Surgery for a person assigned male at birth who wishes to transition to a female gender identity is known as male-to-female (MTF) gender confirmation surgery or gender reassignment surgery. It typically involves several procedures to create female primary and secondary sexual characteristics. Here are some common surgeries involved in the MTF transition:

  1. Orchiectomy: This procedure involves the removal of the testicles, reducing testosterone production and eliminating the need for anti-androgen medication.
  2. Vaginoplasty: Vaginoplasty is a surgical procedure to construct a neovagina. The surgeon uses existing penile and scrotal tissue to create the vaginal canal, and a clitoral hood is created to resemble a clitoris. This surgery allows for sexual intercourse and enhances the person’s genital appearance to align with their female gender identity.
  3. Breast Augmentation: Many transgender women undergo breast augmentation surgery to enhance the size and shape of their breasts. This typically involves the placement of breast implants to achieve the desired breast size and proportion.
  4. Facial Feminization Surgery (FFS): FFS is a collection of surgical procedures aimed at feminizing the facial features. These procedures can include forehead contouring, rhinoplasty, jaw and chin reshaping, lip augmentation, and other techniques to achieve a more feminine appearance.
  5. Tracheal Shave: Also known as a tracheal shave or chondrolaryngoplasty, this procedure involves reducing the prominence of the Adam’s apple to create a more feminine neck contour.

It’s important to note that the specific surgical procedures involved in an MTF transition can vary depending on individual goals, preferences, and medical considerations. It’s essential to consult with a qualified and experienced gender-affirming surgeon who can evaluate your unique situation, discuss the available options, and guide you through the surgical process. Pre-operative assessments, discussions about potential risks and complications, and thorough post-operative care will be part of the overall surgical journey.