American Society of Plastic Surgeons

Gender Confirmation Surgeries Transfeminine / Transmasculine

What surgical options are available to transgender and gender non-conforming patients? Gender confirmation surgeries are performed by a multispecialty team that typically includes board-certified plastic surgeons. The goal is to give transgender individuals the physical appearance and functional abilities of the gender they know themselves to be. Listed below are many of the available procedures for transwomen (MTF) and transmen (FTM) to aid in their journey.

Facial Feminization Surgery

The goal of facial feminization surgery is to transform the masculine features of the face to a more feminine appearance.

Transfeminine Top Surgery

The goal of transfeminine top surgery is to enhance the size and shape of the breasts to create a more feminine appearance to the chest.

Transfeminine Bottom Surgery

The goal of transfeminine bottom surgery is to transform the male genitalia and reconstruct it into that of a female.

Facial Masculinization Surgery

The goal of facial masculinization surgery is to transform the feminine features of the face to a more masculine appearance.

Transmasculine Top Surgery

The goal of transmasculine top surgery is to remove the breast tissue (mastectomy) from both breasts and create a masculine appearance to the chest.

Transmasculine Bottom Surgery

The goal of transmasculine bottom surgery is to transform the female genitalia and reconstruct it into that of a male.

On The Blog

Facial feminization for cisgender women with masculine-looking faces Jordan Deschamps-Braly, MD, FACS
Facial feminization is a defined set of plastic and craniofacial surgical procedures that work to reshape masculine facial features to make them appear more feminine.
What are female-to-male gender confirmation surgeries? Curtis Crane, MD
Plastic surgery an important step in gender dysphoria treatment of transgender individuals Loren Schechter, MD

On The Vlog

ASPS Vlog Ep. 3 – Gender Affirmation Top Surgery
Watch a gender affirmation top surgery with commentary from ASPS member Julie Hansen, MD.
ASPS Reveals First Ever Gender Confirmation Surgery Stats