While it is impossible to condense all information about sex, gender, and transgender and nonbinary history and general information into a single page, we wanted to do our best to provide a basic introduction on the topic to give you the necessary context to be able to understand surgical information on this website.
The Gender Confirmation Center (or, GCC) is a surgical practice dedicated to providing transgender and nonbinary people high-quality and affirming gender confirming surgical procedures, as well as support navigating the surgical process. We want it to be as easy for our patients as possible to be able to access these medically necessary and lifesaving procedures. The intention of our practice’s website is to allow anyone who is interested access to the most accurate and up-to-date surgical information, mainly focused on top surgery and gender-focused body contouring.
If you are just getting started on your path to learning more about what it means to be transgender and/or nonbinary and what medical interventions are available, we hope the information on this website will be useful to you. To start off, here are some terms that you should be familiar with:
Gender vs. Sex
While the terms after often used interchangeably, sex and gender have different meanings. Sex is the label “male” or “female” that people are given at birth based on genitals; sex, as it is defined, refers only to physical and physiologic characteristics. Gender is the social construct of sex; meaning, what we think being male or female, or any other gender, means.
While these are the basic and conventionally accepted defitions of sex and gender, it is important to recognize that these definitions are constantly shifting, and everyone may not agree that this is what sex or gender mean. Some people believe sex to be a permanent characteristic, however both sex and gender are both changeable, and not binary. Physical characteristics of sex, as well as how people express their gender, vary widely, whether these characteristics are what people are born with or a result of surgery, hormones, or another medical interventions
Nonbinary and other not-binary genders
Genders outside of the gender binary are not new. Many cultures are inclusive of gender expansive people, or people who have a gender that is not male or female. There are also many other genders aside from nonbinary – agender, genderqueer, Two-Spirit, etc. It may be helpful to think of gender as a spectrum, similar to a color wheel, with many, many different varieties. We encourage you not to try to understand all of the different genders if they do not resonate with you or are outside of your experience, but instead to put that effort into respecting people regardless of their gender.
Gender Dysphoria/Gender Incongruence
Gender dysphoria is a term that describes the negative feelings and distress some transgender and nonbinary people feel due to the mismatch between their gender and their body and other phsyical characteristics or expression, and/or how others treat them. This is a diagnostic term used in the DSM-5 (Diagnostic and Statistical Manual-5, which is a diagnostic tool for psychiatrists) that previously was referred to as “Gender Identity Disorder.”
The ICD-10 (International Classification of Diseases-10) still categorizes being transgender as a disorder, with two of the more common medical billing codes within it being “transsexualism” and “gender identity disorder of childhood.” The newer version, ICD-11, which will be in effect starting in 2022, has reclassified these labels as “gender incongruence,” as a way to depathologize transness – or, to make it clear that being transgender is not a disorder and the problem that needs to be treated is the experienced dissonance one has when their attributes do not allow them to recognize themselves or allow others to recognize them as their actual gender. The ICD-11 does not require the experience of distress or impairment as a precursor for someone to be classified as having “gender incongruence.”
This distinction is important. Not all transgender people experience distress as a result of being trans. While gender dysphoria is an important concept for many trans people as a way to describe their feelings, others may find the term pathologizing, and others may not experience it at all. It is best to mirror the words a trans person uses to describe their own experience, whether that be dysphoria, or incongruence, or something else.
Gender Confirmation Center Terms
Language changes so often, and we at GCC try to keep up as much as possible. We are moving toward de-gendering the terms we use to refer to surgical procedures in an effort to make our patients, regardless of their gender, feel affirmed and comfortable with the procedures they are pursuing. We also try to stay current with the latest terms, such as the movement from gender dysphoria to incongruence, so you will notice we often use both as a way to signify that movement but still use words that most people are familiar with in the current time. We hope to continue updating our website as language continues to evolve.
Here are some common terms you will come across on our website:
Everyone has pronouns. They are words used to replace someone’s name. Pronouns often have a gendered connotation, so it is important to use the pronouns someone desires rather than what you are assuming their pronouns are or what you think they should be based on the person’s presentation/name/etc.
Here are an example of some pronouns, though there are an infinite number of possibilities:
|he/him/his||He went to the movies. That is his popcorn. His favorite movie is playing.|
|she/her/hers||She went to the store. That is her wallet. Her car is still in the parking lot.|
|they/them/theirs||They are on the train. I told them which train to take. They have their ticket.|
|ze/hir/hirs||Ze is at school. Hir major is chemistry. That book is hirs.|
If you are not sure of someone’s pronouns, you can ask. A good way to ask someone’s pronouns is to introduce yourself with your own pronouns first. For example, “Hi, my name is John, and my pronouns are he/him. What about you?”
