Transitioning Physically

TRIGGER WARNING: Detailed descriptions of surgeries are removed but there is still mention of genitalia. 











NOTE: Not all trans* or non-binary people go through surgery. This may be because they are comfortable in their own bodies or they don’t have enough money to transition. Some go through one, several, or all of these procedures. Some even after the procedures decide to change their bodies to go in a different direction which many call “detransitioning” since it appears like they are returning to their prior bodies. There is a lot of stigma about detransitioning in the trans community and in the medical community as a whole.

(later includes PROS/CONS of each procedure/surgery/injection because some have serious health effects that people aren’t aware of. Also, need to discourage people doing it through under ground markets instead of through an official doctor.


  • Non-op: individuals who haven’t or don’t desire to go through surgery or hormone replacement therapy to trasnsition; they may feel as if they achieved harmony with their bodies’ so they feel there’s no need for any physical procedure
    • Also called non-operative
  • Post-op: transsexual individuals who have had one or more surgical procedures and/or hormone replacement therapy to transition (ex. chest surgery)
    • Also called post-operative
  • Pre-op: transsexual individuals who haven’t had surgical procedures and hormone replacement therapy related to their transition
    • Also called pre-operative
  • Stealth: a trans person, once transitioned, chooses not to reveal their trans status to others
    • “going stealth” or “being stealth”


  • Hormone Therapy: wherein hormones are administered to develop “masculine” or “feminine” secondary sex characteristics usually
    • Also called Hormone Replacement Therapy, HRT, Hormonal Sex Reassignment
    • Estrogen “feminine”: breasts, curvature, skin, change in fact distribution to waist, etc.
    • Testosterone “masculine”: decrease in breasts, less curves, change in fat distribution away from waist, etc.
  • estrogen/ E: hormone responsible for what’s considered secondary characteristics such as breast growth, increased fat distribution around hips and waist
    • can be taken: pill, patch or injection
  • testosterone/ T: hormone responsible for secondary characteristics as facial hair growth, deepening of voice, increased body hair growth, and increased muscle development
    • ___ gel: form of testosterone applied to skin on daily basis; no contact with partner at site of application
    • Cypionate: main injectable form of testosterone
      • Short for testosterone cypionate
  • patch: it refers to testosterone or estrogen hormone therapy which is applied trans-dermally through a patch against the skin
    • either a T patch or Estradiol patch
  • progesterone or progestins: hormone sometimes used in treatment of both those who require testosterone and estrogen
    • for female-assigned at birth individuals with mentstral issues during early transition
    • for male assigned at birth individuals prescribed progesterone in combination with estrogen
    • some disagreement about this practice
  • anti-androgens: drugs block production of testosterone; often used in combo with estrogen therapy
    • commonly used androgens: spironolactone and finasteride
  • hormone blockers: usually used for trans children who don’t want to go through therapy whether to develop breasts or grow facial hair are examples
    • also called puberty inhibitors


  • Vocal surgery: most often used by MTF to change their voices because estrogen therapy leaves their voices unchanged
    • Risk impairing transwomen’s voices
    • Do with cuation
  • Tracheal shave: surgery to reduce cartilage in area of throat, reduces appearance of Adam’s apple
    • Often obtained by MTFs
  • Silicone injections: used to get appearance of breasts, hips, thighs, butt, legs, echeeks, chin, and lips
    • Considered to be a hazardous to recipient
  • electrolysis: painful/costly procedure of permanently removing hair (usually done to facial hair)
  • orchiectomy:
  • oophorectomy: surgical removal of one or both ovaries; often in combination with a hysterectomy as part of a transitioning process
  • Hysterectomy/ “hysto”: surgical removal of uterus
    • It may be removed by trans* people because of the transition process as well as health reasons.
    • Some states require it to be removed to change the legal gender status from female to male.


(Details of procedures of exactly how they are conducted were removed due to the sometimes graphic detail. If you wish to have greater detail in how these surgical procedures are constructed, just contact us and we’ll add more information.)

  • chest reconstruction surgery: the surgical reconstruction to remove breasts and reconstruct them into pectorals (“pecs”)
    • Also called “top surgery”
  • Keyhole: a kind of chest surgery procedure used for individuals with small amounts of breast tissue; essentially, several incision are made to remove the tissue through liposuction
    • A Cup
  • Double incision: a procedure that’s for individuals with medium to large amount of breast tissue
    • Also called “bilateral mastectomy”
    • C cup or larger
  • Peri-areolar: chest surgical procedure that’s for those with small to medium amounts of breast tissue
    • Sometimes called “peri”
    • Sometimes referred to as “purse string” or drawstring technique



  • genital reconstruction surgery (GRS): this consists of their the process of orchiectomy or removal of the testes, and vaginoplasty; or the process of constructing a phallus/penis from own donor tissue
    • often used synonymously with “genital reassignment surgery”
  • metoidioplasty: processing of essentially taking the clitoris and from its tissue, reforming it into a more phallic or penis-looking; scrotal implants may or may not be added
    • also called “meta”
    • also called phalloplasty
  • vaginoplasty: surgical creation of a vagina, take penis and inverted to form fully senate vagina


Main Source:

Trans Terminology




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