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We're starting the process with Ting, who wants a vagina. The network of moms is supportive. Nicole is a junior in high school, planning surgery between junior and senior year. She's doing great.

Welcome to Just Naked. In this show, adults get naked so we can learn from them. Today, we have transgender guests who will answer questions about their bodies. Being transgender means feeling different from the gender you were assigned at birth. Some transgender people choose to have surgery, while others don't. They may still feel uncomfortable with certain body parts. After surgery, some transgender individuals feel euphoric and finally at peace with their bodies. It's important to remember that gender is not just male or female, there is a wide spectrum in between.

Speaker 1 had gynecomastia surgery because he was tired of worrying about what clothes to wear. During a follow-up appointment, he tells Dr. Duffer that one nipple seems to get more erect than the other and sticks out a little more. Dr. Duffer says that Speaker 1 looks really good and natural and that one side of his chest is firmer, possibly due to more scar tissue. Speaker 1 says he noticed tissue when he was 13 and it never went away with working out or dieting. He researched plastic surgeons and was nervous at first due to swelling, but the results were priceless. He doesn't have to obsess over what to wear anymore. Later, Speaker 1, who is Officer Sewell, offers the doctor and another person a ride to a gay bar. He then invites a cop to hang out with them later at the gay bar.

Chest reconstruction is a procedure that we perform to patients who identify as non binary or transmasculine or interested in, having their breast removed and to reconstruct a more masculine appearance of their chest. Most of the times it includes a mastectomy, which is the medical term to describe a removal of the breast tissue, but also, building a more masculine appearance to the chest, eliminating the inframammary fold and reconstructing the nipples in a more masculine position and appearance.

A politician introduces a video clip of a surgeon who identifies as the "queer surgeon" and performs gender affirming surgeries. The politician expresses concern over experimental and irreversible procedures being performed on children. In the clip, the surgeon states that 80% of their practice is gender affirming surgery, with a focus on genital surgeries like vaginoplasty and phalloplasty. They acknowledge an increase in adolescents seeking surgical intervention, which presents unique challenges, especially for those who have undergone puberty suppression. The surgeon admits that there is a lack of published research on genital surgeries for pubertally suppressed adolescents and that they are "just kind of learning and figuring out what works." They explain that puberty suppression affects the amount of tissue available for vaginoplasty, requiring alternative techniques like using peritoneum to line the vaginal canal. The surgeon notes that they will know more about the outcomes in 5-10 years and that it will be fascinating to see how these kids turn out. The politician then condemns these procedures as "barbarism" and "mutilation of children" that should be illegal. They claim that children lack the capacity to make such life-altering decisions and that sex is an immutable characteristic.

The speaker underwent a 7-hour procedure with complications, leading to pain and internal scar tissue. Despite efforts, the new organ was rejected by the body. The speaker criticizes the surgeon for misleading advice and advocates against early gender surgeries. The speaker expresses sympathy for others who have experienced similar situations.

I decided to have gynecomastia surgery because I was tired of worrying about my appearance. After the surgery, my chest is healing well, although one nipple is healing better than the other. I noticed some firmness on one side compared to the other, but overall, I look natural and feel great. I struggled with excess tissue since I was 13, and despite my efforts to work out and diet, it never went away. After researching surgeons, I took the plunge, and the results have been life-changing. I no longer obsess over what to wear, which has given me a sense of freedom. Later, we chatted with an officer while heading to a gay bar, and he gave us a warning but declined our invitation to join us.

Ryan shares their personal experience as a detransitioner, going from female to male and back to female again. They explain how they initially believed transitioning would make life better, but eventually realized they had made a mistake. Ryan discusses their lack of thorough questioning or guidance from healthcare professionals during their transition. They express their dislike for their voice and desire for voice feminization surgery, but acknowledge the financial barrier. Ryan also highlights the profit-driven nature of the transgender industry and the potential risks and negative outcomes of certain surgeries. They emphasize the importance of being aware of these issues and making informed decisions.

