The MtF Surgery Center specializes in male to female surgery, face feminization and body surgery. Individuals who wish to change their sex from male to female must have parental consent if under the age of 20 (Thailand residents), must undergo 12 months of continuous hormone therapy, and must be physically fit for surgery. Face feminization surgery alters the forehead, eyebrows, nose, cheekbones, jaw, chin, lips and Adam's apple to create a more acceptable female appearance in the face.