Featured image for the page

How To Prepare For FTM Top Surgery

If you’ve decided to undergo female-to-male top surgery, you’re probably curious about what you will need to do to prepare for surgery. For many years, Dr. Delgado has been helping trans men just like you achieve their ideal bodies, which has given him unique insight into the best ways to prepare for top surgery. We hope this page will help you feel more prepared and confident about your upcoming surgery.

Pre-operative appointment

You will attend a pre-operative appointment at our San Francisco or Novato office before your surgery, typically about 1 month in advance. During this appointment, Dr. Delgado will discuss your surgical options and together you’ll decide which approach will best suit your needs. Dr. Delgado will provide you with specific instructions on how to prepare for surgery, based upon your unique medical history and his pre-operative protocol. If you are receiving testosterone injections, he may advise that you temporarily discontinue them until after surgery. Additional laboratory tests may be required to ensure you are healthy enough for surgery.


Criteria for Breast/Chest Surgery (one referral):

  1. Persistent, well-documented gender dysphoria;
  2. Capacity to make a fully informed decision and to consent for treatment;
  3. Age of majority in a given country (if younger, follow the SOC for children and adolescents);
  4. If significant medical or mental health concerns are present, they must be reasonably well controlled.

Hormone therapy is not a pre-requisite.

2 weeks before TOP surgery

About two weeks before FTM top surgery, you should:

  • Stop taking medications, vitamins, and supplements that are known to thin the blood. This may include aspirin, ibuprofen (Advil), certain herbs such as Gingko Biloba and St. John’s Wort, large doses of Vitamin E, and diet pills.
  • Stop smoking cigarettes
  • Minimize caffeine and alcohol intake.
  • Start eating well, get adequate sleep, and take a daily multi-vitamin and any other supplements that Dr. Delgado recommends.

1 week before surgery

In addition to the instructions listed above, you’ll also need to:

  • Stop drinking alcohol and caffeine
  • Contact us immediately if you become ill so we can advise you on what medications you can take and determine if your surgery needs to be rescheduled.
  • Prepare for your recovery from top surgery. You’ll probably want to spend about a week at home while you are recovering from FTM top surgery, so it’s a good idea to make your home as comfortable as possible ahead of time. Get your house clean and tidy. Order some new books and movies so you’ll have something to do while you’re resting and recovering. Stock up on your favorite healthy foods and do some cooking in advance so you can continue to eat well with minimal effort.
  • Arrange for your transportation home. You won’t be able to drive after your FTM top surgery, so make sure you arrange for a friend or family member to bring you home. You should also have someone stay with you for the first several days so you can get help with daily activities.

Night before surgery

On the night before your top surgery, we recommend that you:

  • Eat a healthy dinner.
  • Absolutely do not consume any food or drinks after midnight.
  • Sleep as much as possible so you’ll be in the best shape for surgery in the morning.

Morning of surgery

The big day is finally here! There are a few things you should do in the morning before heading to the surgical center for your top surgery:

  • Shower and wash your hair.
  • Do not apply lotion, hair products, cologne, deodorant, or any other body products after your shower.
  • Remove any piercings and/or jewelery.
  • Wear your glasses if you need them (contacts cannot be worn during surgery).


We’re here to help you prepare for top surgery It’s perfectly normal to have questions or feel anxious before any surgery. Please do not hesitate to contact us if you have any questions or doubts before your top surgery. Our experienced team is here to help and provide reassurance as needed Virtual Consultations. Click to Learn More
© Copyright - Dr. Miguel Delgado 2018