Mastectomy for non-binary people is an increasingly requested option to achieve gender alignment. At IM GENDER, over 30% of the demand for this type of gender-affirming surgery comes from non-binary individuals.
Gender identity is a fundamental aspect of every individual’s life, and it’s important for each person to have the freedom to express and live according to their internal identity. For some non-binary individuals, who do not identify exclusively as male or female, expressing their gender identity can be a significant challenge. Bilateral subcutaneous mastectomy emerges as an empowering option to help non-binary people who desire to align their physical appearance with their gender identity. In this article, we will explore what non-binary mastectomy entails.
What is bilateral subcutaneous mastectomy?
Bilateral subcutaneous mastectomy is a surgical procedure designed to completely remove breast tissue in both breasts. Additionally, the nipple and areola are repositioned to create a flat chest that does not appear feminine. Depending on breast size, different types of incisions or scars may be used.
For many non-binary people, breasts can be a source of discomfort and insecurity. Not identifying fully with a binary gender, the presence of breasts can cause emotional distress and discomfort. Bilateral subcutaneous mastectomy offers an option to alleviate this situation and help non-binary individuals feel more comfortable and in tune with their gender identity.

The choice to undergo bilateral subcutaneous mastectomy is a personal and unique process for each individual. Some non-binary people may choose this surgery as part of their gender transition, while others may pursue it as a way to live more authentically according to their non-binary gender identity. It’s worth noting that many non-binary people do not opt for this surgery; however, at IM GENDER, more than 3 out of 10 mastectomies are performed on non-binary individuals.
In any case, it is essential for people considering this procedure to seek appropriate support, such as medical counseling, support groups, or specialized organizations, to make an informed decision.
Benefits of non-binary mastectomy
Bilateral subcutaneous mastectomy for non-binary people can offer various benefits, provided the individual wants this type of intervention to achieve a non-feminine chest. Some of these benefits may include:

1. Relief from gender dysphoria
If gender dysphoria exists, the removal of breast tissue can help reduce gender dysphoria experienced by some non-binary people and improve their emotional well-being.
2. Alignment with gender identity
Mastectomy can help non-binary individuals feel more authentic and in harmony with their non-binary gender identity. However, not all non-binary individuals seek or need this type of surgery to feel comfortable with their physical appearance.
3. Quality life improvement
For non-binary individuals who do not accept breast development and use methods like binding to hide them, bilateral mastectomy can lead to a significant improvement in their quality of life.
Considerations before mastectomy
It’s important to keep several key considerations in mind when contemplating non-binary mastectomy:
Mastectomy as a personal decision
Each non-binary person has their own experience and relationship with their gender identity. The decision to undergo a mastectomy should be personal and respect the individual needs of each person. We should keep in mind that each person has unique experiences and needs. Therefore, the decision to undergo a mastectomy should be personal and based on the specific needs of each non-binary individual.
Medical and specialized support
Before undergoing any surgery, it’s essential to seek appropriate support from medical professionals experienced in these types of interventions, such as the medical team at IM GENDER. These experts can provide guidance and advice to make informed decisions and offer the necessary emotional support throughout the process.
More information about mastectomy
It’s crucial for non-binary people considering mastectomy to be well-informed about the procedure. This includes understanding the risks of surgery, expectations for results, and recovery.
Experiences from other non-binary people
Learning how other non-binary individuals have experienced the mastectomy process can provide a different and more intimate perspective. Knowing what led them to consider mastectomy, why they decided to undergo the surgery, what the pre- and postoperative experience was like firsthand, and how they feel about their new appearance after recovery can be an important source of information. However, it’s essential to keep in mind that each person is unique, and all experiences are different.
In this video, you can hear the testimony of Nalhu, a non-binary trans person who decided to undergo a non-binary mastectomy.
Mastectomy can be an empowering option for non-binary people who wish to align their physical appearance with their gender identity. This procedure can play a significant role in the emotional well-being and quality of life of non-binary people.
If you have more questions about what mastectomy involves for non-binary people, book an appointment with the IM GENDER team, and we will provide you with information.