The best candidates for top surgery are physically and emotionally healthy, and have their mental health conditions optimized.  Surgery is overall a very positive experience, but as with all life changes, can be a bit stressful.  Therefore, having as much emotional reserve as possible to manage this short-term stress is important. However, this does not mean if you are not the perfect surgical candidate, you cannot have surgery.  You should ensure you discuss your health history with your surgeon so your conditions can be managed around surgery.