I had some hoarseness after 9 months still. I still get it sometimes now if I talk too much. Some said they had it after a year and it was still improving in the second year. Part of the hoarseness, the severe part, is from swelling and inflammation. When that goes away there still can be hoarseness as if one has a bit of a cold, but that is often from not using the voice properly. This has to be "trained out" then, by using proper breathing technique, changed speaking technique and habits, using female resonance and phonation pattern, etc. A voice therapist can help with those. Another issue seems to be what Dr Kim calls "vocal tremors" - its when muscles in the larynx pull in the wrong direction at the vocal folds. I personally believe this is in my case happening because I have used these muscles for years to feminize my voice and now they have to learn to just shut up 😛 - and this takes a bit longer for me because the pre OP time with having a feminized voice was almost 2 decades.
