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Transgender Patients: Pelvic Health and Orthopedic Considerations - Remote Course - October 30, 2021

Pacific Time 8:00am - 5:30pm

  • Description

  • Schedule

  • Objectives

  • Remote Course Info

  • Instructors

  • Discounts

Price: $500
Beginner: Beginner
Contact Hours: 17.0

This 17-hour hybrid course is appropriate for any physical rehabilitation professional,regardless of their specialty area,who has interest in better serving the people who are gender diverse.There is specific content aimed at teaching pelvic health therapist how to expand their skills for working with people of all gender identities. 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.

Often times therapist think of genital surgeries and sexual function when contemplating work with transgender people.Therapist have far more to offer transgender patients. For providing optimal care, knowledge of the intricacies of gender transition is essential.We provide that overviewin this course.Topics covered 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 rehabilitation;

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;

Fertility and pregnancy in gender diverse people.


Recorded video lectures to be viewed in-full prior to the course (Total video lecture time: 9 hours)

  1. Understanding a Minority Population in the Context Of Healthcare Access and Life Challenges (45 Minutes)
  2. Sex, Sexuality, And Gender Identities (30 Minutes)
  3. Legal considerations (30 Minutes)
  4. Communication Strategies (60 Minutes)
  5. Appearance Practices in Gender Transition (30 Minutes)
  6. Hormones for Medical Transition of Gender (60 Minutes)
  7. Gender Examination Considerations: Differential Diagnosis (60 Minutes)
  8. Physical Therapy Considerations for Treating Pain in TGNB People including bowel (60 Minutes)
  9. Supporting Tissue Healing (60 Minutes)
  10. Gender affirming appearance surgeries (45 Minutes)
  11. Reproductive and obstetric considerations to transgender health (60 Minutes)

Live Course Schedule (Pacific Time):
8:00 Questions and review from pre-recorded sessions
8:45 Communication Strategies
9:45 Improving shoulder and rib cage mobility in the context of binding and chest surgery and trauma informed care.
10:30 Break
10:45 Masculinizing surgical transition of gender: pelvic surgery
11:30 Feminizing surgical transition of gender: pelvic surgery
12:00 Rehabilitation considerations for Pre-operative gender affirming genital surgery
1:00 Lunch
2:00 Rehabilitation for Vaginoplasty
3:00 Rehabilitation for Phalloplasty
4:00 Break
4:15 Reproductive and Obstetrical Considerations for Transgender Patients
5:15 Closing remarks
5:30 Adjourn

At the end of the course, participants will be able to:

1. Define sex, gender, and sexuality

2. Understand societal and legal aspects of gender transition

3. Describe hormone related issues for people during transition

4. Select outcome measures with rehab focus for people undergoing gender affirming surgeries.

5. Describe the surgical procedures fororchiectomy, vaginoplasty, vulvoplasty, phalloplasty, metoidioplasty, reduction mammoplasty, and breast augmentation

6. Describe common musculoskeletal and pelvic floor issues to address before and after female-to-male gender affirming genital surgery. Metoidioplasty Phalloplasty, scrotoplasty.

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

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


Attending a remote course is easy and safe, and you can do it entirely from the security and comfort of your own home or clinic without having to find a lab partner.


Important thing to note:

- Our policy for applying for continuing education credit for remote courses differs from that of our in-person and satellite lab courses. Read the specific language of the policy here. Depending on the state in which you practice, you may need to submit your own application to your state board or approving body should you wish that it be approved for continuing education credit in your state.

- To attend a remote Herman & Wallace course, registrants will need Zoom video conferencing software. This is a requirement. One can create an account and download the software to their computer at https://zoom.us/

- We use the Pacific Time Zone for all of our remote course start and end times (this is not the case for in-person and satellite lab locations). Please make a note of this and set your calendar accordingly.

- A Zoom account is free to create. Before the meeting, we recommend having a practice Zoom session with a friend or colleague so you can test your microphone, video, and internet connection. You can participate in any remote course from the comfort of your home, but will need a stable internet connection in order to participate. We recommend downloading the software and practicing a call with a friend or colleague prior to your course with us. Zoom also offers video tutorials on their website at https://support.zoom.us/hc/en-us/articles/206618765-Zoom-Video-Tutorials.

- Still have questions about Remote Courses? Check out our Frequently Asked Questions on Remote Courses

Sandra Gallagher


Sandi is a pelvic health physical therapist in Portland OR. Her practice includes providing evaluation and treatment of pelvic health conditions in adults and children of all gender identities. Dr.Gallagher received her primary physical therapy training in 1986 with a BS in Physical therapy from the University of Lowell in Massachusetts. She has pursued varied continuing education from manual therapy, Feldenkrais, biophysical agents, pelvic health, pregnancy.She completed her Doctorate of Physical Therapy in June 2020. She has served on varied committees and boards at the state and national level , most recently has the chair of the CAPP-OBC ommittee for the Academy of Pelvic Health of the APTA. She has presented on the role of PT in gender affirming vaginoplasty at UCSF Transgender Health Summit, APTA Combined Sections Meeting, and at the 2018 international meeting of the World Professional Association for Transgender Health (WPATH). She is the recipient of the 2020 Elizabeth Noble Award from the Academy of Pelvic Health.

Caitlin Smigelski

Cat Smigelski

Caitlin is a pelvic floor physical therapist in Portland, OR. She focuses in the treatment of bowel and bladder dysfunction and complex pelvic pain. Caitlin specializes in transgender health and treatment of patients who are pregnant or postpartum. 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 and serves on the CAPP-OB committee. She is also a member of the World Professional Association for Transgender Health (WPATH). Caitlin and Sandi traveled 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, and gardening.

Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.

Multi-Course Discount

This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.

Group Discount

This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.

Student Discount

This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.


To get this discount when checking out online, use the code Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

First-Time Registrant Discount

This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).

To apply this discount, please use the code FirstTimer2020 during check out. (H&W will check records to verify past attendance.)

Referral Credit/Discount

Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:

1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.

A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".

Guest Blogger Credit/Discount

Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".