Every person is an individual and every transformation is unique. Years of work by leaders in the transgender community have led to sensible guidelines to help patients and their doctors make good decisions. Ultimately every decision needs to be personalized to each patient. The best choice of procedure, how and when hormones are appropriate, and which other care providers should be involved in surgery decisions are all areas which are tailored to your situation. Principles of responsibility always prevail, though of course one approach may be right for one FTM Female-to-Male Surgery or MTF Male-to-Female Surgery patient but may not work well for another.