The prominence of the larynx, commonly known as the Adam’s apple, is often associated with masculine features. For some individuals, particularly those experiencing gender dysphoria, reducing its size can be an important step in their gender-affirming journey. Adam’s apple reduction, also called tracheal shave or chondrolaryngoplasty, addresses this concern by minimizing the size of the thyroid cartilage — the largest cartilage in the larynx and the primary contributor to the Adam’s apple’s prominence. This procedure not only reduces the visibility of the Adam’s apple but also enhances aesthetic harmony, aligning the neck’s appearance with the individual’s gender identity and overall sense of self.