It’s not unusual for transgender patients to request breast augmentation surgery.When this situation arises, the operation can be performed successfully with high levels of patient satisfaction.Many similarities exist between transgender and female breast augmentation patients, but important differences exist, as well.These differences are related to the type of preoperative evaluations that are necessary and important anatomic differences that exist between the two groups.The preoperative evaluation of transgender patients involves several important considerations.It’s important that transgender patients be in a supervised transgender program that follows an organized algorithm.This type of program provides important psychological support and hormonal therapy in the preoperative period.When this program’s specified criteria are met, it’s reasonable to proceed with breast augmentation.Several important anatomic issues must be considered in transgender patients.Transgender patients often have broader chest walls than female patients and, for this reason, often require larger implants.In some cases, the pectoralis muscle may be large and bulky and, for this reason, subglandular implant placement may be necessary, as well.If you’re considering breast augmentation, consultation with a Board-certified plastic surgeon is appropriate.This surgeon should be able to formulate an appropriate treatment plan for you.