Transgender surgery, or gender-affirming surgery, aligns physical characteristics with gender identity. Procedures include top surgery (mastectomy or breast augmentation), bottom surgery (vaginoplasty or phalloplasty), and facial feminization or masculinization surgery. These surgeries are vital for transgender individuals experiencing gender dysphoria, alleviating distress and improving mental health. Hormone therapy often precedes or accompanies surgical interventions. While these procedures have transformed lives, they require careful consideration, including psychological evaluation and discussions with healthcare providers. Access to transgender surgery varies globally and may be subject to legal and medical prerequisites, emphasizing the importance of informed decision-making and comprehensive support.