45-year-old Lisa Scott started transition one year ago, and has had little support. She is about to have genital reassignment surgery and breast augmentation. Jackie Feakins, age 53, postponed transition until after her children graduated high school and she retired from her job as an air traffic controller. She has come to the hospital for male-to-female genital reassignment; two of her sons are with her.

• David Benjamin Steinberg
• Marci Bowers

• Marci Bowers