Pelvic Health Therapists can have a central role preparing patients for surgery and for improving patient outcomes. When You’re Expecting a Vagina models a collaborative approach to health care where information is delivered with humor, love, and Queer Joy. The book takes the reader through the journey of a transgender woman preparing for and recovering from Gender-Affirming Vaginoplasty through the physical therapy lens. This guide is for medical professionals, people without medical training who care about transgender health, and those considering Vaginoplasty looking to gain a better understanding about why so many people are referred to pelvic floor physical therapy prior to Gender-Affirming Surgeries.