For many people, breasts represent beauty and femininity. Breast augmentation is a surgical procedure that can be used to enhance the size, shape, or fullness of the breasts. This procedure has a number of important benefits for the trans woman. It can provide a greater sense of congruence between her inner and outer selves, enhance her confidence and self-esteem, and help her to “blend in” more effectively in society as a woman. For these reasons, breast augmentation is a vital step in the male-to-female transition.