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Even though Rose was still navigating things like hormone therapy, facial feminization surgery and her first sexual experiences while out, helping others through sharing was therapeutic.

Still, many procedures — hair transplants, facial feminization surgery and voice modification among them — are often still classified as “cosmetic” despite their role in treating gender dysphoria, regarded as a medical condition that results in severe distress because of a mismatch between gender identity and gender assigned at birth.

The bill also adds cosmetic procedures such as “facial feminization surgery” to the list of gender-transition treatments that public and private insurers are required to cover.

Rodriguez, at that time, was researching face trauma; to help Bluebond-Langner refine her own interests, he recommended Douglas Ousterhout’s “Facial Feminization Surgery.”

She found a doctor who had pioneered new techniques in facial feminization surgery to shave down her jaw, sculpt her nose and plump her lips.