There are two main types of top surgery for FTMs: keyhole or double incision. You can find some examples of the different types here.
Quebec fully covers the cost of most surgeries, including phalloplasty, metoidioplasty, vaginoplasty, double mastectomy (DI), and hysterectomies.
Requirements for funding are:
-Two letters of reference from a psychiatrist, psychologist, therapist, etc., one of whom you need to see for at least 6 months, and the other playing an “evaluative role”
-One letter from a doctor (endocrinologist/family doctor) prescribing hormones (not required for double mastectomy)
-One letter from a family doctor indicating good health
You can usually ask your main therapist for a referral to a second professional. If they have no suggestions, I have heard that Marjolaine Dionne, a sexologist, will act as a second.
You can find more info about accessing surgeries in Quebec here.
The surgeon who performs top surgeries in QC is Dr Brassard. It’s actually his fellow surgeon, Dr Belanger, who does most of the top surgeries now I believe.
Many people opt to travel to different surgeons, paying out of their own pocket for results that are often better. This is just my personal preference, I know a few guys who have had surgery with Dr Belanger and liked the results, and I know others who are quite unhappy with them. One surgeon who performs great keyhole procedures is Dr Medalie, or Dr McLean in Toronto.
When it comes to double incision, I know several guys (including myself) who have gone to see Dr Garramone in Florida. It’s costly but it’s worth the investment in my opinion, and you can always stay at New Beginnings Retreat which is great.