Facial feminization surgery encompasses a series of surgical techniques derived from Plastic and Craniomaxillofacial Surgery, the objective of which is to soften the facial features that are generally perceived as being more masculine. We present our experience with facial feminization surgery between January 2008 and December 2012, during which time we performed a total of 200 facial feminization surgeries, which included the following surgical procedures: frontonasal-orbital reconstructions with osteotomy of the anterior wall of the frontal sinus, chin recontouring procedures with and without osteotomy, jaw recontouring procedures, mandibular angle (gonion) remotion and thyroid cartilage reductions. In this lecture we describe the surgical techniques used and present the most important results obtained by our group using facial feminization surgery.