There is not one surgery that every transgender person wants. Many transgender people have no interest in having surgery. For other people, they undergo medical transition involving use of gender affirming hormone treatments. And for others, they may have one or more surgeries. They may have top surgery, which is surgery on the chest or breasts. They may have bottom surgery, surgery on the genitals. They may have facial feminization. Trans women may have a tracheal shave to reduce their Adam's apple. No two trans people have the same needs to resolve their gender dysphoria. So you can never make an assumption that any trans person wants any particular surgery or any surgery at all.

In this video, the first trans woman is competing in a competition, which is seen as an honor by the speaker. The speaker mentions having trans athlete friends who find inspiration in this woman's participation. The speaker has never met Heather Swanson, the trans athlete in question. When Heather Swanson joins the conversation, she expresses feeling free after identifying as a woman and being able to compete as female. She dismisses questions about her recent transition and confidently states her intention to defeat the other women in the competition, claiming to be the strongest woman the state has ever seen. No further comments are made.

Clementine, a detransitioner, shares her experience with another person also named Clementine. She began puberty blockers at 12, testosterone at 13, and had a double mastectomy at 14. Testosterone caused her to experience psychosis, so she stopped taking it around age 17. Now 20, she detransitioned earlier this year and is undergoing reconstructive surgery. She notes that getting approval for reconstructive surgery has been more difficult than getting the initial double mastectomy. She expresses disbelief that people question the experiences of detransitioners.

I'm Livo, and I underwent top surgery 9 months ago. Getting ready used to be a struggle for me due to dysphoria, often leading to meltdowns. However, things have changed now, and it has become my favorite part of the day. Top surgery has been my most significant act of self-care.

"The eligibility for getting gender affirming surgeries at Boston Children's Hospital is basically the same as it would be for most other hospitals or surgeons in The United States." "And that's the case because we all follow the World Professional Association for Transgender Health or WPATH standards of care." "For top surgery, you are requested, but not required to have been on gender affirming hormones for at least a year." "If you're a trans woman, it's really encouraged that you be on estrogen for at least a year because you want to maximize your natural breast growth." "Many surgical centers require you to be 18." "At Boston Children's Hospital for top surgeries, we'll see people as young as age 15 if they've been affirmed in their gender for a long period of time and don't really have any other life complications that make surgery inappropriate."

A man underwent gynecomastia surgery because he was tired of worrying about what clothes to wear. Post-surgery, he notes one nipple is healing better and gets more erect than the other. The doctor confirms one side of his chest is firmer, possibly due to more scar tissue, but states the results look natural and not overdone. The man says he noticed tissue growth around age 13 that wouldn't go away with diet or exercise. He researched surgeons and was initially nervous about swelling post-surgery. He says it took two weeks to return to his routine, excluding workouts, and the results were priceless, freeing him from obsessing over clothing. Separately, a man offers police officers an invitation to a gay bar. The officer declines but is told to inform any interested colleagues.

The speaker discusses the standards applied to children and the potential benefits of going on blockers. They mention that blockers can prevent the development of a deep voice, Adam's apple, and facial hair. The speaker shares their personal experience of spending $5,000 on facial hair removal and $25,000 on facial feminization surgery. They believe that blockers can prevent the need for such procedures and alleviate stress.

Binding is essentially when someone who's assigned female wears something on their chest to make it appear flatter. And a lot of my patients who identify as transgender male or non binary or male leaning like to do that. The top three tips I have for safe binding are to first make sure you're measuring correctly. And sometimes it might take the assistance of like a parent or a trusted friend to do it right. Second, making sure that you're buying not only the correct size for your chest measurements, but for your shoulder measurements too. Cause a lot of people make mistakes there. And then the third tip is definitely not wearing it for more than ten hours a day.

