For transgender men, one of the most difficult and important steps in their transition is female-to-male (FTM) top surgery. This operation is a major milestone for many trans men and it can have an enormous impact on their self-esteem and sense of identity. So, what exactly is Ftm top surgery, what’s involved, and how does one prepare for it? Let’s take a closer look. 

The Basics of FTM Top Surgery 

FTM top surgery is a gender affirming procedure that involves removing breasts and reshaping the chest to create a more masculine appearance. There are several different types of FTM top surgery, including double incision with nipple grafting, periareolar keyhole surgery with nipple grafting, inverted T incision with nipple grafting, and liposuction-only procedures. The type of surgery will depend on the patient’s individual needs as well as their desired outcome. 

Preparing for FTM Top Surgery 

Before undergoing FTM top surgery, patients should talk to their doctor about any medications they may be taking that could interfere with the healing process. Additionally, patients should make sure to get plenty of rest before the procedure in order to ensure the best possible outcome. Patients must also arrange for someone to drive them home after the surgery since general anesthesia will be used during the procedure. Finally, patients should stock up on post-operative supplies such as gauze pads and surgical tape in order to properly care for their wounds after the procedure. 

Recovery After FTM Top Surgery 

After undergoing FTM top surgery it is normal for patients to experience swelling and discomfort at the incision sites as well as numbness around those areas due to nerve damage caused by the removal of breast tissue. It is important that patients follow their doctor’s instructions carefully so that they can recover quickly and safely. Generally speaking, full recovery takes between four and six weeks but this varies from person to person depending on factors such as age, health status prior to surgery etcetera. During recovery it is important that patients get plenty of rest in order to allow adequate time for healing while avoiding activities that could cause further injury or discomfort such as heavy lifting or strenuous exercise. Additionally, pain medications may be prescribed by your doctor if necessary but these should only be taken under medical supervision due to potential side effects or interactions with other medications you may already be taking. 


FTM top surgery is an important step in transitioning from female-to-male for many trans men and can have an enormous impact on their self-esteem and sense of identity. Preparing for this procedure requires careful consideration regarding medication usage prior to surgery as well understanding what recovery looks like following the operation itself. With proper preparation though it is possible for trans men who undergo this procedure to enjoy a successful outcome along with improved confidence moving forward into their new chapter in life!