Gender-affirming procedures for individuals assigned female at birth who are seeking to transition to male (FTM) typically include hormone therapy and various surgical options. Here are some common aspects of gender transition from female to male:

Hormone Therapy: Testosterone therapy is commonly used to induce masculinizing effects in FTM individuals. Testosterone can lead to changes in voice, body hair growth, muscle development, fat redistribution, and other physical changes that align with a more masculine appearance.
Top Surgery: FTM top surgery involves the removal of breast tissue to create a more masculine chest contour. This can be achieved through procedures such as double incision mastectomy, periareolar mastectomy, or keyhole surgery, depending on the individual’s chest size and desired outcome.
Hysterectomy and Oophorectomy: Some individuals may choose to undergo a hysterectomy (removal of the uterus) and oophorectomy (removal of the ovaries) to stop menstruation and eliminate the need for reproductive health-related care.
Metoidioplasty: Metoidioplasty is a surgical procedure that involves releasing the ligament that restricts the clitoris’ growth caused by testosterone therapy. This allows the clitoris to enlarge and assume a more penile appearance. Additional procedures can be performed to create a urethral extension for standing urination.
Phalloplasty: Phalloplasty is a complex surgical procedure that aims to construct a neophallus (new penis). This procedure often involves using grafts of tissue, such as from the forearm or thigh, to create the penile shaft. Phalloplasty may also involve additional surgeries to create a urethral lengthening for standing urination and the potential for erectile implants.
Voice Training: Many FTM individuals may opt for voice training to achieve a deeper, more masculine voice. Voice therapy or training can help individuals learn techniques to lower their pitch and develop speech patterns that align with their gender identity.

It’s important to note that the specific procedures chosen during FTM gender transition can vary based on individual preferences, health considerations, and recommendations from healthcare professionals. It is recommended to consult with experienced healthcare professionals who specialize in transgender healthcare and have expertise in FTM transition. They can provide personalized guidance, discuss available options, and help individuals make informed decisions based on their specific needs and circumstances.