Yes, individuals assigned male at birth (AMAB) who identify as transgender women or non-binary transfeminine individuals (MTF) can undergo breast augmentation surgery without hormone therapy. Breast augmentation surgery, also known as augmentation mammoplasty, involves the use of implants or fat transfer to enhance the size and shape of the breasts.

While hormone therapy is a common step in the transition process for many MTF individuals, it is not a requirement for breast augmentation surgery. The decision to undergo hormone therapy or any other aspect of gender-affirming care is highly individual and can vary based on personal preferences, medical considerations, and specific goals.

It’s important for individuals considering breast augmentation surgery to consult with a qualified plastic surgeon experienced in transgender healthcare. They can provide guidance and assess individual circumstances to help make informed decisions about the best course of action, including whether hormone therapy is necessary or recommended in conjunction with breast augmentation.

Yes, MTF individuals can undergo breast augmentation surgery without hormone therapy. However, there are a few things to consider before making this decision.

  • Limited natural breast growth. Without estrogen, there is limited natural breast tissue development. This means that the implants will need to be larger in order to achieve the desired size and shape.
  • Pliable skin. Estrogen can help to make the skin more pliable, which can make it easier to place the implants and achieve a natural-looking result. Without estrogen, the skin may be less pliable, which could lead to a less desirable outcome.
  • Risk of complications. Breast augmentation surgery is a major surgery with some risks, such as infection, bleeding, and complications with the implants. These risks may be slightly higher for individuals who do not undergo hormone therapy.

Ultimately, the decision of whether or not to undergo breast augmentation surgery without hormone therapy is a personal one. You should discuss the risks and benefits with your doctor to make the best decision for you.

Here are some additional resources that you may find helpful:

  • The Trevor Project:
  • GLAAD:
  • Trans Lifeline: