Surgical pitch and resonance refinement.
A precise, evidence-based approach to elevating vocal pitch and refining resonance — combining advanced laryngeal surgery with dedicated voice therapy across Canada.
- 15+Years of experience
- 1,200+Procedures performed
- 10Provinces & territories served
A vocal step in your transition
Voice feminization surgery raises the pitch and refines the quality of the voice to align with your gender identity.
For many transfeminine patients, the voice is one of the most challenging aspects of transition. Even with excellent appearance, a low-pitched voice can lead to misgendering in phone calls, public spaces, and everyday conversations. Voice feminization surgery offers a permanent, structural solution.
By altering the length, tension, or mass of the vocal folds, the procedure raises the fundamental frequency of the voice into the typical feminine range. Every plan is paired with post-operative voice therapy to ensure the result sounds natural, expressive, and authentically you.
What voice feminization can mean for you
More than a pitch change — a profound step toward being heard as you are.
Vocal alignment
Elevates fundamental pitch and refines resonance so your voice reflects your gender identity in everyday conversation.
Social ease
Many patients feel more confident speaking in public, on the phone, and in social settings without fear of being misgendered by voice alone.
Dysphoria relief
For patients whose voice is a persistent source of distress, surgery can bring profound emotional relief and comfort.
Lasting results
Once the vocal folds heal and pitch stabilizes, the elevation is permanent — no ongoing intervention is required to maintain the higher pitch.
Integrated therapy
Surgery is paired with post-operative voice therapy to help you adapt to your new range and develop natural, feminine speech patterns.
Structured recovery
A clear protocol of voice rest, gentle reintroduction, and therapy ensures predictable healing and optimal vocal outcomes.
Voice feminization approaches
Your surgeon will recommend the technique best suited to your vocal anatomy, baseline pitch, and personal goals.
Wendler Glottoplasty
- Indications
- Patients seeking a permanent, reliable elevation of vocal pitch through surgical shortening of the vibrating vocal fold edge.
- Advantages
- A well-established technique that creates a tighter, shorter glottal opening for a naturally higher speaking pitch.
- Ideal candidates
- Patients with a lower fundamental frequency who want a significant, stable pitch increase without implants.
Cricothyroid Approximation (CTA)
- Indications
- Patients who want pitch elevation by increasing vocal fold tension through external laryngeal framework surgery.
- Advantages
- Adjusts the cricothyroid space to stretch the vocal folds, raising pitch while preserving vocal fold mass.
- Ideal candidates
- Patients seeking moderate pitch elevation with a reversible option and minimal internal vocal fold alteration.
Feminization Laryngoplasty
- Indications
- Patients seeking the most dramatic and comprehensive pitch elevation combined with structural laryngeal refinement.
- Advantages
- Combines multiple internal and external techniques to achieve a significantly higher, stable feminine pitch.
- Ideal candidates
- Patients with very low baseline pitch or those who have not achieved sufficient elevation with therapy alone.
Voice Therapy Integration
- Indications
- All surgical patients benefit from structured voice therapy to maximize the functional and expressive benefits of pitch elevation.
- Advantages
- Helps you adapt to your new range, refine resonance, and develop natural feminine intonation, breath support, and articulation.
- Ideal candidates
- Every patient undergoing voice feminization surgery — therapy is essential for the best long-term outcome.
Comparing the techniques
A quick reference to help you understand pitch potential, recovery, and reversibility.
| Technique | Pitch elevation | Recovery | Reversibility |
|---|---|---|---|
| Wendler glottoplasty | High | 2–4 weeks | Permanent |
| Cricothyroid approx. | Moderate–high | 2–4 weeks | Reversible |
| Feminization laryngoplasty | Very high | 3–6 weeks | Permanent |
| With voice therapy | Optimized | 3–12 months | N/A |
What to expect at a glance
Your healing roadmap
A clear, week-by-week picture of what recovery looks like — so you always know what comes next.
- 1Week 1
Strict voice rest
Complete silence is essential. Communication is limited to writing or text-to-speech apps. This protects the surgical site and allows initial healing.
- 2Weeks 2–4
Gentle voice introduction
Short, gentle phrases are introduced gradually under guidance. Pitch may sound unstable or breathy initially — this is normal and improves with time.
- 3Months 1–3
Voice therapy & adaptation
Structured voice therapy helps you explore your new range, develop feminine resonance, and build healthy vocal habits for long-term stability.
