Gender Affirming Care Modalities of Gender Affirmation • Legal - Can include updating: Birth certificate, Social Security Card, Medical record, Driver's license/state or city ID • Social - Can include changing: Pronouns, Name, Clothing/style, Gender expression • Medical - Commonly used: GnRH antagonists, Estradiol, Testosterone, Finasteride, Spironolactone, Birth control • Surgical - Can include: Chest/breast reconstruction, augmentation, removal, Hysterectomy, orchiectomy, Vaginoplasty, Phalloplasty, Facial feminization #Gender #Affirming #Affirmation #TransHealth #Transgender #Pediatrics #management