Transgynecology provides care to maintain genital health and to remedy complaints and disorders irrespective of the individual’s gender. In this sense, Ob/Gyn practices are open to either transgender females after having had genital gender-affirmative surgery (and sometimes already prior to surgery for counseling and preparatory work-up), and for transgender males prior and after surgical procedures and of course for gender diverse persons.

The challenge of running an Ob/Gyn practice open to trans and gender diverse people is to overcome prejudices and stereotypes on the side of the gynecologist and staff, the cisgender patients visiting this practice, and fears on the side of trans and gender diverse people. Fears for respectless behavior and fears to expose a physical region heavily burdened with emotions and sometimes also burdened with shame. the first visit especially determines whether a trustful and supportive relationship can be established.

In daily Ob/Gyn practice dealing with transgender people, it is also of importance to anticipate the effects of gender-related wording, as it may lead to irritation and can negatively affect the patient–physician relationship.

This chapter focuses on the gynecological needs and what gynecology essentially means to transgender people. What needs meet gynecology?