Hormone replacement therapy (HRT) can be a life-changing part of gender-affirming care. For many transgender and gender-diverse individuals, hormones help align physical characteristics with gender identity, reduce gender dysphoria, and improve overall well-being. While most conversations about HRT focus on changes such as body composition, voice, hair growth, or fat distribution, there is another area of the body that deserves attention: the pelvic floor. At Bonneville Pelvi