Non-binary surgery

At the IM GENDER clinic, we are specialists and pioneers in non-binary surgery. We understand that surgery for non-binary people to match their physical appearance to their gender is a personal and unique decision, which not all non-binary trans people need or require. 

We have been offering facial, body, breast and genital plastic surgery treatments for trans and non-binary people for more than 25 years. The entire team works to provide support and guidance at every step of every procedure.


At IM GENDER, we are pioneers in non-binary surgery, both in the development of customised techniques and in the approach to each type of surgery. Based on our experience and various studies, the most requested non-binary surgery is top surgery or breast surgery, especially in non-binary people who were identified as female at birth. In these cases, the sought-after non-binary top surgery is bilateral subcutaneous mastectomy. This surgery is designed to completely remove breast tissue and excess skin in both breasts. In addition, the nipple and areola are repositioned to achieve a flat chest that is not identifiable as female.

Although not as common, some non-binary trans people who were identified as male at birth request breast augmentation to bring their physical appearance into line with their gender identity. This usually requires the use of breast implants and custom-designed surgery to achieve the volume, projection, shape and contour that the non-binary person desires.

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    The results of gender reassignment

    At IM GENDER we understand that seeing examples of real results is essential before taking important decisions. For this reason, we invite you to explore our gallery of “before” and “after” images of patients who have undertaken gender reassignment procedures at our clinic.


    Non-binary surgery is a set of surgical procedures intended to align a person’s physical features with their non-binary gender identity. Unlike binary gender affirming operations, non-binary surgery is distinguished by its individualised approach that is tailored to the diversity of everyone’s gender experiences.

    And because every experience is unique, at IM GENDER we offer a wide variety of non-binary surgery, the goal of which is to accommodate the individual needs of each non-binary person who wishes to undergo gender surgery.

    • Non-binary top surgery: Non-binary top surgery is the most in-demand surgery among non-binary people, especially bilateral subcutaneous mastectomy, which basically involves removing breast tissue and repositioning the nipple-areola complex to achieve a flatter and more neutral-looking chest. There are also non-binary people who request breast augmentation to align their body with their felt gender.
    • Vaginectomy: Vaginectomy is the surgical technique for removing the vagina. It may be part of other surgery such as phalloplasty or hysterectomy. Some non-binary trans people request it as part of their transition.
    • Zero-depth vaginoplasty: This involves creating a vaginal opening that is not connected to the pelvic cavity, in other words without a vaginal tunnel, in non-binary trans people who were born with a penis. It’s designed to align anatomy with gender identity.
    • Vulvoplasty: This surgery focuses on creating labia and a clitoris without forming the vaginal canal. It’s a shorter option with less risk to adjacent structures, such as the rectum. It’s a suitable surgical choice for non-binary individuals seeking a more gender-reflective result than vaginoplasty.
    • Hysterectomy: This involves removing the uterus and is usually accompanied by removal of the ovaries as well. 
    • Orchidectomy: This is surgery that consists in removing the testicles through a scrotal incision, stopping testosterone production and allowing oestrogen doses to be reduced.
    • Scrotectomy, which removes the scrotal sac, is usually performed at the same time. If a subsequent vaginoplasty is planned, it’s vital to discuss this with the surgeon, as scrotal skin is often used in vaginoplasty.
    • Nullification surgery:  This is a surgical procedure aimed at removing or altering specific external and internal genital features without necessarily aligning them with the binary male or female genitalia, to create a smooth appearance from the abdomen to the groin. Some non-binary trans people opt for this operation to align their anatomy with their gender identity.
    • Facial surgery: Using surgical procedures, we adapt the person’s facial features to achieve an appearance that is more in line with their gender identity. The aim is to achieve a well-balanced, natural and proportional face that represents your identity.
    • Body surgery: In non-binary individuals, non-binary body surgery encompasses a variety of procedures designed to tailor physical features to the individual’s needs. This includes fat redistribution, body shaping and adjustment of features such as the abdomen, waist and hips. This may include procedures such as liposuction and abdominoplasty, among others.
    • Voice surgery: When specialised speech therapy does not achieve the results we are looking for, voice surgery can adjust the pitch and timbre of the voice, making it feel more authentic and in line with your gender identity.
    • Hair transplant: Another possible procedure to align your physical appearance with your gender identity is transplantation, as hair loss or the shape that the hairline makes on the face can impact personal perception. This technique involves transferring hair follicles from donor areas to areas that require them to align physical appearance with felt gender.
    • Aesthetic medicine: We offer non-surgical procedures that perfect and enhance features, such as dermal fillers, treatments to improve skin quality, and facial and body hair removal, among other facial and body treatments. 


    The postoperative phase is a crucial stage of your treatment and at IM GENDER we provide you with support at all times. Respecting your surgeons’ recommendations and maintaining good standards of hygiene are vital for ensuring a satisfactory recovery.


    El período de recuperación puede variar según el procedimiento. Nuestro equipo médico estará a tu disposición para resolver dudas, dar recomendaciones y asegurar que el proceso sea lo más llevadero posible.


    What is non-binary surgery?

    Non-binary surgery is a set of surgical procedures that seeks to align a person’s body, face and/or genitalia with their non-binary gender identity. Each procedure is personalised to achieve the result that makes the non-binary person feel comfortable with their appearance.

    Who is it designed for?

    Non-binary trans people may request non-binary surgery for a variety of reasons. Some want a more authentic physical expression that is aligned with their gender identity, while others seek to alleviate gender dysphoria by eliminating bodily characteristics that do not conform to their identity. This surgery is designed for non-binary people who feel that a surgical operation could help them feel more at ease and better identified with their own bodies.

    Is it necessary to take hormones for non-binary surgery?

    Non-binary people may choose to undergo gender affirmation surgery without hormone therapy. The decision to undergo hormone therapy is a personal one and depends on individual preferences and goals.

    How long does the recovery take?

    This depends on the procedure, but our team will be by your side every step of the way, providing you with all the necessary information.

    IM GENDER Team

    IM GENDER started its work in 1999 and has become an international benchmark in Gender Affirming Surgery. We serve trans people in search of facial, body, breast and genital plastic surgery treatments.

    Committed to the WPATH Standards of Care, IM GENDER has specialised in the care of trans people for 25 years. More than two decades of experience, professionalism, research and training provide a strong testimony to the medical and human skills of our team.

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    Would you like information about the price of a non-binary operation?