What Is a Tracheal Shave?

A tracheal shave is a surgical procedure that reduces the size of the Adam’s apple by carefully shaving down the thyroid cartilage. This procedure, also known as Adam’s apple reduction, is a common choice for transgender women as part of facial feminization surgery (FFS) and for cisgender individuals seeking aesthetic enhancements. It is a minimally invasive surgery that helps patients achieve a smoother, more refined neck contour.

✨ Key Facts About Tracheal Shave Surgery

1. It’s Not Just Cosmetic

While often seen as a cosmetic procedure, for many transgender women, it’s a deeply affirming surgery that helps reduce gender dysphoria and enhances social comfort.

2. Precision Is Critical

The thyroid cartilage protects the vocal cords, so surgeons must be extremely careful. Removing too much cartilage can permanently damage the voice, making it deeper or raspier.

3. Minimally Invasive with Quick Recovery

The procedure typically takes under an hour and is often done under local anesthesia. Recovery time is about 1–2 weeks, with most patients experiencing mild swelling and soreness.

4. Scar Placement Is Strategic

Surgeons usually make a small incision in a natural neck crease or under the chin to minimize visible scarring.

5. Voice Changes Are Rare—but Possible

Although the vocal cords are not directly altered, temporary hoarseness or voice fatigue can occur. Permanent voice changes are rare but possible if the cartilage is over-reduced.

6. No WPATH Letter Required

Unlike some gender-affirming surgeries, a WPATH letter of readiness is not typically required for a tracheal shave.

7. Growing Popularity

As awareness of gender-affirming care grows, tracheal shave procedures are becoming more common and widely accepted in both medical and cosmetic communities.