Voice feminization surgery is a medical procedure designed to alter a person’s voice to sound more traditionally feminine. It’s often pursued by transgender women or non-binary individuals who want their voice to better align with their gender identity.

What the Surgery Does

Voice feminization surgery usually involves modifying the vocal cords (or vocal folds) and sometimes the resonance structures (like the voice box or larynx) to:

• Raise pitch (make the voice sound higher)

• Alter resonance (make the voice sound less deep or “chesty”)

• Reduce vocal fold mass or tension to change the tone and quality

Vocal dysphoria is a form of psychological distress that occurs when a person’s voice does not align with their gender identity or how they perceive themselves. It is most commonly experienced by transgender or non-binary individuals, particularly those who are undergoing or considering gender transition.

In transgender women (MTF):

Vocal dysphoria may arise from having a voice perceived as too deep or masculine.

In non-binary individuals:

It may result from vocal traits that are strongly gendered and do not reflect their fluid identity.

Common Symptoms Include:

• Anxiety or discomfort when speaking or listening to recordings of their own voice.

• Avoidance of phone calls or public speaking.

• A feeling of disconnection from their own voice.

• Depression, low self-esteem, or social withdrawal related to vocal identity.

The Wendler Glottoplasty is a specialized surgical procedure primarily used to enhance the voice of transgender individuals or those experiencing gender dysphoria. This technique focuses on modifying the glottis—the space between the vocal cords—with the goal of permanently raising vocal pitch.

Developed by Dr. Wendler, the procedure involves shortening and tightening the vocal cords to increase the fundamental frequency of the voice. Unlike other treatments such as voice therapy or hormonal approaches, Wendler glottoplasty provides a structural and physical change that can produce a higher, more feminine voice without relying solely on vocal training.

The surgery is typically performed under general anesthesia and requires an appropriate recovery period, during which it is essential to avoid vocal strain to ensure proper healing. While the Wendler glottoplasty can be highly effective, it also carries potential risks, as with any airway surgery, including temporary difficulty speaking, inflammation, or changes in voice quality.

This technique is a valuable option for those seeking a long-term solution to vocal pitch, and it can serve as a meaningful complement to other gender-affirming interventions.

Effectiveness is measured by the degree of change in fundamental pitch, improvement in vocal feminization, and patient satisfaction. While the procedure can significantly raise the vocal pitch and contribute to a more feminine-sounding voice, some patients may still require additional voice therapy to optimize their results.

In summary, Wendler glottoplasty offers a high level of effectiveness, but outcomes may vary based on individual factors. A multidisciplinary approach is always recommended to maximize long-term benefits.

Absolute Vocal Rest (First 1–2 Weeks)

• Do not speak, whisper, sing, cough, or clear your throat.

• Use pen and paper or text-to-speech apps to communicate.

• This period is critical for proper healing and stabilization of the new vocal pitch.

Gradual Voice Use (Weeks 2–6+)

• Resume voice use only with the approval of your surgeon or speech therapist.

• Begin with soft sounds and increase usage gradually.

• Avoid loud speaking, shouting, or singing during this stage.

Work with a Voice Therapist

Voice therapy is essential for learning safe and effective vocal techniques.

Therapy focuses on:

• Breath support and control

• Pitch stabilization

• Resonance adjustment

• Speech patterns aligned with your gender identity

Keep the Vocal Cords Hydrated

• Drink at least 8–10 glasses of water per day.

• Use a humidifier, especially at night.

• Avoid caffeine, alcohol, and tobacco.

Avoid Vocal Strain and Irritants

• Do not yell, sing, or speak in noisy environments.

• Do not whisper.

• Avoid smoke or exposure to strong chemicals.