
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.

From Hormones to Coming Out—The First Steps of Medical and Social Transition
Physical and Social Transition Begins
One of the most difficult and frustrating tasks in 2017–18 was finding an endocrinologist who was willing to help Caroline with her 15-month pre-surgical hormone treatment following her decision not to save sperm. I searched her insurance network and called group practices of endocrinologists, one after another, and was told that not only did they not have anyone trained in transgender care, they had no one interested in coming up to speed to do so.

Pulling Back the Veil on Gender-Affirming Surgeries
A free seminar for clinicians on Gender-Affirming Surgery, how to support your clients, offer factual pros and cons, and conquer your own fears about counseling transgender clients properly.
Contact us
We do not take insurance.
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: