Males have a more prominent Adam’s Apple, compared to females. A thyroid shave involves reducing the thyroid cartilage to reshape or reduce the prominence of the Adam’s Apple. At The London Transgender Clinic, we place the surgical incision underneath the chin so there is no visible scar on the neck, therefore there is no obvious indication you have had the surgery.


Summary of Thyroid Reduction / Adams Apple Reduction

Surgery Time
1-1.5 hrs
Hospital Stay
Day Case
Reasonably Mobile
Same Day
Time Off Work
7 days
Sleep Position
45 degrees for 2 weeks
Following day
Dressings & Garments
6 weeks
Exercise inc. Gym
6 weeks
Full Recovery
6-12 weeks

Before & Afters

  • Adams Apple reduction before and afters by The London Transgender Clinic
    Adams Apple reduction before and afters by The London Transgender Clinic

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Reason for Surgery

The goal is to create a natural, female appearance of the neck without any visible scarring.


This result can improve self-confidence and boost self-esteem, allowing you to feel more comfortable in your female gender.

Thyroid Cartilage Reduction FAQ’s

  • How much does thyroid cartilage reduction cost?

    The price of thyroid shave, adam’s apple reduction, is approximately £7,110. This includes all of your pre and post-operative aftercare up to one year, as well as your time in hospital. For an exact quotation please book a consultation with a member of our team.

  • What happens at the consultation?

    You will meet your surgeon and one of our nurses who will ask you about your goals and concerns. A full medical history and examination will be done, before agreeing a plan for you and discussing the surgery and recovery and risks in detail.

    You may be required to undergo medical investigations such as blood tests, ECG or other, as medically advised by your surgeon.

  • How do I prepare for my Adams apple reduction surgery?

    Once you have your consultations and your surgery is booked, you will have a pre-operative assessment with your nurse 2 weeks before surgery, during which any outstanding questions will be answered. Your preparation for surgery will be reviewed and information will be provided regarding medications, diet, and post-operative care.

    You will not need to stop your hormone therapy.

    You must stop smoking a minimum of 2 weeks before your surgery and up to 12 weeks postoperatively.

  • What happens on the day of my surgery?

    On the day of your surgery, you will attend the hospital where your surgery is taking place. You will be reassessed by your surgeon and your anaesthetist before going to the theatre. The hospital team will complete the necessary pre-operative health checks.

    Following your surgery, you will be bed-bound and closely monitored by the hospital medical team. They will assist you with anything you need. You will be tired and spend most of this time resting.  You will be provided with something to eat when you are alert and slowly mobilised with assistance.

    Once you are awake and mobile, you will be discharged from the hospital to your home. You must have a chaperone to bring you home and stay with you for a minimum of 24 hours.

  • What aftercare will be provided for me?

    LTC provides a premium aftercare service. You will be assessed 2 weeks, 6 weeks, 12 weeks, 6 months, and 1-year post-operatively to monitor your progress.

    You will be provided with post-operative manual lymphatic drainage (MLD) therapy to reduce swelling and promote better healing.

    LTC also has a nurse on call 24/7 in the event you have any emergencies following discharge from the hospital. You will be seen immediately if medically required or appropriate advice will be provided.

  • What happens if there is a complication?

    In the event of a complication, you will be medically assessed as soon as possible by your surgeon or a qualified member of our nursing team. In the unlikely event you need to return to the theatre this will be arranged for you by our team. Hospital and anaesthetist fees may be charged, however there will be no surgical fee. Further information is outlined in our terms and conditions.

“Huge thank you to LTC”

5 5 Star Rating

I had an appointment for HRT at LTC, at the start I was a mess of nerves but everyone at the clinic was great.

During my consultation with Shirley, she instantly made me feel comfortable and well looked after. Shirley was very informative and helped me to decide the most suitable form of HRT for me.

I left the consultation with a prescription and feeling like I was in good hands.

All in all, my visit was a very positive experience and I would recommend them to others, especially those that are waiting for their NHS appointment(s).

I want to give a massive thank you to Shirley and everyone else at LTC for their help and making me feel comfortable.


by Erin Bowles | Read More Patient Testimonials

Alternative Services


We support and endorse the Guidelines for the Standards of Care for transgender, trans-individuals set out by the World Professional Association for Transgender Health (WPATH).


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