Unveiling the Details – A Comprehensive Understanding of Tracheal Shave

Synopsis: This blog demystifies the tracheal shave procedure, offering a step-by-step guide to the surgical process. We delve into the purpose of this procedure, discussing who might benefit from it and why. The blog further sheds light on the various steps involved in a tracheal shave and the risks, recovery process, and expected outcomes.

The following sections are included in this discussion:

• Introduction to Tracheal Shave

• The Purpose of a Tracheal Shave

• The Process of a Tracheal Shave

• The Risks and Considerations

• The Recovery and Expected Outcomes

• Conclusion: An Expert’s Touch

Section 1: Introduction to Tracheal Shave 

A tracheal shave, also known as a chondrolaryngoplasty, is a surgical procedure aimed at reducing the size of the thyroid cartilage or “Adam’s apple,” resulting in a smoother and less protruding appearance of the neck. This procedure is often sought by individuals wishing to feminize their appearance, especially those in the transgender community. However, anyone uncomfortable with the prominence of their Adam’s apple can benefit from a tracheal shave.

Section 2: The Purpose of a Tracheal Shave 

The Adam’s apple, technically known as the laryngeal prominence, results from the angle at which the thyroid cartilage in the throat develops. It is typically more pronounced in males due to the impact of testosterone during puberty. In contrast, it is less noticeable in females, leading many to associate a prominent Adam’s apple with masculinity.

Those who wish to diminish this masculine trait for a more feminine neck appearance can opt for a tracheal shave. This surgical procedure is especially beneficial for transgender women or non-binary individuals who wish to align their physical appearance with their gender identity. Reducing the size of Adam’s apple significantly contributes to the feminization of the throat, thus aiding in the individual’s transition process.

Section 3: The Process of a Tracheal Shave 

The tracheal shave procedure is typically conducted under local or general anaesthesia, depending on the patient’s comfort and the surgeon’s recommendations. The surgeon makes a small incision to access the thyroid cartilage, usually under the chin or directly above Adam’s apple.

The surgeon then carefully shaves off a portion of the cartilage to reduce its prominence. The amount removed varies per individual, with careful consideration to ensure the voice box and vocal cords are not affected. The procedure usually takes between one to two hours.

At this point, it is crucial to understand that while a tracheal shave can significantly reduce the Adam’s apple’s size, it does not change the individual’s voice. Different voice therapy or surgery might be required if voice feminization is desired.

Section 4: The Risks and Considerations 

Like any surgical procedure, a tracheal shave comes with certain risks and considerations. Some potential complications could include infection, scarring, and risks related to anaesthesia. However, when performed by a skilled and experienced surgeon, these risks are significantly minimized.

Another essential factor to consider is that over-reducing the cartilage can harm the vocal cords, leading to voice changes or difficulties swallowing. Hence, the goal of the procedure is not to eliminate Adam’s apple entirely but to reduce its size to a less noticeable extent. This thorough understanding of the procedure can aid prospective patients in making an informed decision.

Section 5: The Recovery and Expected Outcomes 

The recovery period following a tracheal shave is typically relatively short. Most patients can resume normal activities within a week, although strenuous activities should be avoided for about two to three weeks to ensure optimal healing. Some swelling and discomfort can be expected in the immediate aftermath of the surgery, but these are usually temporary and subside within a few days.

The outcome of a tracheal shave is immediate and generally permanent. The reduction in the prominence of Adam’s apple results in a more feminized neck contour, aligning the individual’s physical appearance more closely with their gender identity. It’s worth noting that while the procedure doesn’t directly alter one’s voice, the newfound confidence often leads to an overall improved self-image and a positive impact on the individual’s social interactions.

In a 2021 study published in the Plastic and Reconstructive Surgery Global Open Journal, out of 107 patients who underwent tracheal shave, 97.2% reported high satisfaction rates post-procedure, indicating its effectiveness in achieving the desired results.

Section 6: Conclusion: An Expert’s Touch 

Navigating the path to aligning your physical appearance with your gender identity is a significant journey that should be undertaken with expert guidance and care. This is where specialists like Dr Ashu Garg come in. Dr Garg, a seasoned practitioner in aesthetic procedures and transformative surgeries, brings his extensive experience and meticulous attention to detail to the table. His rich clinical experience and commitment to minimal scarring and superior cosmetic results ensure the best possible outcomes for those seeking a tracheal shave.

Having honed his skills at prestigious institutions in India and the USA, including a rigorous residency in surgery and specialization in Cosmetic  Surgery, Dr Garg stands at the forefront of transformative procedures. He embodies the empathetic and skilled care individuals embarking on their transition journeys deserve. Dr Garg’s expertise in the delicate art of liposculpture, body contouring, facial cosmetic procedures, and transgender surgeries is a testament to his dedication to offering holistic care for the LGBTQ community.

A tracheal shave can be a life-altering procedure, providing a significant step towards physical alignment with one’s gender identity. With the guidance of seasoned experts like Dr Garg, individuals seeking this procedure can embark on this transformative journey with confidence and assurance.


  1. High satisfaction rates in transwomen undergoing tracheal shave as a single-step procedure. (2021). Plastic and Reconstructive Surgery Global Open Journal.