Facial Feminization Surgery (FFS) is a set of reconstructive surgical procedures that alter typically male facial features to bring them closer in shape and size to typical female facial features. These can include procedures that modify the hairline, lips, cheeks, eyes, jaw, and chin, among others. Some of the procedures that may be performed as a part of FFS include forehead reduction and contouring, rhinoplasty, cheek augmentation, chin and jaw contouring, lip lift and augmentation, and Adam's apple reduction.

The process begins with a comprehensive consultation with a skilled surgeon who specializes in FFS procedures. During these meetings, the patient's goals, medical history, and facial anatomy are thoroughly evaluated, and a customized plan is outlined. Surgery is usually performed under general anesthesia and can be quite extensive, typically lasting 6-10 hours, with recovery taking several weeks. The goal of FFS is not just to feminize the face but to create a harmonious alignment with the patient's identity.