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Male-to-female voice transition before and after. Laryngeal surgery surgery on the voice box may also assist male-to-female women and female-to-male men achieve a more gender-conforming voice. More extensive surgery to the framework doo the larynx and the pharynx throat can also enlarge the cavities of the larynx and the vocal vo above the larynx so that the voice sounds more masculine. For female-to-male men, surgical voice masculinisation involves reducing the tension on the vocal cords so they vibrate at a lower rate. While voice feminisation and masculinisation surgery is available worldwide, it is not routinely offered.

This is because, although such surgeries can result in substantial pitch change, research shows outcomes are variable. Some are left with a gender-incongruent voice. Laryngeal surgery can also lead to unwanted side-effects, such as poor voice quality, vocal fatigue, difficulty projecting the voice and reduced ability to vary the pitch of the voice in both speaking and singing.

However, surgical procedures are being refined. Training goals typically focus on increasing pitch into the average range innto non-transsexual women. Other goals include decreasing vocal effort and loudness, and increasing cjange allowing a small amount of air escape between the vocal cords. They tell me I am the first reporter they have ever allowed to witness this surgery. My camera is off and I am waiting for someone to take me to the gallery so I can watch the procedure. I am about to watch the surgery first hand — with no glass barrier offering a shield from reality.

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The room is freezing cold. There is a quick efficient team changr him di him instruments, suctioning blood away so he can see. And chamge there is blood. As he makes his cuts with the scalpel, I stand as far away as possible, but then I force myself to separate the fact I am looking at Danica and watch How do you change a woman into a man purely from a medical youu. Gradually, I inch closer to the operating table to see more clearly. I am now about two feet behind Dr. What he is doing is fascinating. Kamol makes a large cut.

In addition, there is less denervation damage to the nerves supplying the skin of the chest wall with a peri-areolar mastectomy, and less time is required for sensation to return. See Male Chest Reconstruction. Hysterectomy and bilateral salpingo-oophorectomy[ edit ] Hysterectomy is the removal of the uterus. Bilateral salpingo-oophorectomy BSO is the removal of both ovaries and fallopian tubes. Hysterectomy without BSO in women is sometimes erroneously referred to as a 'partial hysterectomy' and is done to treat uterine disease while maintaining the female hormonal milieu until natural menopause occurs.

A 'partial hysterectomy' is actually when the uterus is removed, but the cervix is left intact. If the cervix is removed, it is called a 'total hysterectomy. Some undergo this as their only gender-identity confirming 'bottom surgery'.

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