Transgender
Facial Feminisation Surgery (FFS) is an umbrella term for a tailored combination of procedures that can modify facial bone structure and/or soft tissue characteristics. The aim is to adjust selected facial features in line with an individual’s goals as part of gender affirmation care. A consultation is required to assess anatomy, medical history, and the most appropriate options (including non-surgical treatments where suitable).
Gender affirmation “bottom surgery” refers to a range of genital reconstructive procedures that can modify external and/or internal genital anatomy in line with an individual’s goals as part of gender affirmation care. These are complex procedures that require careful assessment, detailed consent, and planned follow-up. A consultation is required to confirm suitability, discuss options and alternatives, and explain risks, scarring, and recovery. Outcomes vary and depend on anatomy, chosen technique, healing response, and post-operative care.
“Top surgery” is a broad term used to describe procedures that modify chest contour as part of gender affirmation care. Depending on individual goals and anatomy, top surgery may involve chest masculinisation (removal of breast tissue and skin) and/or chest feminisation (adding volume using implants and/or fat transfer). A consultation is required to assess suitability, discuss options, and explain scarring, risks, recovery, and expected variability in outcomes.