Adam's Apple Augmentation
Adam's apple augmentation uses a piece of your own cartilage to create a visible Adam's apple and give your neck a more masculine contour. Dr. Jesús Lago operates at Clínica 3 de Mayo in Madrid and welcomes patients from the UK, Ireland and beyond.
- All-inclusive price
- €3,450
- Hospital stay
- Same-day discharge
- Recovery
- 1 week
How Adam's Apple Augmentation Works
We take a piece of cartilage from a rib, shape it, then insert it through a small incision between the chin and the neck. This means surgery on two areas: your ribs and your neck. We attach the graft to the thyroid cartilage, which forms the Adam's apple, so it moves up and down when you swallow, just like a natural one.
- Duration
- 2 h 30 min
- Approach
- Rib cartilage, incision in the neck
- Anesthesia
- Local
Our Complication Rates
We publish our complication rates by procedure and by specialty on a dedicated page, which we update regularly.
See our complication ratesOur Ethical Framework
We assess every request on its own merits: the need, the expected benefit weighed against the risks, your health, and how well you understand what cannot be reversed.
Read the ethical frameworkFrequently Asked Questions
The price of Adam's apple augmentation includes your preoperative assessment, the evaluation consultation, the operation under local anesthesia with same-day discharge, and follow-up appointments.
It's for trans men whose neck is still smooth even though hormone therapy has deepened their voice, and for anyone who would like a more prominent Adam's apple.
No, it isn't a requirement. Adam's apple augmentation complements the deeper voice that comes with hormone therapy, so in practice, people who ask for it are already on treatment by the time they come to see us.
A small, barely visible scar between the chin and the neck, where the graft is inserted.
From one of your ribs. We take cartilage from the rib, shape it, then insert it in your neck. That's why surgery involves two areas: the rib, where the cartilage is taken, and the neck, where it is placed.
Yes. We attach the graft to the thyroid cartilage, which forms the Adam's apple, so it moves up and down when you swallow, just as it does in a cis man.
Rarely. Adam's apple augmentation is mainly for trans men who want a more prominent Adam's apple. Trans women usually want the opposite, in which case Adam's apple reduction is the right procedure.
See Adam's apple reductionTraveling from Abroad for Surgery
If you are coming from abroad, we organize your stay in Madrid and handle your follow-up remotely.

The Medical Team
Dr. Jesús Lago, lead surgeon in practice since 2000, heads a team that has worked together for almost a decade at Clínica 3 de Mayo. All our doctors are fully qualified and registered with the Madrid College of Physicians (Colegio de Médicos de Madrid).

- Dr. Jesús LagoLead surgeon
- Dr. Iordan Minchev IordanovHead of anesthesia and team coordinator
- Dr. Werner Engel EspinosaAnesthesiologist
- Dr. Sara Vázquez AmigoCoordination and follow-up
- Dr. Álvaro Henríquez DaoAssistant surgeon
- Gonzalo Chorén PiermateiNurse
Our Centers
Clínica 3 de Mayo Hospital Fuensanta
Calle Arturo Soria 17, 28027 Madrid
Where your operation takes place. Operating rooms, inpatient ward, 24/7 emergency department, intensive care.
Consultations and follow-up
Clínica 3 de Mayo · Calle Apodaca 4, 28004 Madrid
Also at the Hospital Fuensanta outpatient clinic on Thursdays.
Clínica 3 de Mayo S.L. · CIF B83091363
Explore our centers



Book Your First Consultation
We'll get back to you within 24 hours on weekdays, then see you for your first consultation, by video call or in Madrid.