Developed in the United States in the 1980s, facial feminization surgery (FFS) is a set of bone and soft tissue reconstructive surgical procedures intended to feminize the faces of trans- women. While facial surgery was once considered auxiliary to genital surgery, many people now find that these procedures confer distinct benefits according to the different models of sex and gender in which they intervene. Surgeons advertise that FFS not only improves a trans- woman's appearance; it allows her to be recognized as a woman by those who see her. In The Look of a Woman Eric Plemons foregrounds the narratives of FFS patients and their surgeons as they move from consultation and the operating room to postsurgery recovery. He shows how the increasing popularity of FFS represents a shift away from genital-based conceptions of trans- selfhood in ways that mirror the evolving views of what is considered to be good trans- medicine. Outlining how conflicting models of trans- therapeutics play out in practice, Plemons demonstrates how FFS is changing the project of surgical sex reassignment by reconfiguring the kind of sex that surgery aims to change.

Trans* surgery has been an object of fantasy, derision, refusal, and triumph. Contributors to this issue explore the vital and contested place of surgical intervention in the making of trans* bodies, theories, and practices. For decades, clinicians considered a desire for reconstructive genital surgery to be the linchpin of the transsexual diagnosis. In the 1990s, new histories of trans* clinical practice challenged the institutional claim that transsexuals all wanted genital surgery, and trans* authors began to argue for their surgically altered bodies as sites of power rather than capitulation. Subsequent contestations of the medico-surgical framework helped mark the emergence of “transgender” as an alternative, more inclusive term for gender nonconforming subjects who were sometimes less concerned with surgical intervention. Contributors move beyond medical issue to engage “the surgical” in its many forms, exploring how trans* surgery has been construed and presented across different discursive forms and how these representations of trans* surgeries have helped and/or limited understanding of trans* identities and bodies and shaped the evolution of trans* politics.

Contributors. Paisley Currah, Joshua Franklin, Cressida J. Heyes, Julia Horncastle, Riki Lane, J.R. Latham, Sandra Mesics, Eric Plemons, Katherine Rachlin, Chris Straayer, Susan Stryker