Passing as female Passing can involve altering the face and body to appear feminine. These alterations fall into two categories: temporary items that are applied or worn, and medical alterations. For people assigned male at birth, passing as female typically involves wearing a
wig or styling hair in a manner typical of women in their culture, removing or disguising facial hair, and wearing
makeup to make the face appear like that of a cisgender woman. Feminine clothing and accessories can be used as well.
Tucking, the practice of hiding the
penis and
testicles so that they are not visible through tight clothing, can further contribute to passing as female. The most effective method of tucking involves pushing the testicles up into the
inguinal canal. Once this is done, the penis is pulled back between the legs and a tight pair of
panties, a
gaff, or another tight garment is then worn on top to hold everything in place. Tucking is often utilized when wearing more revealing clothing such as
leggings or
swimwear. For those who have not undergone or do not want to undergo
sex reassignment surgery, the penile crotch protrusion (sometimes known by the slang terms
moose knuckle or
bulge) can be a sign of their birth sex.
Hormone replacement therapy is a medical intervention that further contributes to a female appearance by causing more feminine body fat distribution, the development of breasts, and lower waist-hip ratio. For more permanent bodily changes cosmetic surgeries can be used.
Cosmetic surgery procedures often used by transgender women include
breast augmentation,
liposuction and
buttock augmentation, in addition to
facial feminization surgery (FFS). FFS is not necessarily one individual procedure, but often many different procedures performed at the same time. FFS includes many procedures a patient can choose, such as
rhinoplasty, brow lift, jaw reduction,
chin augmentation, cheek implantation and lip augmentation. Passing typically involves changes in the person’s voice as well. Cisgender women typically speak with an average
fundamental frequency of 165–255
Hz (E3–C4), while cisgender men typically speak in a fundamental frequency range of 85–155 Hz (F2–D3). In addition, the
timbre of a male voice is typically different from that of a female one. This is due to male puberty typically enlarging the
vocal cords,
larynx, and
sinus cavities. These changes are typically not reversible without
voice feminization surgery, such as
cricothyroid approximation or Wendler glottoplasty, as the changes of male puberty on the vocal tract cannot be undone with
feminizing hormone therapy. Many transgender women are successful at feminizing their voice through self-training or
transgender voice therapy.
Passing as male For
transgender men,
drag kings, or any person trying to pass as male, this may include binding the breasts to create a flat-chested appearance, getting a short haircut, taking on a more masculine demeanor, and wearing masculine clothing. This appearance is sought out in order to pass while wearing varied clothing styles, particularly more revealing clothing, to achieve the appearance of a crotch protrusion, sometimes called a
bulge. Packers are held in place with tight underwear, harnesses, or fabric pouches with Velcro to adhere to underwear. Other methods such as duct tape,
elastic bandages (such as "Ace" brand bandages), and plastic wrap are advised against due to their ability to restrict blood flow and breathing as well as damage skin. It is also advised to take days off from wearing a binder when possible, wear properly sized binders, avoid sleeping in binders, and avoid wearing binders for more than 8 hours per day.
Masculinizing hormone therapy can contribute to a more male presentation by creating a more masculine physique and lowering one's voice. Transgender men undergoing cross-sex hormone therapy develop a more masculine body fat distribution and reduced hip circumference. If this does not bring the voice into a passable speaking range,
transgender voice therapy and voice masculinizing surgery are available. ==History==