Voice feminizing therapy can include speech therapy aimed at feminizing your voice or laryngeal surgery with therapy before and after surgery. Using this information, you and your specialist will come up with a treatment plan. What communication behaviors, vocal and nonverbal, do you want to acquire? If you don't have specific goals, your speech-language pathologist can explain some options. Your speech-language pathologist will talk to you about your goals. Professionals such as vocal coaches or singing teachers and some online resources also might play a helpful role. Look for a specialist with training in the assessment and development of communication skills in transsexual, transgender and gender-nonconforming clients, and who has a basic understanding of transgender health, treatments and psychosocial issues. If you're considering voice feminizing therapy, ask your doctor to refer you to a speech-language pathologist. Because voice feminization surgery will only change your pitch, you may still need to work on other vocal behaviors. There is also a risk that surgery could cause your voice to become too high or so rough, hoarse, strained or breathy (dysphonic) as to make communication difficult. This means that surgery will reduce the overall pitch range of your voice. Surgeries for voice feminization focus on raising habitual speaking pitch by reducing the ability to produce a low-pitched voice. Your speech-language pathologist will work with you to help prevent vocal misuse and vocal damage. Request an Appointment at Mayo Clinic Risksįeminizing the voice involves using the voice production mechanism in a new, nonhabitual way.