Sex and gender minorities may be interested in surgeries developed for transgender people.
Facial surgery
Some people wish to have some of all off their face look more feminine or less masculine.
Other people wish to have some or all of their face look more masculine or less feminine.
Speak with your surgeon about your goals, which could include new combinations of available procedures.
Voice surgery
Voice surgery is typically chosen by people who wish to raise the pitch of their voices and cannot do so with voice practice or voice therapy.
Some people wish to make their voices sound more feminine or less masculine. Those whose voices had lowered during puberty cannot reverse that lowering with hormone blockers.
Other people wish to make their voices sound more masculine or less feminine. The easiest way to accomplish this is by taking androgens, but not everyone wants that option.
These goals can be accomplished with surgery, including bringing the voice pitch into range in the middle of typical masculine and feminine pitch.
Top surgery
Some people choose surgery for their chest area as part of a gender transition. This is called top surgery and involves reshaping the area to match the client’s gender expression.
Some people wish to make the area above their torsos look more feminine or less masculine.
Other people wish to make the area above their torsos look more masculine or less feminine.
Bottom surgery
Communities including eunuchs, smoothies, nullos, genderfluid people, and nonbinary people who wish to have bottom surgery performed are encouraged to do this with a qualified practitioner.
Many people considering these procedures get genital hair removal before or after bottom surgery. Ask your surgeon about your hair removal goals.
Surgical options include:
- orchiectomy (removal of testicular tissue, or “castration”)
- penectomy (removal of penile tissue)
- gender nullification (penectomy, orchiectomy, scrotal tissue reduction, urethra shortening)
- vulvoplasty (zero-depth vaginoplasty, or “dimple”)
- vaginoplasty with penile tissue retention
Some people in the salmacian community want other procedures outside binary genital configurations:
Communities including stone butches, genderfluid people, and nonbinary people may wish to have a hysterectomy, or oophorectomy. Other options include vaginectomy and other procedures outside binary genital configurations. These include the suite of procedures available to trans men.
References
Tourjée D (August 4, 2017). Why Some Men Choose to Surgically Remove Their Penis. Broadly https://www.vice.com/en_us/article/3kd3mb/why-some-men-choose-to-surgically-remove-their-penis
Villareal D (December 29, 2018). This ‘nullo’ man felt more masculine and had better sex after getting his penis removed. Queerty https://www.queerty.com/nullo-man-felt-masculine-better-sex-getting-penis-removed-20181229
Cantacuzino M (October 12, 2000) The final cut. The Guardian https://www.theguardian.com/theguardian/2000/oct/13/features11.g22
Jackowich RA, Vale R, Vale K, Wassersug RJ, Johnson TW (2014). Voluntary Genital Ablations: Contrasting the Cutters and Their Clients. Sexual Medicine. 2014 Aug; 2(3): 121–132. Published online 2014 Jul 17. https://doi.org/10.1002/sm2.33