Yes, MTF top surgery will affect your ability to breastfeed if you decide to have a child in the future. This is because MTF top surgery involves the removal of the breasts, including the milk ducts and glands. Without these structures, you will not be able to produce milk.

However, there are some techniques that can be used to create breast tissue and help you breastfeed after MTF top surgery. These techniques involve using implants or fat grafting to create breasts that have the appearance and feel of natural breasts. However, it is important to note that these techniques are not always successful, and you may not be able to produce enough milk to breastfeed your child.

If you are considering MTF top surgery and you are interested in breastfeeding in the future, it is important to talk to your surgeon about your options. They will be able to advise you on the best course of action for you.

Here are some resources that may be helpful:

• The Trevor Project: https://www.thetrevorproject.org/: A national organization that provides crisis intervention and suicide prevention services to LGBTQ youth.
• Trans Lifeline: https://www.translifeline.org/: A national organization that provides crisis intervention and suicide prevention services to transgender people.
• The National Center for Transgender Equality: https://transequality.org/: A national organization that advocates for transgender rights.

MTF top surgery typically involves the removal of breast tissue, which can significantly impact the ability to breastfeed in the future. The surgical removal of breast tissue and alteration of the nipple-areolar complex can disrupt the milk ducts and glands necessary for lactation.

It’s important to have realistic expectations and understand that MTF top surgery is not compatible with breastfeeding. If you have plans to have a child in the future and desire to breastfeed, it may be worth considering alternatives, such as delaying or exploring other options for gender-affirming procedures.

However, if breastfeeding is a priority for you, it’s advisable to consult with a healthcare provider specializing in transgender healthcare, such as an endocrinologist or fertility specialist. They can discuss potential options and provide guidance based on your individual circumstances, goals, and reproductive plans. This may involve exploring the possibility of pausing or adjusting hormone replacement therapy (HRT) to facilitate lactation, working with a lactation consultant, or considering other assisted reproductive techniques.

It’s important to have open and honest discussions with your healthcare providers about your goals and desires for parenthood, as they can provide tailored advice and support based on your unique situation.