Gender transition is a very private, personal, and individualized process. In general the first step is to explore your gender identity. This can include any combination of internal self-reflection, connecting with community and support groups, or working with a therapist who has expertise in gender identity issues. This process could take anywhere from months to years. Questions to explore include:
Am I transgender/gender non-binary?
What exactly is my gender identity?
How can I develop the needed coping skills, resilience, and social support to help me through transition and to cope with a world that can be biased against or even dangerous for transgender and gender non-binary people?
- Presenting in public part- or full-time in your identified gender, may include:
- Changing your wardrobe or hair style
- Packing (using a penile prosthesis to give a masculine genital contour)
- Tucking (placing the testes into the inguinal canal, held in place with tight underwear or a garment called a gaff, to give a feminine genital contour)
- Binding (using a tight chest garment to flatten breasts and give a masculine chest contour)
- Breast, hip, or buttock prostheses (inserts into clothing or bra to augment breast, hip, or buttock size)
- Coming out to spouse, partner(s), children, friends, family, classmates, coworkers, community members
- Changing your legal documents to reflect your chosen name, gender identity, and pronoun used
- Hormone therapy
- Chest, face, genital, or other gender affirming surgeries
- Hair removal (face, body, in some cases genital hair removal if preparing for surgery)
- Speech therapy
- Fertility preservation (sperm/egg storage)