Gender Affirmation Surgery
It is common practice in the Republic of Croatia that a person who wants to undergo surgical manipulation and change of sexual characteristics must necessarily be included in a well-defined multidisciplinary program and typically a long-term process that includes numerous medical specialties and other important professions (internal medicine, endocrinology, surgery,
urology/gynecology, psychiatry/psychology, social work, legal profession). No patient can be accepted for surgery if he does not have a prior opinion, i.e. approval of the mentioned multidisciplinary professions. These approvals primarily serve as a confirmation that the person is healthy and is not undergoing psychiatric treatment, which would be an obstacle to treatment and a danger for both the doctor and the patient.
WHAT IS GENDER AFFIRMATION-TRANSGENDER SURGERY
Gender affirming – transgender surgery is performed by a multidisciplinary team (plastic surgeon, head and neck plastic surgeon ). The goal of this surgery is to achieve the physical appearance and functionality of the genus to be obtained (which exists in a person).
A person who wants a woman to become a man is referred to as: Female to Male, FtM, ie a transgender/transsexual man. A person who wants to become a woman from a man is referred to as: Male to Female, MtF, ie a transgender/transsexual woman
Treatment of gender dysphoria improves quality of life in 80% of people with this disorder. It encompasses a multidisciplinary approach that includes psychological, social, medical (hormonal and operative) and legal procedures. The therapeutic procedures applied vary from person to person. For some, only one type of therapy is sufficient, while others require a combination of several procedures to eliminate gender dysphoria.

SURGICAL THERAPY
Surgical treatment as a treatment for gender dysphoria (gender-affirmative-transgender surgery) is one of the medical modalities that includes procedures on the breasts/breasts, procedures on the reproductive organs and aesthetic surgeries. In most cases, a person who decides to undergo a surgical transition does not undergo all of the above surgical procedures.
Facial feminization
- The goal of facial feminization surgery is to achieve the transformation of facial masculine features into a more feminine appearance.
Transfemina breast surgery
- The goal of transfeminine breast surgery is to increase the size and shape of the breasts to achieve a feminine breast appearance.
Facial masculinization
- The goal of facial masculinization surgery is to achieve the transformation of feminine facial features into a more masculine appearance.
Transmasculine breast surgery
- The goal of transmasculine breast surgery is to remove breast tissue (mastectomy) to achieve a masculine appearance of the breast.