Gender-affirming surgery (male-to-female)

Gender-affirming surgery for male-to-female transgender women or transfeminine non-binary people describes a variety of surgical procedures that alter the body to provide physical traits more comfortable and affirming to an individual's gender identity and overall functioning.

Often used to refer to vaginoplasty, sex reassignment surgery can also more broadly refer to other gender-affirming procedures an individual may have, such as permanent reduction or removal of body or facial hair through laser hair removal or electrolysis, facial feminization surgery, tracheal shave, vulvoplasty, orchiectomy, voice surgery, or breast augmentation. Sex reassignment surgery is usually preceded by beginning feminizing hormone therapy. Some surgeries can reduce the need for hormone therapy.

Gender-affirming surgeries for transgender women have taken place since the 16th century, though they became more notable in the 20th century. Most patients report greater quality of life and sexual health outcomes postoperatively.

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