Are you a good candidate for top surgery?
Who's a good fit for top surgery — and who should reconsider, wait, or pick a different procedure.
Good candidates for top surgery share a few things in common: realistic goals, stable health, and a clear understanding of what the procedure can and can't do.
You may be a good candidate if…
- Gender dysphoria and aligned identity (WPATH-style criteria documented)
- Stable mental health support
- Realistic understanding of scarring (visible scars are part of the result)
- Stable weight
- Non-smoker or willing to quit 4+ weeks pre/post-op
You may want to wait or reconsider if…
- You have uncontrolled medical conditions or are pregnant/nursing.
- Your expectations don't match what real cases show.
- You're still actively losing or gaining weight.
- A loved one wants the procedure for you more than you do.
Your consultation will cover
- Your medical history, medications, and prior surgeries.
- A focused physical exam.
- Standardized photographs and often AI/morphing previews.
- Risks, alternatives, and realistic outcomes for your anatomy.
- Cost, financing, and surgical scheduling.
Alternatives worth considering
Chest binding only
Non-surgical option used pre-op or by patients who choose not to have surgery. Long-term binding can cause skin and rib issues.
Stage as keyhole or peri-areolar where eligible
For ideal candidates (smaller chests, good skin elasticity), less invasive techniques produce smaller scars at the cost of being indicated only for specific anatomy.