Skip to content
ImagineHealth Thailand Logo with transparent background

Who Is a Good Candidate for Facial Masculinization Surgery?

Facial masculinization surgery (FMS) represents a significant milestone for many trans men and non-binary individuals seeking to align their physical appearance with their gender identity. This transformative procedure not only modifies facial features to reflect a more traditionally masculine appearance but also plays a crucial role in the journey towards self-acceptance and congruence between one’s internal identity and external reality. However, FMS is not suitable for everyone. Identifying good candidates for this surgery involves several criteria that ensure the safety and effectiveness of the procedure. Below, we explore these criteria in detail.

Eligibility Criteria for Facial Masculinization Surgery

1. Persistent Gender Dysphoria

A core criterion for FMS candidates is a persistent diagnosis of gender dysphoria. This condition, characterized by a profound discomfort or distress caused by a discrepancy between an individual’s gender identity and their sex assigned at birth, must be well-documented by mental health professionals. Candidates should have a longstanding and consistent experience of gender dysphoria to qualify for surgery.

2. Living as Your Desired Gender

Candidates are typically required to have been living as their affirmed gender for at least a year. This period, often referred to as the “real-life experience,” allows individuals to fully engage in social roles that reflect their gender identity, ensuring that they can navigate the changes and challenges that come with transitioning.

Being of legal age (usually 18 years or older) is necessary to provide informed consent for FMS. Candidates must have the maturity to understand the risks, benefits, and potential outcomes of the surgery and to make an informed decision about proceeding with such a life-altering step.

4. Realistic Expectations

A positive outlook and realistic expectations are crucial for anyone considering FMS. Candidates should understand that while surgery can significantly enhance one’s facial masculinity and reduce gender dysphoria, it is not a panacea for all challenges related to gender identity or social acceptance.

5. Medical and Mental Health

Good candidates should have reasonably well-controlled medical or mental health concerns. While certain health issues do not automatically disqualify someone from undergoing FMS, conditions that could increase surgical risk or affect recovery need to be managed effectively before surgery.

Additional Considerations for FMS Candidates

  • Support System: Having a strong support system in place can significantly impact the recovery and overall experience of undergoing FMS. Emotional and practical support from friends, family, or support groups can provide much-needed encouragement during the pre- and post-surgery phases.
  • Financial Preparedness: FMS can be a significant financial commitment. Candidates should be prepared for the costs associated with surgery, including any related expenses not covered by insurance.
  • Comprehensive Health Evaluation: Undergoing a comprehensive health evaluation by a team of medical professionals is crucial. This team often includes mental health providers, endocrinologists, and plastic surgeons specializing in gender-affirming procedures.


Facial masculinization surgery is a deeply personal and significant decision that can have profound impacts on an individual’s life and well-being. Understanding who makes a good candidate for FMS can help ensure that those who choose to undergo this surgery are prepared for the journey ahead, both physically and emotionally. By meeting the eligibility criteria and approaching the process with a clear understanding and support, individuals can make informed decisions that align with their goals for gender affirmation and personal fulfillment.

Start your healthcare journey today

Request a personalized example of a Thailand health travel itinerary.

Step 1 of 3

Thailand Healthcare Is a World Away From Ordinary.
Start Your Journey Today!
Please click one of the options below to start a conversation with ImagineHealth.

Select your preferred language