diff --git a/public/gdb/treatment.md b/public/gdb/treatment.md
index bcce439..33c8338 100644
--- a/public/gdb/treatment.md
+++ b/public/gdb/treatment.md
@@ -74,11 +74,13 @@ An additional option for non-binary bottom surgery is genital nullification surg
   - Hysterectomy (removal of uterus and cervix)
   - Oophorectomy (removal of one or both ovaries)
   - Vaginectomy (removal of vaginal cavity)
-  - Metoidioplasty (a process which increases the size of the clitorus into a penis)
+  - Metoidioplasty (a process which turns the enlarged clitoris after hormone therapy into a penis)
   - Phalloplasty (construction of a penis from skin grafting)
   - Urethroplasty (extension of the urethral canal through the phallus)
   - Scrotoplasty (use of labia majora and false testicles to construct a scrotum).
 
+Phalloplasty does not necessarily require previous hormone therapy, and while it is common to perform vaginectomy, urethroplasty, and phalloplasty at the same time, some surgeons can perform phalloplasty without vaginectomy or phalloplasty without urethroplasty.  
+
 **Top Surgery** (modifications to the chest)
 
 - Feminizing:
@@ -87,7 +89,8 @@ An additional option for non-binary bottom surgery is genital nullification surg
 
 - Masculinizing:
 
-  - Bilateral Mastectomy (breast tissue removal) with chest reconstruction.
+  - Bilateral Mastectomy (breast tissue removal) with chest reconstruction
+  - Breast reduction (some fat and breast tissue removal)
 
 **Facial Feminization / Masculinization Surgery** (modifications to the skull, cartilage, and skin on the face).