Medical options for transgender people

This site is about the social, legal, and medical parts of a gender transition. In addition to transgender people, genderqueer and nonbinary+ people may also choose any of the procedures below. People from this part of our community may choose new combinations of more traditional procedures. listed below. For those who want to make a medical transition, these parts may help:

Models of care

Medical models of care for people in our communities.

Psychotherapy

Sex and gender minorities often have psychotherapy to talk about their thoughts.

Voice therapy

Some people can change their voices with non-medical voice practice. Others get voice therapy with a speech-language specialist. Some choose voice surgery after the other options fail.

Prosthetics

For some people, prosthetics can be an important part of transition.

Prosthetics for feminization include:

Prosthetics for masculinization include:

Hair removal

People in our communities, especially trans + women and transfeminine people, may require permanent hair removal as part of transition. This can include removal of hair in preparation for surgery.

Hair loss

People in our communities, especially trans + women and transfeminine people, may wish to manage or restore hair loss, especially thinning or loss of scalp hair. Some trans + men and transmasculine people may also wish to manage or or restore hair loss. Some genderqueer and nonbinary + people may also seek out these options.

Reproduction

People in our communities must think about their reproductive options before they start hormones or have surgery on their reproductive organs. Hormones and surgery can change their bodies so they can’t ever make children.

Hormones

Many people use hormones and hormone blockers to change their bodies as part of a gender transition.

Surgery

Some people in our communities want surgery to change their bodies. This kind of surgery has many names. Many people call it gender confirmation surgery. We can get these kinds of surgery:

Facial gender confirmation surgery

Some people choose facial gender confirmation surgery for their head and neck as part of a gender transition.

Voice gender confirmation surgery

Some people want to make their voice sound higher or lower. If they are not able to do so with voice practice or voice therapy. some choose voice gender confirmation surgery as part of a gender transition.

Top gender confirmation surgery

Some people choose surgery for their chest area as part of a gender transition. This is called top gender confirmation surgery.

Bottom gender confirmation surgery

Some people choose surgery for their hips, waist, and genitals as part of a gender transition. This is called bottom gender confirmation surgery.

For women and transfeminine people

Some of the bottom surgery choices for women and transfeminine people are:

† These genital surgeries will change their bodies so they can’t ever make children.

  • † Orchiectomy (castration or removal of testicles)
  •  Vaginoplasty (creation of a vagina)
  •  Vulvoplasty (creation of a vulva without a vagina)
  • Liposuction and fat transfer
  • Gluteal augmentation (buttock implant)
  • Hip and thigh augmentation

For men and transmasculine people

Some of the bottom surgery choices for men and transmasculine people are:

† These genital surgeries will change their bodies so they can’t ever make children.

  • † Hysterectomy (removal of uterus)
  • † Salpingectomy (removal of fallopian tubes)
  • † Oophorectomy (removal of ovaries)
  • † Vaginectomy (or colpectomy/colpocleisis, removal of vagina)
  • Phalloplasty (creation of a penis via skin graft)
  • Metoidioplasty (creation of a penis with existing genital tissue)
  • Liposuction (fat removal) and fat transfer
  • Leg augmentation

For genderqueer and nonbinary + people

Many of the medical options listed above are also chosen by genderqueer and nonbinary + people. In some cases, they may choose novel combinations of the above options. For more, see: Genderqueer, nonbinary + surgeries.

Disclaimer: This is medical talk, not medical advice. Some of this may not apply to you. It is presented without warranty. It may contain errors or omissions. You must do your own research.