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The Guardian - US
The Guardian - US
Michelle Hyun Kim

‘My scars aren’t a finish line’: three trans and non-binary people on how top surgery changed their lives

Person with shirt off and scar under nipple reclines on bed in black-and-white picture.
Ezra Michel got top surgery in 2017 and had to petition Medi-Cal five times to get a revision covered. ‘I felt like I could breathe for the first time.’ Photograph: Ricardo Nagaoka/The Guardian

For many trans and non-binary people, top surgery – the process of removing breast tissue to get a flatter or masculinized chest – is not an elective procedure. It’s essential to them feeling at home in their bodies.

Top surgery is a form of gender-affirming healthcare that can be used to treat dysphoria, the sense of deep unease one feels when their identity or appearance doesn’t match up with the gender they were assigned at birth. It’s also a complicated, intense and invasive process that requires navigating a maze of insurance paperwork, and from which it can take years to heal. This means that the road to achieving one’s “dream” chest can be a long, complex and fluid journey.

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