FTM top surgery is a major step for many transgender individuals. For teens, it can provide relief from gender dysphoria and improve overall well-being. But what’s the minimum age to get surgery?

The answer depends on legal rules, medical guidelines, and individual readiness. In Denver and Cherry Creek, some teens qualify as early as 16, but extra steps are required.

Dr. Steinwald from The Center for Cosmetic Surgery breaks down age requirements, key factors, and how to prepare for surgery as a minor.

How Young Can You Get FTM Top Surgery?

Most people can make their own medical decisions at 18. This means they don’t need parental approval for chest masculinization or other gender-affirming procedures.

In some cases, minors under 18 can get FTM top surgery. However, they must have:

  • Parental or guardian consent
  • A letter from a licensed mental health provider
  • Approval from a medical doctor

Still, every case is different. Talking to a trusted FTM top surgeon can help you understand your options.

Medical Guidelines for Teens Seeking Surgery

The World Professional Association for Transgender Health (WPATH) provides recommendations for gender-affirming care. According to these standards, minors may qualify for chest masculinization if they:

  • Have a well-documented history of gender dysphoria
  • Have received appropriate care for a significant period
  • Have a strong support system in place
  • Show the ability to make an informed decision

Not every doctor follows these guidelines exactly. Some are stricter, while others assess patients on a case-by-case basis.

Factors That Can Affect Eligibility

Even if you meet basic requirements, other things come into play.

Physical Readiness

A fully developed chest often leads to better surgical outcomes. Some teens develop early, while others need more time. The best way to know if you’re ready is to speak with a surgeon.

Emotional and Mental Health

Surgery is a big step. It’s important to be emotionally prepared. Many doctors require a mental health evaluation to confirm that the patient is ready.

Parental Support

Minors need parental approval. Some parents support the decision immediately, while others need more time and information. Conversations with doctors and therapists can help families work through concerns.

Medical Evaluations

A doctor will check overall health before approving surgery. This may involve:

  • A general medical check-up
  • A discussion about any current medications
  • Reviewing any conditions that could affect healing

Hormone therapy is not always required for top surgery, though some doctors may suggest it.

How Young Is Too Young for Top Surgery?

For most, 16 is the youngest possible age for top surgery. Some surgeons won’t operate on patients younger than 18, while others accept minors with additional medical approvals.

A study from Reuters (2022) found that at least 282 teens ages 13 to 17 received top surgery in the U.S. in 2021. While this is rare, it shows that surgery for younger teens does happen in specific cases.

States That Restrict Gender-Affirming Surgeries for Minors

As of July 1, 2022, these states prohibit or restrict gender-affirming surgeries for minors:

  • Alabama
  • Arizona
  • Florida
  • Idaho
  • Louisiana
  • Mississippi
  • Missouri
  • Oklahoma
  • Tennessee
  • Texas
  • Utah
  • Wisconsin

Colorado does not have restrictions, meaning FTM top surgery for teens is possible in Denver and Cherry Creek with the right approvals.

How to Prepare for FTM Top Surgery as a Teen

Preparation can make the process smoother if you’re under 18 and considering FTM top surgery. Below is a clear plan to help you get ready.

1. Find a Gender-Affirming Therapist

Most surgeons require a letter from a mental health professional confirming that you’re ready for surgery. A therapist who specializes in transgender care can provide this and support you through the process.

  • Ask your current doctor for recommendations.
  • Search for LGBTQ+ affirming therapists in Denver and Cherry Creek.
  • Keep a record of your gender-affirming care, including any prior medical treatments.

2. Have a Conversation with Your Parents or Guardians

Parental consent is required for surgery before 18. If your parents have concerns, providing clear information can help them feel more comfortable.

  • Share medical research and stories from other transgender individuals.
  • Encourage them to attend a consultation with you.
  • If needed, involve a therapist to help explain why surgery is important to you.

3. Choose a Qualified Surgeon

Not all surgeons perform top surgery on minors. Look for a provider with experience with teen FTM surgery who works with parental consent.

  • Research surgeons with strong experience in chest masculinization.
  • Ask about their minimum age requirements and pre-surgery steps.
  • Schedule a consultation to go over eligibility and expectations.

Learn More About FTM Top Surgery

4. Check Insurance and Financial Options

Surgery can be costly, and insurance coverage varies. If your insurance does not cover top surgery for minors, there are other ways to finance the procedure.

  • Contact your insurance provider to confirm coverage.
  • Look into grants and financial aid for gender-affirming surgeries.
  • Consider payment plans or crowdfunding to help cover costs.

5. Get Ready for Surgery & Recovery

The recovery process lasts several weeks, so planning is important.

  • Arrange time off from school or work (typically 2-4 weeks).
  • Have a friend or family member help with daily tasks post-surgery.
  • Gather post-op supplies, including compression garments and loose clothing.

Your surgeon will give you specific aftercare instructions. Following them closely will help with healing and reduce the risk of complications.

Final Thoughts

At the Center for Cosmetic Surgery, we specialize in FTM top surgery for Denver and Cherry Creek residents seeking gender-affirming care. Our experienced team is here to answer your questions, discuss your options, and support you every step of the way.

Schedule a Consultation Today