Evaluation: Prior to MTF top surgery, your healthcare provider may recommend a mental health evaluation or require documentation from a mental health professional. This evaluation helps assess your readiness for surgery and ensures that you have appropriate support in place.
  2. Stability and Support: It is important to have a stable mental health condition and a solid support system in place before undergoing any major surgery. MTF top surgery can be physically and emotionally challenging, and having a support network of friends, family, or mental health professionals can be invaluable during the recovery period.
  3. Communication with Mental Health Professionals: It is crucial to communicate openly with your mental health professionals about your intentions and plans for MTF top surgery. They can help you explore your motivations, manage any underlying mental health concerns, and provide ongoing support throughout the process.
  4. Post-Operative Mental Health Care: Consider discussing a plan for post-operative mental health care with your mental health professionals and healthcare team. They can provide guidance and support to ensure a smooth transition and help address any emotional or psychological challenges that may arise during the recovery period.

It’s important to work collaboratively with your healthcare team, which may include mental health professionals and surgeons experienced in transgender healthcare. They can help assess your individual situation, evaluate your readiness for surgery, and provide guidance based on their expertise.

Remember, prioritizing your mental health is crucial. If you are experiencing significant mental health challenges, it may be beneficial to focus on mental health support and stability before pursuing MTF top surgery. Your healthcare team can assist you in making informed decisions and help you navigate the complex interplay between your mental health and gender transition journey.