- 4Months 6–12
Stabilized pitch & expression
The voice settles into its new baseline pitch. Most patients achieve a natural, expressive feminine speaking voice that feels effortless.
What your results will look like
Understanding healing, vocal function, and long-term outcomes helps you set clear, realistic expectations.
Surgical approach
Incisions are minimal and hidden — either inside the mouth or in a small neck crease. Scars are virtually invisible once healed.
Pitch evolution
Initial pitch may fluctuate during early healing. By 3–6 months the new baseline becomes consistent, with full maturation by 12 months.
Vocal function
Speaking, singing, and yelling are all possible after full healing. Voice therapy helps you use your new range safely and expressively.
Resonance & timbre
Beyond pitch, resonance and vocal weight are refined through therapy to create a naturally feminine vocal quality.
Long-term stability
Once healed, the elevated pitch is permanent. No maintenance procedures or ongoing devices are needed.
Emotional impact
Patients consistently describe feeling liberated, authentic, and more confident in every conversation.
Surgical Excellence, with Care That Listens.
Every patient deserves compassionate, individualized care throughout their gender-affirming journey. Our team combines advanced surgical expertise with a deeply patient-centered approach to deliver safe, natural, and affirming outcomes tailored to your goals.
“Trusted by patients across Canada seeking compassionate, expert gender-affirming care.”
Fellowship-Trained Surgeons
Our procedures are performed by highly specialized surgeons with advanced training in gender-affirming and reconstructive surgery.
Advanced Microsurgical Care
We utilize modern surgical techniques and precision-focused care to support optimal healing, functionality, and long-term results.
WPATH-Aligned Protocols
Our approach follows internationally recognized standards of care to ensure ethical, safe, and evidence-based treatment.
Patient-Led Decision Making
Every treatment plan is built collaboratively, respecting your identity, goals, comfort level, and personal transition journey.
Aesthetic-Focused Outcomes
We prioritize natural-looking, harmonious results designed to align with each patient's vision and anatomy.
Multidisciplinary Support
From consultation to recovery, our team provides coordinated medical, surgical, and emotional support at every stage.
Meet Dr. Alexis Laungani
A vision of self-affirmation for all
Dr. Alexis Laungani is a plastic surgeon who offers meticulously crafted reconstructive and aesthetic procedures, artfully blending medical practice with personal well-being. With over 20 years of training across Belgium, the United States, and Canada, he harnesses globally recognized techniques to minimize downtime and scarring while achieving naturally beautiful results.
- Over 20 years of training across three continents
- Transparency at the cornerstone of care
- Holistic pre- and post-operative care
- Naturally beautiful, patient-centered results
From First Conversation to Long-Term Follow-Up.
We guide every patient through a personalized and supportive experience designed to prioritize comfort, clarity, safety, and confidence at every stage of the surgical journey.
“Every transition journey deserves thoughtful guidance, clarity, and compassionate support.”
- 1Step 1
Initial Consultation
Meet with our surgical team to discuss your goals, medical history, expectations, and personalized treatment options in a safe and affirming environment.
- 2Step 2
Surgical Planning
Your procedure plan is carefully tailored to your anatomy, transition goals, recovery needs, and desired aesthetic outcomes.
- 3Step 3
Surgery & Inpatient Care
Our team provides expert surgical care with attentive postoperative monitoring, ensuring comfort, safety, and individualized support during recovery.
- 4Step 4
Recovery & Follow-Up
We remain closely involved throughout healing with follow-up appointments, recovery guidance, and long-term support focused on optimal results and well-being.
Patients travel from across Canada
We welcome patients nationwide for voice feminization surgery, with coordinated travel and follow-up support.
Trusted by patients across every province and territory in Canada.
Frequently asked questions
More MTF surgical options
Vaginoplasty
Comprehensive gender-affirming surgery designed to create feminine anatomy with a focus on aesthetics, function, and long-term comfort.
Orchiectomy
A gender-affirming procedure involving the removal of the testes to support hormonal transition and reduce testosterone production.
Labiaplasty
Refinement procedures designed to enhance comfort, symmetry, and the aesthetic outcome of feminine anatomy.
Plan your voice feminization.
Begin with a private, confidential consultation. Our team will guide you through every step with clarity and care.
Confidential consultations available across Canada.
Dedicated patient coordinators available for Canadian and international patients.
Serving patients across Canada
- WPATH-aligned care
- Fellowship-trained surgeons
- Patients across Canada
