Voice Feminization Surgery Procedure
At VoxEva, every case is approached with a personalized plan supported by advanced diagnostic technology.
We provide emotional support to our patients throughout every stage of their journey.
Wendler Glottoplasty
This is a surgical procedure used to feminize the voice, primarily in transgender women or cisgender women whose voices have masculine characteristics.
The procedure involves shortening and thinning the vocal cords so they can produce higher-pitched sounds. One of the key advantages is that it is performed orally, meaning no external scars are left. The surgery typically lasts about 1.5 hours, and during the same procedure, Adam’s apple reduction (tracheal shave) can also be performed.
Most common and safest technique
The procedure involves shortening the vocal cords by partially joining them with sutures.
This technique raises the pitch of the voice without damaging critical structures, offering effective and reliable results.
Wendler Glottoplasty involves surgically altering the vocal folds (cords) to raise the pitch of the voice:
Removing a small portion of the front (anterior) vocal folds.
Suturing the remaining edges together.
This shortens the effective vibrating length of the vocal cords, which raises the pitch.
Procedure Overview:
Anesthesia: General anesthesia is used, so you're fully asleep.
Surgical Time: Around 1 to 1.5 hours, depending on the surgeon’s technique and any additional procedures (like laser work or laryngoplasty).
Outpatient: It’s usually done on an outpatient basis, meaning you go home the same day unless complications arise.
Recovery Timeline:
Vocal rest: Strict voice rest for 1–2 weeks post-op is essential (no speaking, whispering, throat clearing, or coughing if possible).
Gradual voice use: Light voice use may begin after 2 weeks, with full vocal activity returning over 6–8 weeks.
Full healing: Most healing is complete by 3 months, though final voice results may continue evolving for up to 6 months.
Post-Surgery Results
Once a transgender woman’s larynx has been surgically modified, it becomes anatomically feminine. As a result, the vocal pitch is elevated.
Voice therapy is also essential to reinforce this permanent change, allowing the individual to speak naturally without having to focus or make a conscious effort before each phonation. However, vocal cord surgery is only one component of voice feminization in transgender women. It is crucial to complement the surgical procedure with voice therapy to achieve a definitive modification in vocal behavior. Therefore, postoperative speech therapy is strongly recommended following the surgery.
Why Has Mexico Become a Leading Destination for Gender Affirmation Healthcare?
-
Many specialists have international training and operate in facilities that meet global standards.
Cities like Tijuana, Guadalajara, Mexico City, and Monterrey are recognized hubs for gender-affirming care.
-
Procedures such as breast surgeries, facial feminization, or genital surgeries can cost 70–80% less than in the United States.
-
Appointments can often be scheduled within weeks rather than months.
Many centers offer all-inclusive packages that include accommodation, transportation, preoperative exams, and recovery support.
-
In Mexico City and 22 states, legal gender change is allowed without medical intervention.
83% of the population supports transgender rights.
Public clinics provide inclusive and respectful care for trans individuals.
Take the first step toward your authentic voice.
Book your consultation today.
Frequently Asked Questions
-
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.
-
Clinical studies and reports indicate that the Wendler glottoplasty has a success rate ranging from 70% to 90%, depending on the patient’s individual anatomy and adherence to post-operative care.
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.
Schedule your Appointment
Contact us to schedule your appointment.
We are available to answer your questions and help you choose the best time for you. You can reach us by phone, email, or through our social media channels. Our team will be happy to provide the personalized attention you need.
Our office hours are Monday to Sunday, from 8:00 AM to 9:00 PM Pacific Time.
Email:
hello@voxevacenter.com
Phone number:
+1 (619) 327-8622