Meet Mariah
Mariah's story
Annual Trans Surgery Fund recipient
Mariah (she/her) has spent much of her life feeling like she’s on the outside looking in—held back by the deep insecurity and self-doubt that dysphoria has instilled in her. “I’d like to think that I’m so much more than my trans identity,” she shared, “but in reality, it is the most powerful asset that I have.” Facial feminization surgery isn’t just about physical changes for Mariah; it’s about stepping into her full self, without fear or hesitation.
Despite working part-time, Mariah’s financial situation has made saving for surgery impossible. As a part-time caretaker for her aging mother, much of her income goes toward rent and basic necessities. “At the end of the month, I’m usually in the negative,” she explained. “I haven’t had any savings in years.” While she has insurance, FFS is not covered, leaving her without a path forward.
This grant is an opportunity for Mariah to finally break free from the barriers that have kept her from living a full life. With a supportive employer, a chosen family ready to help her recover, and a determination to build a future where she feels confident and unstoppable, Mariah is ready to take this next step. “If I were more confident in what I present physically as a person, I’d be unstoppable,” she said. “And I want that for myself—and for others as well.”
Mariah's timeline
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Award Granted
February 28, 2025
Mariah was awarded a grant toward gender affirming surgery!
Grant details
$53,550 towards gender-affirming care.
Stream-a-Thon granteeDonate
Help us support more people like Mariah get the care they need and deserve.
About Facial Feminization Surgery
On average, it costs $32,000+ for Mariah's care.
- What is it?
- Before care
- Accessibility
- After care
What is it?
Facial Feminization Surgery (FFS) is a series of procedures aimed at altering facial features to create a more traditionally feminine appearance. This can include procedures such as forehead contouring, rhinoplasty (nose reshaping), chin and jaw contouring, lip augmentation, and various soft tissue procedures to feminize the overall facial structure. The exact procedures are customized to each individual’s desired outcome.
What is life like for a person who needs this care?
Trans femme folks often experience gender dysphoria related to facial features that are perceived as masculine. This can lead to discomfort, anxiety, and a sense of incongruence with one's gender identity. Importantly, for many trans women, access to FFS is a matter of safety and mitigating the chance they will be identified as trans in public and subjected to anti-trans discrimination or harassment.
How accessible is it for trans folks to receive this care?
FFS is often considered a cosmetic surgery and is therefore unlikely to be covered by insurance. The price for FFS can also vary widely depending on the number and complexity of the procedures performed. It can also be hard for trans femme folks to find affirming surgeons in their region, especially in states and regions most impacted by anti-trans healthcare legislation.
What is the impact of this care on the recipient’s life?
The recovery period for FFS is significant: it can take up to a year for features to fully heal. Most trans folks report greatly improved self-esteem, confidence, and sense of authenticity, which translates into greater opportunities in employment and more.