This comprehensive, practical reference for gender-affirming healthcare accurately and compassionately answers your questions from hormones and feminizing and masculinizing surgeries to safety, mental health, relationships, and much more.

From the author of the renowned Where's MY Book? A Guide for Transgender and Gender Non-Conforming Youth, Their Parents, & Everyone Else comes an incredible resource for anyone who is transgender or gender-nonconforming-and their families, friends, and medical providers. Written by Linda Gromko, MD, a Seattle family doctor with decades of experience, A Practical Reference for Transgender and Gender-Nonconforming Adults answers the questions you always wanted to ask in clear, accessible language and with deep medical accuracy, sensitivity, and compassion. It discusses gender identity and dysphoria, hormone treatment, gender presentation and products, and surgeries for masculinization and feminization. The book also features practical tips on coming out, finding gender-affirming healthcare and counseling, traveling, changing documents, navigating sex and relationships, cultivating personal safety, dealing with family and children, treating depression and PTSD with trauma-informed therapy, pregnancy planning, and living a long, healthy life. Despite its huge scope, A Practical Reference is anything but boring or dry. Dr. Gromko also shares years of her patients' wisdom, humor, and practical information on getting through every day in the best way possible, along with advice and insight from top medical professionals. Precise diagrams and medical illustrations clearly define complex information, complemented by beautiful, colorful art by Jacquie Beck. In a world often hostile to the gender-nonconforming community, A Practical Reference provides a safe, reassuring space to explore ways to not only enrich-and literally save-lives, but also to make them the fullest, best-lived ones they can be.