Devised in 2000, this method incises the anterior part of the thyroid cartilage and reduces the vocal folds. It is available for males with very thick masculine voices and big thyroid cartilages, and it is very effective in getting high-pitches! However, if the vocal folds are excessively incised, it is difficult for the voice to recover. Here is the Formula of Male Breast Enlargement As you can see, there are various methods that can be used for phonoplasty, however; you need to first check the larynx, the vocal folds, the vocal membrane wave, and the movement of the vocal folds through laryngeal stroboscopy. After a general voice check-up, it is important to predict the best voice condition and select the appropriate surgical method. It is very dangerous to perform this type of surgery without checking your voice condition first. A previous check-up must be done to predict the maximum voice condition you will be able to produce and to select the most beneficial surgical technique for your particular case. Your voice quality is determined by your larynx, the condition of your vocal folds, the chambers of your throat and mouth, and your lips. The vocal folds, larynx, and the chambers of the throat play the most important role in creating the voice quality and timbre. Everyone will have different results based on their genetic limitation, the type of surgery they chose, and who performs the surgery, along with the other treatment options used for overall feminization. Transsexual women have the structures and the chamber of a man, if their fundamental frequency has been raised through vocal fold surgery, the voice becomes neuter as it passes through the chamber. However, the timbre (the resonance) can be modified through vocal treatments and voice rehabilitation by altering as the features of the chamber are self-changeable. When performed with the change in fundamental frequency, it is possible to produce a low sounding feminine voice. The voice feminization therapy must be provided by skilled medical professionals at a facility where surgical vocal treatments are normally performed. You cannot be assured of getting great results by someone with little experience in performing voice surgery specifically for transgender people. Your voice feminization therapy should be provided by an experienced voice specialist under their expert accurate diagnosis. Remember vocal training helps but surgery will really give your voice the female quality you want that you cannot get from simple voice training, combine the tow will give you the best and most convincing results.