An Adam’s apple is perhaps the most obvious and recognizable aspect of male anatomy, and it can telegraph a disconnect between one’s physicality and one’s chosen gender. Therefore, the tracheal shave (or chondrolaryngoplasty, as it’s medical term) is among the most necessary component of successful facial feminization. The tracheal shave helps to reduce the unwanted cartilage in the Adam’s apple for a smoother, more elegant and attractive female neck.