
Gender-Affirming Care
Inclusive, specialized support for transgender and gender non-conforming patients
At Healthy Pelvis Physical Therapy, we provide individualized, affirming care for those experiencing pelvic floor dysfunction. Our team addresses both non-surgical practices (binding, tucking, packing) and post-surgical recovery with compassion and expertise.
We Treat
Pain from surgical scars
Discomfort or pain during vaginal penetration
Difficulty achieving penetration or orgasm
Urinary issues (urgency, frequency, hesitancy, incontinence)
Pelvic, chest, back, or shoulder pain
Causes
Surgical scarring
Neovaginal stenosis or depth reduction
Pudendal nerve pain
Granulation tissue complications
Pelvic floor dysfunction
Compression issues from binding or tucking
Lower extremity muscle dysfunction
Postural issues
Our Approach
Our pelvic floor therapists deliver respectful, evidence-based treatment to relieve pain and restore function. Care may include:
Guidance for safe binding, tucking, and packing to reduce strain
Scar tissue mobilization and healing support post-surgery
Gradual, comfortable facilitation of neovaginal penetration
Strategies to enhance sexual function and restore urinary health
Postural training and muscle rebalancing to ease daily discomfort
Therapy typically begins ~8 weeks post-surgery, adapted to each patient’s procedure and needs.
What to Expect
Comprehensive review of your medical history
Full-body and pelvic assessment of posture, alignment, muscle health, and strength
Optional internal exam conducted only with your consent, in a safe, supportive environment
Immediate manual therapy to provide early relief
Personalized care plan with progressive improvements—most patients notice changes within a few visits
Direct Access
No referral needed—California law gives you direct access to physical therapy. You can book with us anytime.
Insurance & Rates
We operate out-of-network to provide the highest quality care without restrictions.
PPO plans: Pay at the time of service; we’ll provide a superbill you can submit to your insurer for reimbursement (typically 30–90%).
HSA/FSA: Accepted.
HMO plans: These plans generally do not reimburse for out-of-network care, but many patients still choose to see us directly for the quality and flexibility of treatment.
💡 You can view our current rates anytime in the scheduling tool.