
After the Transition—Reflections, Recovery, and Continuing the Journey
Home in Pennsylvania
In between the August and December surgeries, I arranged a fall semester of free voice lessons after researching three providers who all specialized in helping transgender people, especially trans women. Estradiol does not help raise your voice.

Surgery, Setbacks, and Strength—A Mother’s Role in Gender-Affirming Care
Surgeries in Arizona
We stayed in an Airbnb townhouse close to the surgeon’s office, surgical center, and local hospital. As planned, we had a rental car for 10 days and used an Uber from then on. Since I was not working and Caroline had recently attended her second college graduation, we were able to stay in town for all follow-up visits with the surgeon.

Fighting for Coverage—Navigating Insurance for Gender-Affirming Surgery
Medical Insurance
Part of trans advocacy for Caroline was pinning down her medical insurance coverage. I had to challenge her employer to reveal transgender surgeries covered by her policy (contract) by arranging a meeting with In-House Counsel and the Head of Benefits.

“Mom, I’m a Girl”—A Mother’s First Steps Toward Supporting Her Trans Daughter
“Mom, I’m a girl.”
One day, at the age of 23, my daughter sat me down and simply said: “Mom, I’m a girl.” Within a fraction of a second I replied: “Oh, what do we need to do about that?” She knew enough about the subject to say she needed to start by seeing a therapist.
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However, if you require financial assistance. we have options for you. First, not all of our therapists cost the same. Check the Team page for details. In addition, you can submit your expenses to insurance to get a portion of your fee refunded. Click below for a quick guide: