s.e. smith

Am I trans enough? It’s probably one of the most pervasive questions for trans and otherwise gender nonconforming people, and if you think you’re the first one to have had it cross your mind, I’m sorry to say that you’re not. Nearly every transgender person has experienced self-doubt, and for some, it is an ongoing struggle. The short answer to this question is: Yes. You are.

We’ve assembled a guide with some common issues that come up, and how to deal with them, in very broad terms. If you’re having difficulties, know that there are people out there who are ready and willing to help you, and often they’re a quick Google search away: if you’re struggling, you’re not alone, and you should reach out.

Dating and romance can be fraught spaces for anyone, regardless of their gender. But a common, specific fear we see among trans and otherwise gender-nonconforming users is that their gender identity means that no one will want to be their partner, that no one will ever find them attractive, or that it will limit their sexual orientation. Those fears can come from all sorts of places, be that messages from your family or the images of trans people you see on TV. Let’s pull those worries out into the light and take a closer look at them

While most cases of Zika virus are acquired via mosquito bites, this emerging virus can be transmitted sexually, and the CDC reports that the numbers of such cases are growing in subtropical regions of the Americas.

They call it “feminization surgery,” but that’s a bit of a misnomer. More accurately described, it tends to make the features of the face finer and more delicate, and people of any gender can have delicate features.

In vaginoplasty, which may require multiple surgeries, depending on the surgeon’s preference and your case, your existing genital tissue is creatively recycled into a vagina, set of labia, and a clitoris.

If you’re equipped with a clit and some labia and you’d like a penis (with or without testicles), you’re looking at either a phalloplasty or metoidioplasty. The procedures have different advantages and disadvantages that you’ll want to consider before making a decision.

In this procedure, the surgeon removes the testicles with or without the scrotum. This procedure stops the production of testosterone, which allows patients to adjust their doses of anti-androgens and estrogen.

If you’ve got a uterus and you don’t want one, you’ll be spending some personal time with a gynecological surgeon.

Fun fact: While top surgery is often described as a “mastectomy,” that’s actually usually inaccurate. Many surgeons perform a “subtotal mastectomy,” which involves removing most, but not all, of the breast tissue. This prevents a sunken or fallen appearance after surgery, and makes it look like you have a sweet set of pecs (if you aren’t already sporting them).