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 for the high-quality, specialized care we provide.

  • Rates: You can view our current rates anytime in the scheduling tool.

Transition with confidence, supported by expert pelvic care—schedule your evaluation today.

Book Appointment
Call Us