Hoarseness may result from overuse / misuse of the voice, infection on the vocal cord, or any accident caused by malfunctioning of the vocal cords and larynx, consequently a thorough examination is required for accurate diagnosis and treatment

Laryngoplasty Advancement in medical science with up-to-date technologies has enable the performance of surgery for correcting low and deep voice pitch to be high and sharp including the reduction of protruding Adam's apple in one surgery. This is to add feminine characteristics to MTF transsexual and to correct high voice frequency of female transsexual into a man's voice to fit herself in the society of her voice.

Correct Low Voice Pitch
(From Male to Female and Female to Male Voice)
-	For patient with very deep and low voice who wishes to raise their
	voice frequency to be sharp and high. (Common in MTF transsexual)
	and high voice pitch change to reduce voice frequency like a man's
	voice (Common in FTM transsexual).
-	The surgery is approximately 3-4 hours. Under general anesthesia.
-	There will be a small scar of about 3-4 cm. caused by the incision on
	the Adam's apple. Stitches will be removed after 1 week and the
	wound will heal in time.
-	The patient will stay in the hospital for 2 nights for observation.
Correct Hoarseness of voice - For patient with hoarse voice as a   result of muscle's dysfunction on   the vocal cord or the dysfunction   of the vocal cord itself or   paralyzed nerve. - The patient will be under general   anesthesia, inserting a   laryngoscope through the mouth   access the vocal cord does the   procedure. - The surgery leaves no external   scar. - The patient will stay in the hospital   for 1 night.         Pre operative care - A thorough examination of the
	vocal and larynx is done to check the voice frequency, structure
	and shape of the vocal cord and larynx , and vibration of vocal cord
	before the surgery.
-	Common cold and coughing should be treated first.
-	Fasting for 6 hours is required before the surgery.
-	Inform take doctor all medications or over the counter you currently
	take and if you are smoking. As some medicines and smoking will
	affect the healing of the wound.
Post - operative care
	Patients will stay in the hospital for 2 nights under the close
	supervision of the surgeon, along with the instructions on the post -
	operative care to be strictly followed:
1.	After the surgery the patient is not allowed to talk for 2 weeks. Any
	communication must be done through writing or sign language to
	expedite recovery or healing of the wound.
2.	No coughing or heavy expectorate to avoid swelling of the vocal
	cord.
3.	NO hard or crispy food that may irritate or stimulate coughing.
4.	You may start eating soft diet and take hormones (if any) in the
	morning after surgery.
5.	Come back for allow up check or as instructed by your doctor for
	removal of stitches (if any), and for an examination of the vocal cord
	along with voice therapy.