The article focuses on the experiences of trans women in Germany who are navigating the process of gender-affirming surgeries, an often lengthy and emotionally taxing journey. Nick Spindler, head of plastic surgery in Bad Soden, elaborates on the significance of these surgeries for the patients. Many have dealt with long periods of suffering and identity confusion, particularly during their adolescence. Eventually, these individuals begin to embrace their experienced gender, although outwardly expressing this may initially be difficult. Most patients have already undergone an 'outing' process, have lived in their recognized gender for some time, and have sought psychological support as part of their transition.