Before undergoing gender reassignment surgery, individuals typically undergo a comprehensive evaluation by a team of medical and mental health professionals. This assessment aims to ensure that candidates are well-informed, psychologically prepared, and physically suitable for the surgery.

Types of Gender Reassignment Surgery

Gender reassignment surgery encompasses a range of procedures, and the specific surgeries chosen by individuals depend on their gender identity, goals, and medical suitability. The most common procedures include:

1. Chest (Top) Surgery:

   • Mastectomy (Female-to-Male, FTM): This involves the removal of breast tissue and reshaping the chest to create a more masculine appearance.
   • Breast Augmentation (Male-to-Female, MTF): Silicone or saline breast implants are used to enhance the size and contour of the chest, creating a more feminine appearance.

2. Genital (Bottom) Surgery:

   • Vaginoplasty (MTF): This procedure creates a neovagina using penile and scrotal tissue, allowing for a more aligned genital appearance and functionality.
   • Phalloplasty (FTM): Phalloplasty constructs a neopenis using tissue grafts, often from the forearm or thigh. It may also include urethral lengthening for urination through the penis.

3. Facial Surgery:

   • Facial Feminization Surgery (MTF): This includes various procedures like rhinoplasty, jaw contouring, and brow reduction to create more feminine facial features.
   • Facial Masculinization Surgery (FTM): Procedures like cheek augmentation and chin implantation enhance facial masculinity.

4. Voice Surgery:

   • Voice Feminization (MTF): Speech therapy and vocal cord surgery can help individuals achieve a higher-pitched and more feminine voice.
   • Voice Masculinization (FTM): Vocal cord surgery can help individuals achieve a deeper and more masculine voice.

5. Body Contouring and Liposuction: These surgeries help create a more feminine or masculine body shape by removing or redistributing fat in certain areas.

6. Hair Transplantation: Some individuals may undergo hair transplantation to achieve desired hairline or density changes to match their gender identity.

7. Tracheal Shave: Reducing the prominence of the Adam's apple is common among MTF individuals.

It's essential to note that not all transgender individuals pursue all of these surgeries, and preferences can vary widely. Medical professionals work closely with patients to develop personalized Gender reassignment surgery plans based on individual needs and goals.

Gender affirmation surgery refers to procedures that help people transition to their self-identified gender. Gender-affirming options may include facial surgery, top surgery or bottom surgery. Most people who choose gender affirmation surgeries report improved mental health and quality of life.  The Gender reassignment surgery aims to alleviate distress by aligning the individual's physical appearance with their gender identity. Recovery times vary based on what procedures or combination of procedures the patient had done.

• A comprehensive evaluation is conducted to assess the patient's eligibility and overall health for the procedure.

• The gastric balloon insertion using an endoscope is a minimally invasive, outpatient treatment that takes 15 to 20 minutes to complete.

• The gastric balloon placement and inflation are done very cautiously as one tiny mistake can ruin the process

• After six months, the balloon is removed in a similar manner as it was placed, using an endoscope.

Surgical Procedures and Techniques of Gender Reassignment Surgery

Gender reassignment surgery are intricate and highly specialized, requiring experienced surgeons with expertise in transgender care. These Gender reassignment surgery are typically performed in multiple stages over several months to ensure optimal outcomes. Surgical techniques may vary based on the individual's needs and preferences, but here is a general overview of some key procedures:

1. Vaginoplasty (MTF): This procedure involves creating a neovagina by using penile and scrotal tissue. The neovagina is typically lined with mucous membrane and is capable of sexual penetration. This surgery may also include clitoroplasty to create a functional clitoris.

2. Phalloplasty (FTM): Phalloplasty is a complex surgery that constructs a neopenis using grafts of tissue, often from the forearm or thigh. The neophallus may include a urethral extension to allow for urination through the penis. Testicular implants can also be added for a more natural appearance.

3. Breast Surgery (MTF): Breast augmentation is typically performed using silicone or saline implants. The size and placement of these implants are chosen based on the individual's desired breast size and shape.

4. Chest Surgery (FTM): Mastectomy, also known as "top surgery," involves the removal of breast tissue and reshaping the chest to create a more masculine appearance. Nipple grafts or tattooing may be performed for a natural look.

5. Facial Surgery: Procedures like rhinoplasty, jaw contouring, and brow reduction are performed to alter facial features to align with the individual's gender identity.

6. Voice Surgery: Voice feminization and masculinization procedures may involve vocal cord surgery, speech therapy, or a combination of both to achieve the desired vocal pitch.

7. Body Contouring: Liposuction and body contouring procedures can help create a more feminine or masculine body shape by removing or redistributing fat in specific areas.

8. Tracheal Shave (MTF): Reducing the prominence of the Adam's apple is often performed as a minor surgical procedure.

The choice of Gender reassignment surgery procedures and the order in which they are performed are determined through extensive consultations between the individual and their medical team. The ultimate goal is to provide comprehensive gender-affirming care that aligns with the individual's unique needs and aspirations.