Top Considerations When Selecting a Facial Feminization Surgeon Medically reviewed by Jennifer Richman on December 2, 2024.  Understanding Facial Feminization Surgery Facial Feminization Surgery (FFS) is a gender-affirming surgery designed to help trans women, transfeminine and non-binary patients feel more aligned with the apperance of their face. Each FFS procedure is unique to a patient’s goals, existing facial features and other limitations like finances or insurance coverage. During a consultation with a board-certified facial feminization surgeon, you can make an individualized plan for your procedure and have all of your questions answered.  Generally speaking, FFS refers to a menu of procedures that patients can choose from: Hairline advancement: reverses the …