Feminization voice surgery, also known as voice feminization laryngoplasty or voice feminization surgery (VFS), is a surgical procedure designed to help transgender women achieve a more feminine-sounding voice. It is typically considered when speech therapy and other non-surgical methods have not achieved the desired vocal changes.

Here are some key points about feminization voice surgery:
Procedure: The specific surgical techniques used in feminization voice surgery can vary depending on the surgeon and the individual’s specific needs. However, a common technique is known as thyroplasty type 3 or cricothyroid approximation. In this procedure, the thyroid cartilage is manipulated to increase tension on the vocal cords, resulting in a higher-pitched voice.
Goal: The goal of feminization voice surgery is to raise the pitch of the voice and alter its quality to sound more feminine. However, it’s important to note that surgery alone may not achieve a completely natural or effortless feminine voice. It is often recommended to combine surgery with speech therapy and vocal training to achieve the best possible results.
Risks and Limitations: As with any surgical procedure, feminization voice surgery carries some risks and potential complications. These can include changes in voice quality, pitch, or range, hoarseness, difficulty swallowing, or breathing issues. It is important to discuss the potential risks and limitations with a qualified surgeon before undergoing the procedure.
Voice Therapy: Voice feminization surgery is often most effective when combined with pre- and post-operative voice therapy. Working with a speech-language pathologist who specializes in transgender voice training can help develop proper vocal techniques, improve pitch modulation, resonance, and overall voice feminization.
Consultation: If you are considering feminization voice surgery, it is crucial to consult with a qualified surgeon who specializes in transgender voice procedures. They will evaluate your vocal needs and health history, discuss the potential outcomes and limitations of the surgery, and determine if you are a suitable candidate for the procedure.
Cost: The cost of feminization voice surgery can vary depending on factors such as the surgeon’s experience, location, the specific technique used, and additional fees for anesthesia and facility charges. It is recommended to consult with surgeons and inquire about their fees during the consultation process.

It’s important to have realistic expectations and understand that voice feminization surgery is just one aspect of achieving a more feminine voice. Working with a speech-language pathologist who specializes in transgender voice training and incorporating vocal exercises and techniques into daily practice is typically necessary to maximize the results of surgery.

Remember, the decision to undergo feminization voice surgery is personal and should be made in consultation with qualified healthcare professionals who specialize in transgender healthcare. They will provide individualized guidance, assess your specific needs, and help you determine the best course of action for achieving your desired voice goals.