Facial gender affirmation surgery is currently growing worldwide and is an important treatment for gender dysphoria that will improve quality of life. The most frequently sought modifications by transgender women are forehead and supraorbital ridge reduction, cheek augmentation, upper lip surgery (lip lift), laryngeal chondroplasty, jaw reduction, and rhinoplasty. Rhinoplasty for transgender women uses the same techniques as rhinoplasty for a cisgender patient. However, knowledge of transgender care is necessary and must be widely adapted to all health professionals. This article intends to explain the author's personal approach to feminization rhinoplasty.