There’s all kind of surgeries one can consider when you are transsexual. Foremost there is the sex reassignment surgery, which is for most transsexual persons one of utter importance. This is true for me too, but what other surgeries could I consider?
Well I’ll name all I know the existence of.
- tracheal shave (a.k.a. adam’s apple reduction)
- facial feminization surgery (exists out of different possible procedures)
- breast surgery (implants)
- hip and buttock augmentation (implants)
- permanent hair removal

Would I consider a tracheal shave?
Yes I would. I have a relatively long neck and a quite pronounced adam’s apple on it. Especially from the side angle my adam’s apple can clearly distincted. I am according to the Genderteam coordinator allowed to have a tracheal shave one year after starting HRT. This will be in October this year, so by the end of this year I’ll hopefully be freed from that thing.

Would I consider FFS?
Certain FFS aspects are worth considering for me. Too be honest though, the problem of FFS is that when you change one thing in your face another aspect needs to be change too, to keep a facial balance. For example if I’d have a forehead recontouring I would also need rhynoplasty. This because the forehead procedure would make my nose more pronounced, so to prevent this my nose would need to become smaller and thus more feminine. Other procedures like chin and jaw recontouring are out of the question for me, those aren’t that masculine that they need to be altered to look feminine. The HRT already softened my facial structures, so I won’t consider cheek implants either. The one and only FFS procedure I will definitely consider is the hairline correction. My hairline has receded too far to look feminine, I have my own way of hiding it but I’d be more confident if it would be actually altered. Different procedures are possible, the scalp advance and some kind of hair transplantation. I don’t know yet which one I’ll go for, but I hope to have it done before 2014. I hope to have saved enough money by then.

Would I consider breast implants?
It is well known that HRT doesn’t achieve a satisfactory breast size for most transsexuals. I am now almost 7 months into HRT and I don’t consider myself an exception. I will probably won’t achieve a breast size which suits best with my posture. A full B-cup would be enough for m, but I don’t think the hormones will get me there. So yes I consider breast implants, but not after I’m sure that the hormone treatment has achieved its max in breast development. Knowing that this can take up to 4 years after staring HRT I will probably postpone that until after my srs.

Would I consider hip and buttock augmentation?
I can be really clear about this one. No I won’t consider this, not now and not in the future. Because of my male build, I don’t have hips nor buttocks as a born woman. Considering though that there’s also born women whom don’t have really feminine hips or buttocks I will not make an issue of this. My shoulder/waist/hip features will never be that of an average woman, but HRT did and will continue to make my hips, buttocks and thighs more feminine simply through its redistribution of fat-tissue. And besided sitting on a pair of silicones simply won’t feel as comfortable as sitting on my fat.

Would I consider permanent hair removal?
I not only consider this, I am surely going to do this. Of course one can remove a lot of hair of ones body, but for me most important is to remove my facial hair. Body hair is influenced by the hormone treatment and is already decreasing significantly on my chest and will gradually diminish (become lighter and softer) on my legs, buttocks and arms. Facial hair removal is something I’ll start with this year, first with laser or light technology then after at most 8 to 10 sessions with electrolysis.

All summed up I will have permanent facial hair removal and a tracheal shave in the near future, in the longer run I’ll also go for breast implants and the hairline correction. Other FFS procedures aren’t excluded, but neither am I sure I’ll have those done. So I cannot tell when I’ll be done having surgery, but I hope I have those procedures about which I’m sure to undergo within 5 years. So I could be done with that at age 30.