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“What is top surgery” Top surgery is a surgical procedure commonly sought by transgender individuals as part of their gender-affirming journey. It involves altering the chest to achieve a more aligned gender presentation. In assigned female at birth (AFAB) individuals, top surgery typically includes breast tissue removal, while assigned male at birth (AMAB) individuals may undergo chest reconstruction. The specific technique depends on individual goals and may involve procedures such as double incision mastectomy, periareolar, or keyhole techniques. Top surgery can have a profound impact on a person’s gender dysphoria alleviation, self-confidence, and overall well-being.