Breasts, probably more than any other body part, define a female as female. For those genetically born male, but who identify themselves as female and who are ready to make a permanent commitment to this identity, Breast Augmentation is often the first large surgical step towards achieving a desired feminine body image. Both saline and silicone gel implants are options, but the silicone implants are more cosmetically ideal for achieving a more natural-appearing and realistic-feeling breast. Once recovered, silicone implants will provide the best opportunity of giving the sensation that the breasts and implants are truly "part of one's own body."
Likewise, for those born female, but who identify themselves as male, and who are also ready to make a permanent commitment to this identify, a Breast Reduction or Nipple-Sparing Mastectomy may help achieve a desired more masculine body image.