The procedures have improved over the years, but should still be considered a last resort after voice practice and voice therapy fail.
Voice surgery has a very high rate of complication and poor results. Do not get feminizing voice surgery until you have personally spoken with at least three patients of the surgeon you plan to use.
Available procedures
Feminization laryngoplasty (FemLar)
Vocal Fold Shortening and Retrodisplacement of the Anterior Commissure (VFSRAC)
Media
Resources
Center for the Care of the Professional Voice (professionalvoice.org)
Voice Feminization Surgery (voicefem.com)
Dr. Spiegel (drspiegel.com)
Yeson Clinic (us.yesonvc.com)
VoiceDoctor (voicedoctor.net)