You should not assume someone’s pronouns based on the way they look or dress, on their name, vocal qualities, pronouns, or on anything else. While someone may look or act in a way which causes you to assume they use a certain set of pronouns, your assumption may be inaccurate. The best way to know you are using the correct pronouns for someone is to ask them.
If someone does not want to tell you their pronouns, that is okay. If they don’t want to tell you, or if you are not sure of someone’s pronouns and are not able to ask, you can use their name instead.
A way to normalize sharing pronouns is to put them in your email signature and to use them whenever you are introducing yourself. If you are leading a meeting or group, you can set a
standard for everyone sharing their name and pronouns at the beginning.
If you forget someone’s pronouns or use the wrong pronouns for them, you should apologize, thank them, and move on. For example, “I’m sorry for using the wrong pronouns, thank you for correcting me.” Making a big deal out of it, or making it about your own feelings and how terrible you feel, can make the other person feel uncomfortable and center your own emotions rather than theirs. It is best to not make a mistake at all, but if you do, correct yourself, move on, and try to not do it again.
Our office is happy to send you our GCC branded pronoun pins upon request. Please reach out to our office at firstname.lastname@example.org.
If you would like to learn more about pronouns, here are some additional resources:
What does it mean to “transition”?
Transitioning is the process of altering one’s presentation/expression and/or physical characteristics to affirm their gender. Transitioning is highly individual and means different things for everyone.
Different ways someone can socially transition include changing their name and/or pronouns, wearing different clothes, cutting and/or dyeing their hair, getting piercings or tattoos, etc. Some people will come out to everyone else in their life as trans/nonbinary, others will only come out to themselves or a select group of people or individuals.
Other aspects of social transition can include changing identity documents, such as a state ID, driver’s license, passport, social security card, birth certificate, etc. to reflect their actual gender and chosen name. Note that some documentation cannot be changed without documentation from a medical provider/and or certain types of medical interventions.
Medical transition includes hormones, surgeries, and other procedures that can change one’s physical characteristics like hair removal. Other modes of medical transition can include fertility preservation and speech therapy.
People of all genders are able to decide what modes of transition and gender affirming interventions are best for them. It is best to not assume what types of medical transition or interventions an individual will want. Not everyone wants/needs hormones or surgery. Some people only want one type of surgery, and some people want to access many different types of surgeries.
How do I know if I am transgender?
There is no one test that can tell you if you are transgender/nonbinary. No medical or mental health provider can tell you for sure or not. It can be helpful to think of being trans not as something you are or are not, but as something that can describe the way you experience and navigate the world. If you identify with the gender you were assigned at birth and do not feel like you want or need to change aspects of your outward presentation or your physical characteristics, then you are probably cisgender. If you want or need to change your pronouns, or get surgery to change aspects of your presentation that are related to your own gender or how others perceive your gender, then it is likely you are trans. This can fluctuate for some people; how one identifies may change throughout their life.
If you are unsure if social or medical modes of transition are right for you, it can be helpful to go to a support group (in person or virtual), talk to trans/nonbinary people who have transitioned in some way, or talk to a therapist experienced in helping transgender people to help clarify what may be helpful for you. Please see the resources section at the bottom of this page for more resources that may be helpful.
How to be supportive of a transgender person in your life
When you are unfamiliar with transgender/nonbinary people and are not involved in the community, it can feel confusing and difficult to figure out how to best support a trans person in your life, especially if they have newly come out.
Whether they are your child, partner, friend, colleague, etc., the best thing you can do to support the trans person or people in your life is to use their chosen name and pronouns, and not invalidate their identity. Even if you did not see any signs of this person being transgender before they came out, this does not mean they are not “actually” transgender. It is also important to note that, especially for young people, being trans is not a contagion or something that is a passing fad. Being around other trans people can introduce one to the fact that transness exists, and that it is an option, and if it fits one’s experience of the world, then it is something they will also identify with. Even if being trans does end up being a phase, or if it is lifelong, supporting someone who is trans is more effective and safe than trying to convince someone they are not trans or discourage them from exploring their gender. Research has shown supporting trans people can lessen the risk of suicide and other adverse mental health outcomes.
Here are some more tips and advice:
If you are struggling with your child/partner/friend/etc. coming out as or being transgender, you should pursue outside support rather than talking to them about all of your difficult feelings. Please see the resources section for support groups.
What the rest of the GCC website will cover
The Gender Confirmation Center (GCC) specializes in gender confirming surgery, which is a part of medical transition for some. GCC offers top surgeries (chest reconstruction and breast augmentation), facial gender confirming surgeries, and gender-focused body contouring. Our website has a vast array of information about the procedures we offer, including different types of techniques, preparing for and recovering from surgery, insurance navigation, and more.
We hope by exploring our website, you will gain important and helpful information regarding gender confirming surgeries.