Understanding the gender spectrum -- Historical background -- Establishing a TGNC-friendly clinic -- Advocacy -- Letter writing -- The gender dysphoria diagnosis -- Gender-affirming mental health -- Transitions and detransitions -- Families -- Plurality -- Sexuality -- Primary care -- Transmasculine hormones -- Transfeminine hormones -- Transmasculine top surgery -- Transfeminine top surgery -- Transmasculine bottom surgery -- Transfeminine bottom surgery -- Other gender-affirming procedures.