Our top surgery guide brings together in-depth articles, written clearly and based on recognised medical sources – from choosing a technique to recovery.
- 6 min read
Choosing a technique
Double incision, periareolar, keyhole or buttonhole? How chest size, skin elasticity and nipple position guide the choice of FTM top surgery technique.
Read more- 6 min read
Top surgery requirements
Who can have top surgery? WPATH SOC8 criteria, age, informed consent, pre-op tests, smoking, BMI and the letters some clinics ask for – explained clearly.
Read more- 5 min read
Preparing for top surgery
Preparing for FTM top surgery: quitting nicotine, medications to discuss with your doctor, help at home, what to pack, travel planning and mental preparation.
Read more- 5 min read
Top surgery recovery
Top surgery recovery: drains, compression vest, showering, returning to work, exercise, swelling, flying home and the warning signs you should never ignore.
Read more- 5 min read
Top surgery scars
Top surgery scars: where they sit for each technique, how long they take to mature, silicone, sun protection, massage, keloids and tattoos over scars.
Read more- 6 min read
How much does top surgery cost?
Top surgery cost compared: indicative prices in Turkey, Italy, Germany, Spain, Thailand and the USA, what drives the price, hidden costs and how to read quotes.
Read more- 5 min read
Public healthcare routes
Can you get top surgery on public healthcare? Routes in Italy (SSN), the UK (NHS) and Germany (statutory insurance) compared with private surgery or abroad.
Read more- 5 min read
Binding and top surgery
Binding before top surgery: how to bind safely, effects on back, breathing and skin, skin elasticity, and why a post-op compression vest is not a binder.
Read moreThis top surgery guide collects clear, evidence-based articles for trans and non-binary people: how to choose a technique, which requirements apply under the WPATH standards, how to prepare, what recovery looks like, how much surgery costs and which public, private and international routes exist – so you can make a confident, informed decision.
Why read our top surgery guide
Deciding to have top surgery is a big step, and being well informed makes a real difference. This guide brings together in-depth articles for trans and non-binary people who are considering chest surgery, as well as for the people who support them: partners, family and friends.
Topics covered
You will find help on how to navigate the different techniques (choosing a technique), the top surgery requirements under the international WPATH standards, how to prepare in the weeks before surgery, what to expect during top surgery recovery and how to care for your scars. We also cover top surgery cost, public healthcare and insurance routes, binding before and after surgery, and what to consider if you choose to have surgery in Turkey.

Procedures, destinations and consultation
For a general overview first, start with all top surgery techniques. If you are deciding where to have surgery, our section on top surgery destinations in Europe and worldwide compares Italy, Turkey, Spain, Germany, Thailand and the USA, with an in-depth page on top surgery in Turkey.
Our articles are based on recognised guidelines and medical sources, listed at the end of each page. They do not replace a consultation, though: every body and every journey is different, and the final assessment always rests with the surgeon. If you have questions about your own situation, you can request a free, no-obligation consultation.
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