There are many factors that can determine whether someone is a good candidate for MTF top surgery. These include:

  • Age: Most surgeons recommend that people wait until they are at least 18 years old before having top surgery. However, there may be exceptions to this rule, depending on the individual’s circumstances.
  • Mental and emotional health: Top surgery is a major surgery, and it is important to be mentally and emotionally prepared for the changes it will bring. People who are considering top surgery should talk to a therapist or counselor to make sure they are making the right decision for themselves.
  • Physical health: People who are considering top surgery should be in generally good health. They should have no major health conditions that could complicate the surgery or the recovery process.
  • Expectations: It is important to have realistic expectations about what top surgery can achieve. Top surgery can help to create a more feminine chest, but it cannot completely change the shape of the chest or make it look like a cis woman’s chest.

In addition to these factors, there are also some specific medical criteria that surgeons may consider when evaluating candidates for MTF top surgery. These criteria may vary from surgeon to surgeon, but they may include:

  • The size of the breasts: People with larger breasts may need a more extensive surgery than people with smaller breasts.
  • The amount of breast tissue: People with more breast tissue may need implants to achieve the desired results.
  • The location of the nipples: The nipples may need to be moved or resized during surgery.

If you are considering MTF top surgery, it is important to talk to a surgeon about your individual circumstances and expectations. The surgeon will be able to assess your eligibility for surgery and help you make the best decision for yourself.

Here are some additional resources that you may find helpful:

  • The World Professional Association for Transgender Health (WPATH) Standards of Care:
  • The American Society of Plastic Surgeons (ASPS) website:
  • The Trevor Project:

MTF (Male-to-Female) top surgery, also known as breast augmentation or chest feminization surgery, is a surgical procedure typically sought by transgender women or individuals assigned male at birth who wish to have a more feminine chest appearance. While each person’s situation is unique, there are some general criteria that can help determine if someone is a good candidate for MTF top surgery. It’s important to note that eligibility for surgery is ultimately determined by a qualified healthcare professional, such as a plastic surgeon specializing in gender-affirming procedures.

Here are some factors that may indicate someone is a good candidate for MTF top surgery:

  1. Gender identity: Individuals who identify as transgender women or have a strong desire to transition to a more feminine appearance are often suitable candidates for MTF top surgery.
  2. Mental and emotional readiness: It is crucial for individuals to have a stable mental and emotional state, as top surgery is a major surgical procedure. Generally, it is recommended that individuals have undergone some form of counseling or therapy to ensure they have a realistic understanding of the procedure’s potential outcomes and are mentally prepared for the physical changes.
  3. Hormone therapy: Many individuals pursuing MTF top surgery undergo hormone replacement therapy (HRT) to promote feminization. Hormonal changes, such as breast development resulting from estrogen therapy, can enhance the outcomes of top surgery.
  4. Age: The ideal age for MTF top surgery varies depending on individual circumstances and the policies of the surgeon or clinic. Some surgeons may require individuals to be at least 18 years old, while others may have different age requirements or make exceptions based on individual circumstances.
  5. Good general health: Candidates should be in good overall health and free from any significant medical conditions that could increase the risks associated with surgery. A thorough medical evaluation is typically conducted to assess a candidate’s fitness for the procedure.
  6. Realistic expectations: It is important for candidates to have realistic expectations about the results and potential limitations of the surgery. While MTF top surgery can greatly improve chest appearance, it is essential to understand that individual results may vary and complete replication of cisgender female breasts may not be possible.
  7. Social support: Having a strong support system, including friends, family, or support groups, can be beneficial for individuals undergoing MTF top surgery. Emotional support and understanding from loved ones can greatly contribute to a smoother recovery process.

It’s important to consult with a qualified healthcare professional experienced in gender-affirming surgeries to assess individual eligibility and discuss the specific requirements and recommendations for MTF top surgery. They can provide personalized guidance based on a comprehensive evaluation of the individual’s circumstances and medical history.