Prepare without fitting a template.

01 / Your priorities

There is no required list of procedures

Write down what you want to change, what you want to preserve and what you are uncertain about. Ask how each suggestion relates to your anatomy and goal rather than a fixed idea of femininity or masculinity. Doing less, staging care or choosing no surgery are valid options.

02 / Communication

Set expectations before arrival

• Provide your name and pronouns, plus the legal name used for billing or identification.
• Ask where a previous name or gender marker may appear.
• State who may receive updates and who must not.
• Ask how photographs are stored and whether marketing consent is separate.
• Confirm whether staff and interpreters have experience with transgender patients.

A rainbow logo or translated advertisement is not evidence of clinical experience. Ask for the actual process.

03 / Medical information

Share medication; do not self-adjust it

Tell the medical team about hormones, prescriptions, supplements, nicotine use, allergies and previous surgery. Ask how each affects anesthesia, clotting and healing. Do not stop hormones or other medication based only on a generic online instruction; obtain an individualized plan from the prescribing and surgical clinicians.

04 / Keep control

Consent must remain yours

Use an interpreter you can question directly. Ask any guide or coordinator to disclose who pays them and whether a referral fee is involved. Receive the procedure list, surgeon names, risks, alternatives, quote and aftercare plan in writing before paying.