Common Trans/Non-Binary Procedures


A list of the commonly undertaken procedures a transfeminine individual may consider, beyond hormone replacement therapy (HRT)

Laser / Electrolysis: Facial Hair Removal

Facial Feminization Surgery (FFS): Jaw recontouring, brow lift, hair line lowering, rhinoplasty, lip-shaping, etc..

Tracheal Shave: Reducing Adams apple protrusion

Orchiectomy: Removal of testicles

Breast Augmentation

Vaginoplasty: Creation of a vagina, currently a penile inversion technique

Labioplasty – Forming of labia, typically from scrotum tissue


A list of the commonly undertaken procedures a transmasculine individual may consider, beyond hormone replacement therapy (HRT)

Facial Masculinization Surgery

Top surgery

Hysterectomy/Oophorectomy- Removal of uterus/ovaries

Metoidioplasty- release of the clitoris to create a small penis using growth from testosteron while preserving ability to get erect and maintain sensation. This is a much less invasive procedure than phalloplasty.

Urethroplasty- combined with Metoidioplasty to allow urination through the clitoris

Vaginectomy- Removal of vaginal tissue to close the vagina

Phalloplasty- Creation of a phallus resembling a penis using skin grafts from the forearm or thigh, combined with urethroplasty. Erection is possible through a penile implant in a second surgery.

Scrotoplasty- Construction of a scrotum using labia majora and silicone testicular implants.


A nonbinary individual may take a less linear approach to medical transition. They may not want hormones but may want a surgery. Some physicians may require hormones before performing certain surgeries and it will be important to support your client as they navigate getting their needs met by medical practitioners. Some individuals may be asking for something that medical providers have not been asked to do under non linear circumstances Example: an individual who wants a hysterectomy but no hormones, top surgery, or bottom surgery.

Nonbinary individuals may find themselves forging new paths in medical care and need a higher level of support to cope with various amounts of education they have to provide to doctors and rejection they may face.