Tracheal Shave

Adam’s apple reduction that protects your voice and boosts confidence.

tracheal1

What Is a Tracheal Shave?

A tracheal shave, also known as Adam’s apple reduction or chondrolaryngoplasty, reduces the visibility of the thyroid cartilage. This outpatient surgery is often pursued by transfeminine individuals who want to soften the contour of the neck and reduce a common source of misgendering.

While subtle in size, the Adam’s apple can feel overwhelmingly visible to those navigating gender incongruence . For many, reducing this feature is an affirming step toward facial harmony and greater ease in everyday interactions. This procedure may be part of a broader transition plan, often performed in tandem with voice surgery or facial feminization procedures.

Contact Us Today

Request an Appointment
Find a Location

Benefits Beyond the Surface

download (10)
Reduces a prominent Adam’s apple for a smoother, more traditionally feminine neck contour
download (11)
Minimizes misgendering by addressing one of the most visually gendered features
download (9)
Preserves vocal safety, thanks to intraoperative vocal-cord monitoring
download (8)
Leaves minimal to no visible scarring, using endoscopic or hidden-incision techniques

See the Results

Play video

HUES Overview

HUES Overview

Play video

HUES Overview

HUES Overview

Play video

HUES Overview

HUES Overview

Play video

HUES Overview

HUES Overview

Real people. Real results.

Learn More About 
Life After Transformation.

Explore Stories

What to Expect

During the Procedure
A tracheal shave, performed under local or general anesthesia, typically takes 45 minutes and is completed as an outpatient procedure. Your surgeon will make a small, often hidden incision—either under the chin or within a natural crease—then carefully shave down the thyroid cartilage without compromising your vocal cords. Many patients pair this with voice surgery for a streamlined recovery and cohesive results.

Risks and Recovery
Most patients experience minimal discomfort and swelling, returning to daily routines within 7–10 days. Voice rest may be recommended initially. While rare, potential risks include hoarseness, changes in vocal quality, or visible scarring. Our surgical team takes extra precautions—including vocal-cord monitoring and scar-care protocols—to protect your voice and optimize healing.

Contact Us Today

Request an Appointment
Find a Location

Planning for Surgery

Travel and Accommodations 
We proudly welcome patients from across the country. Our care team can help coordinate travel logistics and post-op lodging recommendations for out-of-town patients.

Insurance and Financial Planning
Many insurance plans now cover gender-affirming facial surgeries, including tracheal shave. Our dedicated team will help secure approvals and walk you through every step of the process.

Additional Resources
Looking for more information? Visit our Patient Resource Center for checklists, videos, and peer stories to help you prepare for your treatment.

Contact Us Today

Patient Resource Center
TCGA - Tracheal Shave - Next Steps

Ready to Take the Next Step?

Schedule Your Consultation

Frequently Asked Questions

Is tracheal shave surgery safe for my voice?

Yes. At the Center for Gender Affirmation, tracheal shave procedures are performed with vocal-cord monitoring to protect your voice. If you're pairing the procedure with voice surgery, your ear nose and throat (ENT) and plastic surgeon will coordinate to ensure your safety.

What is the recovery time after a tracheal shave?

Most patients return to light activity within 7 days, with full healing over 2–3 weeks. Minor swelling or voice fatigue may occur temporarily. We provide scar care guidance and voice rest protocols to support a smooth recovery.

Will I have a visible scar after my tracheal shave?

Our surgeons use hidden-incision or endoscopic techniques to minimize scarring, typically placing the incision in a natural crease or under the chin. With proper aftercare, most scars fade significantly over time.

Can I combine a tracheal shave with other surgeries?

Absolutely. Many patients choose to combine a tracheal shave with voice feminization surgery or facial feminization procedures to streamline recovery and reduce overall time under anesthesia.

How much does a tracheal shave cost?

Pricing varies based on the complexity of your surgery and whether it's combined with other procedures. Insurance may cover a tracheal shave as a medically necessary gender-affirming treatment. Our navigators will help verify coverage and discuss payment options.

Am I a candidate for Adam’s apple reduction surgery?

If you’re seeking a smoother neck contour or feel that a prominent Adam’s apple doesn’t align with your gender expression, you may be a strong candidate. During your consultation, we’ll assess your anatomy, vocal health, and personal goals to create a plan that’s right for you.