Top Surgery

Top Surgery

Male-to-female chest surgery involves breast implants and sometimes fat grafting to increase the size and improve the shape of the breasts. It is typically performed after at least one year of hormone therapy to allow for maximal breast growth. You will be required to temporarily stop the hormones prior to surgery to decrease the risk of blood clots.

WPATH Standards of Care

The providers follow the WPATH Standards of Care, which recommend one letter from a qualified mental health care prior to the surgery:

Criteria for Breast Augmentation in MTF Patients

  1. Persistent, well documented gender dysphoria;
  2. Capacity to make a fully informed decision and to consent for treatment;
  3. Age of majority in a given country*
  4. If significant medical or mental health concerns are present, they must be reasonably well controlled.

Although not an explicit criterion, it is recommended that MTF pa ents undergo feminizing hormone therapy (minimum 12 months) prior to breast augmentation surgery. The purpose is to maximize breast growth in order to obtain better surgical (aesthetic results).

*for younger patients, follow WPATH guidelines for adolescents.

Top Surgery Doctors

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Before Your Appointment

Before your appointment, we advise that you contact your insurance carrier to determine whether transgender chest surgery is a covered benefit. After you have had your first appointment, we can contact them to obtain a pre-authorization prior to the surgery.

If you do not have coverage, we will provide you with an out-of-pocket cost estimate.

Traveling from out of State?

Are you traveling from out-of-state? Good preparation is critical to a having a good outcome. You will be required to stay in Salt Lake City for a minimum of one week after the surgery and will need someone to accompany you and assist during that time.