As of my last knowledge update in September 2021, hormone therapy is often considered an essential component of the gender-affirmation process for many transgender individuals. However, it may not be an absolute prerequisite for all types of transgender surgeries in India.

The use of hormone therapy before surgery serves multiple purposes, including:

  1. Physical Changes: Hormone therapy, such as testosterone for FTM individuals and estrogen for MTF individuals, induces physical changes that align with the person’s gender identity. These changes may include voice deepening, facial hair growth, body fat redistribution, breast development (in MTF individuals), and muscle mass changes.
  2. Psychological Preparation: Hormone therapy can provide individuals with a better sense of how their body responds to hormonal changes and helps them psychologically prepare for the long-term implications of gender-affirming surgeries.
  3. Surgical Outcomes: In some cases, hormone therapy can enhance the surgical outcomes of certain procedures. For example, in MTF individuals, hormone therapy can increase breast tissue development before breast augmentation.

However, it’s essential to recognize that not all transgender individuals may choose or have access to hormone therapy. Some individuals may not pursue hormone therapy due to medical contraindications, personal preferences, or other factors.

The decision to undergo hormone therapy and its timing in relation to surgery is highly individualized and may be influenced by the following factors:

  • The individual’s personal gender-affirmation goals
  • The specific procedures planned for gender-affirming surgery
  • The recommendations of the healthcare provider and surgeon
  • The individual’s overall health status and medical considerations
  • The readiness and preferences of the individual

Ultimately, the choice to undergo hormone therapy before transgender surgery in India is based on informed consent and individual preferences. Qualified healthcare providers will work with the individual to create a personalized treatment plan that aligns with their unique needs and goals.

If you are considering transgender surgery and hormone therapy, it’s important to consult with experienced healthcare professionals who specialize in transgender healthcare. They can provide you with comprehensive information about the benefits, potential risks, and timing of hormone therapy in relation to your surgical plans. This will help you make an informed decision that best aligns with your gender-affirmation journey.