Facial feminization include some techniques aimed at modifying facial morphology in different areas and units. Due to different conditions, recently, procedures and techniques to obtain adequate results has increased. Changes in cervical morphology are not a priority for many people, however, there are a requirement in the transgender patient to obtain fine features in more specific areas of their feminization process. The objective of this article is to present some aspects of the techniques to optimize surgery and results of thyroid chondroplasty. It is concluded that there are sequential and systematic protocols for the development of the technique with a low level of complications.