It seems like you're inquiring about Female to Male (FTM) surgery, also known as Female-to-Male Gender Affirmation Surgery or masculinizing surgery. This type of surgery is part of the gender transition process for transgender men or individuals assigned female at birth who identify as male. Here's a breakdown of what you're asking.
Gender dysphoria is the term used to describe the distress a person experiences due to a mismatch between their assigned gender at birth and their gender identity. Symptoms can vary widely but may include discomfort with one's body, depression, anxiety, or a strong desire to live as the gender they identify with.
Once diagnosed with gender dysphoria, the treatment plan is highly individualized and may include a combination of mental health counseling, hormone therapy (testosterone), and surgeries such as chest masculinization (top surgery) and genital reconstruction (bottom surgery). The decision to undergo surgery is often made in collaboration with a medical team, including mental health professionals and surgeons, and depends on factors such as the individual's overall health, readiness for surgery, and personal goals.
Diagnosis of gender dysphoria is typically done by mental health professionals, such as psychologists or psychiatrists, who specialize in gender identity issues. They assess an individual's experiences and feelings related to their gender identity through interviews and possibly psychological tests.