Whether or not you can get MTF top surgery if you are transgender but not on hormone replacement therapy (HRT) depends on the surgeon and your individual circumstances.

Some surgeons may require you to be on HRT for a certain amount of time before they will perform MTF top surgery. This is because HRT can help to feminize your chest and make it easier to achieve the results you want with surgery.

Other surgeons may be willing to perform MTF top surgery on people who are not on HRT. However, they may recommend that you start HRT after surgery to help with your recovery and to achieve the results you want.

It is important to talk to your surgeon about your HRT status 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 are not on HRT:

• You may need to start HRT after surgery.
• You may have a longer recovery time than someone who is on HRT.
• You may not achieve the results you want with surgery.

If you are concerned about your HRT status 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.

Yes, it is possible to have MTF top surgery even if you are not currently undergoing hormone replacement therapy (HRT). MTF top surgery is a gender-affirming procedure that focuses on chest masculinization, regardless of whether or not you are on HRT. The decision to pursue MTF top surgery is based on your personal goals and the desired changes to your chest.

Here are a few points to consider:

1. Individual Goals: MTF top surgery is a personal decision, and it is ultimately up to you to determine if it aligns with your gender identity and goals. Some individuals may opt for MTF top surgery as their desired primary gender-affirming procedure, while others may choose to pursue it before or alongside HRT.
2. Consultation with a Surgeon: It is advisable to consult with a qualified surgeon who specializes in transgender healthcare. They can assess your unique circumstances, discuss your goals, and provide insights into the surgical options available to you. They can also guide you on the potential outcomes and address any concerns you may have.
3. Impact on Results: While not being on HRT does not prevent you from undergoing MTF top surgery, it’s important to have realistic expectations regarding the outcome. HRT can influence breast development, and the presence or absence of hormones may affect the size and shape of the chest tissue. Your surgeon will take these factors into consideration during the surgical planning process to help achieve the desired aesthetic outcome.
4. Future Hormone Treatment: If you are not currently on HRT but plan to start in the future, it’s important to discuss this with your surgeon. They can consider your future hormone treatment plans when planning the surgery to ensure optimal results.

Every individual’s journey is unique, and the decision to pursue MTF top surgery is personal. Consultation with a qualified surgeon will help you understand the potential outcomes, discuss your goals, and determine the best course of action for your individual circumstances.