I'm incredibly grateful to be living in this time, where I can fully embrace my gender transition. From hormones to laser hair removal, Botox, lip injections, and hair lowering, I appreciate the opportunities available to me. I truly feel thankful to be alive now.

Michigan Medicine strives to be a safe, welcoming place for transgender individuals and to provide excellent health care regardless of gender. The goal of this video is to improve the comfort and competency of frontline staff in caring for transgender individuals. We will start by talking about gender identity, challenges the transgender community has faced in the health care system, and Michigan's policies regarding gender non-discrimination. The second half of this training is job specific. To discuss gender identity, it is important to understand the difference between sex and gender. Sex refers to one's reproductive organs, native hormones, and chromosomes, while gender identity refers to one's internal sense of gender, a person's basic sense of being a man or boy, a woman or girl, or another gender. Gender identity can be expressed by how individuals present themselves socially, including clothing, physical characteristics, speech, and mannerisms. All people, whether they are transgender or cisgender, meaning not transgender, have a gender identity and expression. Transgender is a term for individuals whose gender identity differs from the gender identity typically associated with their sex assigned at birth. There are many identities that fall under the umbrella of transgender. Transgender men, trans men, or trans masculine refer to people who are assigned female sex at birth but identify as men or masculine. Transgender women, trans women, or trans feminine refer to people who were assigned male sex at birth but identify as women or feminine. Other individuals may identify as genderqueer, agender, genderfluid, two spirited, bigender, or another identity that does not fit neatly into the categories of men or women. All major American medical societies, including the American Medical Association and American Psychological Association, endorse gender affirming care as the standard of care for transgender individuals. This means caring for people in a way that supports their gender transition and gender identity. Transgender people may undergo any one of a number of gender affirming medical interventions, including hormonal therapies like estrogen, testosterone, or hormone blockers, and surgical treatment to change body contours or genitalia. However, it is important to note that one does not have to undergo any medical or surgical treatment to be transgender. Some people are easily read as the gender they affirm while others are visibly gender non conforming or androgynous appearing.

This boy just had top surgery, and I want to share our journey. After the surgery, I was called to the Recovery Room. The surgeon was working on him, and there was a lot of blood coming from his scars. They informed me that they needed to take him back for more surgery because a blood vessel had popped. Unfortunately, we lost his right armpit hair during the process, but the left one remained untouched.

Speaker 0 confirms that the person is currently taking 6 milligrams of estrogen per day. Speaker 1 clarifies that they take it twice a day. Speaker 0 reviews the person's history and asks about the surgery they are seeking. They discuss the irreversible effects of estrogen therapy, such as breast development and shrinkage of the testicles. Speaker 0 mentions that hair growth and redistribution may be affected by estrogen. Speaker 1 mentions that they are not complaining about taking daily pills, but rather wondering if it accelerates the process. The conversation ends.

Breast augmentation for transfeminine patients is augmenting or increasing the volume of the breast tissue. And when we do that, we're trying to reconstruct a more feminine appearance to the chest. We typically do that with silicone implants that can either sit under the muscle or under the breast tissue itself. To the majority of the patients, they have this surgery several years after being on estrogen because estrogen itself can cause a building of breast tissue. It's very typical that we will need to increase the distance between the nipple to the fold underneath the breast and we are able to do that in the same procedure as well.

A man underwent gynecomastia surgery because he was tired of worrying about what clothes to wear. Post-surgery, he notes one nipple is healing better and gets more erect than the other. The doctor confirms one side of his chest is firmer, possibly due to more scar tissue, but says the results look natural and not overdone. The man says he noticed tissue growth at 13 that wouldn't go away with diet or exercise. He researched surgeons and was initially nervous about swelling post-surgery. Recovery took two weeks, excluding physical workouts, but the results were priceless, freeing him from obsessing over clothing. Separately, a man offers police officers an invitation to a gay bar. The officer declines but issues a warning. The man then repeats the invitation to other officers.