The specific procedures involved in transgender surgery can vary depending on the individual’s gender identity and desired transition goals. There are different surgical options available for male-to-female (MTF) and female-to-male (FTM) transitions. Here is a general overview of the surgical procedures commonly associated with transgender surgery:

Male-to-Female (MTF) Surgery:

1. Orchiectomy: This is the surgical removal of the testicles to reduce testosterone production.
2. Facial Feminization Surgery (FFS): This can include procedures such as brow lift, rhinoplasty (nose surgery), cheek augmentation, lip augmentation, and tracheal shave to feminize the facial features.
3. Breast Augmentation: This involves the placement of breast implants to enhance the size and shape of the breasts.
4. Vaginoplasty: This is a procedure to create a neovagina. Different techniques, such as penile inversion, sigmoid colon vaginoplasty, or other methods, may be used to construct the vaginal canal.
5. Voice Feminization Surgery: This may involve procedures to modify the vocal cords and vocal resonance to achieve a more feminine voice.

Female-to-Male (FTM) Surgery:

1. Mastectomy or Chest Masculinization Surgery: This involves the removal of breast tissue to create a more masculine chest appearance. It may include procedures such as double incision mastectomy, periareolar mastectomy, or keyhole mastectomy.
2. Hysterectomy and Oophorectomy: These are surgical procedures to remove the uterus and ovaries.
3. Phalloplasty or Metoidioplasty: Phalloplasty involves creating a neophallus using various techniques, which may include radial forearm flap, anterolateral thigh flap, or other methods. Metoidioplasty involves releasing and enhancing the clitoral structure to create a small phallus.
4. Scrotoplasty: This involves the creation of a scrotum to house testicular implants, which may be placed during a separate procedure.
5. Testicular Implant Placement: This involves the insertion of testicular implants into the scrotum for a more masculine appearance.

It’s important to note that these procedures are complex and often require multiple stages, and not all transgender individuals choose or require every procedure. The specific surgical plan is determined through discussions between the individual and their healthcare provider, taking into account their unique needs, preferences, and medical considerations.

It’s crucial to consult with experienced healthcare providers who specialize in transgender healthcare to discuss the available procedures, risks, benefits, and potential outcomes. They can provide detailed information and guidance based on your specific goals and circumstances.