Guides

Practical things, explained plainly

Short guides for everyday parts of transition. This is general information, not medical advice. If something hurts or worries you, talk to a doctor.

Binding safely

Binding can make a big difference to how you feel. Doing it carefully protects your ribs, lungs and skin.

Use something made for it

  • Use a binder designed for chest binding, or kinesiology tape sold for binding (often called trans tape).
  • Never use elastic bandages, plastic wrap or duct tape. They tighten as you move and can restrict breathing, bruise ribs and damage skin.
  • Don’t wear two binders at once, or a binder over tape.

Get the right size

  • Measure yourself and follow the brand’s size chart. If you’re between sizes, go with the larger one.
  • A smaller binder doesn’t flatten more; it just squeezes harder. You should be able to take a deep breath.

Give your body breaks

  • Aim for no more than about 8 hours a day, and take it off when you can, even for a few minutes.
  • Never sleep in a binder.
  • Take days off when you’re at home or somewhere you feel comfortable.
  • For sport or hard exercise, take it off or switch to a looser option like a well-fitting sports top.

If you use tape

  • Do a small patch test on your skin 24 hours before taping your chest.
  • Don’t tape over broken, sunburnt or irritated skin, and cover your nipples with a small pad so tape doesn’t stick to them.
  • Take it off slowly with oil (baby oil or coconut oil), never by ripping. Follow the brand’s limit on how many days to wear it.

Take it off right away if you notice

Pain, trouble breathing, a racing heart, numbness or tingling, or skin that’s broken, blistered or very itchy. If symptoms don’t go away after you stop, see a doctor and tell them you bind; it helps them understand what’s going on.

Tucking safely

Tucking should never hurt. If it does, something needs to change.

Choose your method

  • A gaff, tucking underwear, or snug briefs work for many people and are the gentlest place to start.
  • If you use tape, use tape made for skin, never household tape. Trim or remove hair where it will stick, and remove it slowly with oil.
  • Be gentle. Never force anything into place, and stop if you feel pain.

Look after yourself

  • Take breaks during the day and don’t tuck while you sleep.
  • Don’t hold in pee for long because tucking makes bathroom trips harder. Drinking less to avoid them isn’t safe either.
  • Keep the area clean and dry, and let your skin rest if it gets red or irritated.
  • Burning when you pee, or needing to go much more often, can mean a urinary infection. See a doctor or pharmacist.

Untuck right away if you notice

Pain, numbness, swelling, or skin turning blue or very dark. Sudden, severe pain in a testicle is an emergency: go to an emergency department straight away, because it can mean the blood supply is twisted off and needs treatment within hours.

Getting ready for an appointment

Appointments can feel short and stressful. A bit of preparation helps you get what you came for.

Bring with you

  • A list of everything you take, including supplements and anything not prescribed.
  • Your recent blood test results, if you have them.
  • Notes on changes you’ve noticed, good or bad, with rough dates. Your dose history can help.
  • Someone you trust, if you’d like support. You’re allowed to bring them.

Questions you might ask

  • What changes should I expect, and roughly when?
  • How often will I need blood tests, and what are you checking?
  • Which side effects should I watch for, and when should I call you?
  • What should I do if I miss a dose?
  • Does this interact with anything else I take, or with things like smoking?
  • What are my options for preserving fertility before I start or change treatment?
  • Can my chosen name and pronouns be recorded in my file?

Afterwards

  • Write down what was decided while you still remember: any changes, your next blood test, and your next appointment.
  • If something wasn’t clear, it’s fine to call or message to ask again.

Updating your name everywhere

The legal process is different in every country, and we’re working on guides for specific places. Whatever the process is where you live, afterwards there’s a long list of places to update. Tick them off as you go; your progress is saved on this device.

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