Why it's done

Transgender men who seek top surgery might experience distress due to a difference between experienced or expressed gender and gender assigned at birth (gender dysphoria).

For some transgender men, top surgery is a natural step — and important to their sense of self. However, many don't choose to have surgery. Transgender people relate to their bodies differently and need to make individual choices that best suit their needs.

Your doctor might recommend against this surgery if you have:

• Unmanaged mental health conditions
• Significant health conditions, such as heart or kidney disease, a bleeding disorder, or a history of blood clots in a deep vein (deep vein thrombosis) or in a lung (venous thromboembolism)
• Any condition that limits your ability to give your informed consent