A prominent “Adam’s Apple” is a secondary sex characteristic and is immediately interpreted as a masculine feature so it is not surprising that transwomen feel very embarrassed by a visible laryngeal eminence ( Adam’s Apple).

This is a frontal view of the thyroid cartilage which houses and protects the vocal cords. The thyroid cartilage has a prominence which is usually referred to as the “Adam’s Apple” and is larger in the female. The anatomical term for this is the laryngeal eminence.

This lateral view of the thyroid cartilage demonstrates the laryngeal eminence, which can be reduced in size through a small 2-centimetre skin incision, taking care not to damage the vocal cords.

Tracheal shave can be carried out with a local anaesthetic with or without sedation or with a general anaesthetic.