Male to female voice surgery, also known as feminization laryngoplasty or voice feminization surgery, is a procedure designed to alter the pitch and resonance of the voice to create a more feminine vocal quality. However, it’s important to note that voice surgery is not always necessary or the only option for achieving a more feminine voice. Many transgender women are able to achieve satisfactory voice changes through voice training and speech therapy alone.
If voice surgery is considered, there are different techniques that can be used, including:
⦁ Thyroid Cartilage Reduction (Adam’s Apple Reduction): This procedure involves reducing the prominence of the Adam’s apple, which can be a masculine feature. It can help achieve a more feminine neck profile and indirectly affect the voice by adjusting the tension of the vocal folds.
⦁ Vocal Fold Surgery: Surgical procedures such as vocal fold shortening or medialization can be performed to alter the tension and length of the vocal folds, which can affect voice pitch and resonance.
⦁ Cricothyroid Approximation: This procedure involves bringing the cricoid and thyroid cartilages closer together, which can change the tension of the vocal folds and potentially raise the pitch of the voice.

It’s important to note that voice surgery is a complex procedure and carries potential risks and complications. It should be performed by experienced surgeons who specialize in voice feminization surgery. Additionally, voice therapy and training are often recommended both before and after surgery to optimize vocal outcomes.