Physical Therapy in Gender-Affirming Care:

Transgender Health



This 2-day interactive lecture-style live webinar course (offered via Zoom) is aimed at teaching physical therapists who already have skills in pelvic physical therapy how to expand those skills into working with people of all gender identities regarding medical or surgical aspects of transition. It would also be appropriate for any physical therapist who has an interest in better serving people who are gender diverse. There will be particular education regarding gender affirming genital surgeries as well as discussion of other gender affirming surgeries and medical interventions that people transitioning might choose.

Saturday, Day 1: 10:00am-6:30pm EST
Sunday, Day 2: 10:00am-6:30pm EST
Total: 15 Contact Hours

*Times may slightly change closer to the date

Virtual Webinar Format: Lectures and interactive activities. You need to participate live to receive credit for the course. The webinar session will not be recorded.

Course Eligibility & Prerequisites

You must be a Licensed Physical Therapist/Physiotherapist (PT), Physical Therapist Assistant (PTA), or Student Physical Therapist (SPT). You do not have to specialize in pelvic health physical therapy, all types of PTs, PTAs and SPTs are eligible to take this course. 


OCTOBER 3-4, 2020

Academy Member: $575
Non-Member: $650
SAVE $50 by registering before September 2, 2020!


Already registered for a course? Head on over to the Learning Center to access your pre-readings, course manual, discussion forums and your post-course final exam.

What others say

“Excellent practice of changing word choice (reducing gendered language) and increasing awareness of all variations of people.”

“I will end up making recovery of some simple orthopedic patients better, too.”

“It is powerful when you take a course and keep thinking about it for days afterwards. It was a great combination of didactic information, PT treatment focused activities, incredible talks and moving gender affirming videos.”

“My favorite part of the course was learning the language surrounding all variations for the transgender and non-binary individuals in healthcare I think we all could use more education with this respect.”

“I enjoyed the talks about surgical procedures..videos…photos…learning about the details on surgeries and post-op physical therapy.”

“I liked learning about actual surgical procedures I had no idea about and progression of great care.”

“Great resources and material in the manual, great to see the spectrum of gender and peoples experiences.”


Sandra Gallagher

PT, Board-Certified Women's Health Clinical Specialist

Portland, OR

Sandi specializes in caring for people with pelvic floor problems and pain during pregnancy. She has advanced training in evaluating conditions of the pelvic floor including bowel and bladder problems and pain. She sees women, men and children who have these problems. Sandi enjoys working with people and having the opportunity to teach them how to reduce their symptoms.

Active with the Academy of Pelvic Health Physical Therapy as CAPP-OB committee chair and teaching assistant, Sandi takes part in training therapists in the evaluation and treatment of pregnant patients and patient with pelvic floor dysfunction. She is the recipient of Volunteer of the Year award along with the six member committee of 2013 Section on Women’s Health (now Academy of Pelvic Health Physical Therapy). In her spare time, Sandi enjoys spending time with her family, bicycling, reading, and gardening.

Portland, OR

Caitlin specializes in pelvic health rehabilitation with a focus in transgender pelvic health and management of pain during pregnancy and postpartum. She enjoys working with individuals of all gender identities. Currently, 15-20% of patients on her caseload identify as transgender/nonbinary. Caitlin values active treatment approaches and teaching individuals ways to manage and improve their symptoms.

Caitlin is active with the Academy of Pelvic Health Physical Therapy as CAPP-OB teaching assistant. She is also a member of the World Professional Association for Transgender Health (WPATH). Caitlin and Sandi travelled to Argentina to present at the 2018 WPATH Symposium on Physical Therapy in People Undergoing Vaginoplasty. In Caitlin’s spare time, she enjoys climbing, mountaineering, cycling, and gardening.

Course Objectives

Upon completion of this course, participants will be able to:

1. Define sex, gender, and sexuality or sexual orientation

2. Learn open ended questions regarding relationship and sexual activity intake questions

3. Understand societal and legal aspects of gender transition

4. Describe hormone related issues for people during transition

5. Review suggested outcome measures with rehab focus for people undergoing gender affirming surgeries.

6. Describe the surgical procedures for orchiectomy, vaginoplasty, vulvoplasty, phalloplasty, metoidioplasty, and mastectomy and breast augmentation

7. Describe common musculoskeletal and pelvic floor issues to address prior to and after female-to-male gender affirming genital surgery. Metoidioplasty Phalloplasty, scrotoplasty, Vaginectomy, hysterectomy

8. Describe common musculoskeletal and pelvic floor issues to address prior to and after male-to-female gender affirming genital surgery. Orchiectomy, Vulvoplasty, Vaginoplasty.

9. Demonstrate knowledge of the varied vaginoplasty dilation protocols across the USA.

Pre-readings will be provided electronically to course participants for completion prior to the course. An electronic lecture manual will be provided in the online Learning Center along with the post-course final exam, survey and a Course Completion.  A printed lab manual will be provided on-site.

Topics covered will include:

  • Societal influence on gender transition including interactions with health care providers;
  • Recognizing difference between sex, sexuality, and gender;
  • Understand the complexities of the legal system for the person transitioning gender;
  • Tips and tools for a trauma informed intake and examination;
  • Health effects of hormones for gender transition as related to differential diagnosis in PT;
  • Supporting healing after gender affirming surgery;
  • Operative procedures for face and chest;
  • Operative procedures for masculinizing and feminizing genital surgery;
  • Pre-operative evaluation, treatment and education issues, post- operative evaluation, treatment, education and follow up for genital surgeries;
  • Outcome measures with rehab focus for people undergoing gender affirming surgeries and.
  • Fertility and pregnancy in transgender people

Foreign-Educated Physical Therapists

English Language Proficiency

If you are a foreign-educated physical therapist, you will need to pass the TOEFL(Test of English as a Foreign Language) and meet the score requirements. There are some exemptions to the TOEFL requirement for individuals who are exempt under the USCIS regulations. TOEFL scores must be reported directly to APHPT for the purposes of determining eligibility for course attendance. The minimum TOEFL scores we require are the following: Reading: 21; Listening: 18; Writing: 24; Speaking: 26.