No. It depends on the plastic surgeon you see. They often do want you to establish care with a mental healthcare provider specialized in transgender mental health. Find a good plastic surgeon that has experience with "top" surgery.
No. Testosterone can increase risk of certain health conditions - esp. Heart disease, stroke, diabetes & certain types of cancer. Thus some affirmed males are advised against taking it or choose not to take it. And though it may improve the esthetic outcome of gender-affirming chest surgery in some individuals, surgeons following wpath standards of care (wpath.Org) should not *require* it be taken.
Transgender. Normally the steps are counseling then hormones & surgery is at the end of the line.
How much does it cost average for a breast removal on a transgender female to male and do you need to be on testosterone to get it done?
"TOP Surgery" ~$6000. A reduction mammoplasty or top surgery done on a female-to-male transgendered person runs about $6000, but the cost varies. You don't have to be on testosterone to have this done, but most people are - as they have already sought counseling and have initiated their hormonal transition. Most people are very relieved to have this done: no more binders - and the ability to finally wear tank tops! Read more...