Thank you for your question.
Firstly, the Adams apple cannot be removed, just shaved down which is why it is also known as “tracheal shaving”. This procedure is done by making a small incision and shaving the thyroid cartilage down to give a smoother, more feminine appearance and will result in minimal scarring. The cost varies on location and surgeon but I can tell you that the RealSelf average cost for this procedure is around $4,000- $5,000. I would recommend scheduling a consultation with a board certified plastic surgeon to have a physical examination done and exact estimate written up. Best of luck in your endeavors!
James Fernau, MD, FACS
Board Certified ENT
Board Certified Plastic Surgery
Member of ASPS, ASAPS, ISAPS, The Rhinoplasty Society, AAFPRS, OTO/HNS, ASLMS, International Federation for Adipose Therapeutics & Science