Absolutely not. At the GCC we are committed to serving patients of all gender identities. Except for bottom surgery, to be a candidate for any of our gender affirming procedures, our surgeons do not require that patients undergo hormonal therapy. We believe in taking an individualized approach with each patient to design a surgical plan to meet their unique goals. 

Especially in the case of facial surgeries, HRT can only alter soft tissue such as fat redistribution–most commonly, the amount of fat in the cheeks and the softness of the jawline. That said, the effects of HRT cannot change bone structure, which is why many patients seek out facial surgery to change the overall structure of their face. Though not a requirement, if you are considering or currently taking HRT, talk to one of our surgeons about how that might figure into your gender affirming facial surgery plan.