Thank you

- I still try to improve my voice, but it mostly a matter of trying to not fall into vocal fry or getting rid of that old habit of forcing my voice too much.
The issues I had with the surgery were - I had a massive cough attack during wakeup - a friend coming with me told me I was blue in the face. So I blame this to having a longer recovery and less pitch gain than predicted. I started at about 135 Hz according to Dr Kim and my pitch after surgery was about 170-180 Hz. So at first I was a bit sad that it did not give me as much gain as I had hoped for. I did the vocal exercises, but apparently i did them wrong in some ways, I found this out only some months later when I made a video and sent it to Dr Kim, I got tipps then how to improve my exercises. The biggest struggle was to not get vocal fry - or buzzing or other roughness and hoarseness - I had a lot of this during the first 6 months and stimm some afterwards. Also because I was not so happy with the pitch gain, I kept using a higher pitch than I was supposed to and this strained my voice. At the same time I often used a lower pitch than I was supposed to, when I tried to not strain my voice - which also ended up straining my voice. So basically the biggest struggle was to find a pitch that is optimal for my new voice and to find a way of speaking that does not strain the voice. My mind was confused a bit - trying to go lower in pitch almost to pre OP pitches in an effort to relax - going higher in pitch to sound more feminine - but in the end the goal is to basically find access to your new voice. Now I usually have a pitch of about 180-200 and this seems to work best. It has become a lot easier now for me to go higher and I feel more confident to occasionally drop the pitch lower for short moments. Also I struggle less with the vocal break into head voice, something that was a major blockade for me after surgery, since that break is at about 240 Hz - so speaking at 190 Hz would inevitably mean I have to cross over that break for intonations and voice melody. But the exercises help a lot with that.
Sorry, if this sounds a bit confusing - if you have more specific questions, maybe I can answer them with less chaos