Gender-Affirming Surgeries

Planning to Post-op for Transgender and Gender-Nonconforming Adults

Adapted from the more comprehensive A Practical Reference for Transgender and Gender-Nonconforming Adults, this book guides the reader chronologically through the long, complicated, and often confusing surgery process.

Learn what major masculinizing and feminizing surgery options and techniques are available for you, as well as how to choose a surgeon, pay for surgery, get healthy before and heal better after.

Richly illustrated and written in clear, accessible language with deep medical accuracy and compassion, this book is a must-read before your own surgery. 

If you're a caregiver, partner or parent, it will give you confidence as an advocate. If you're a physician, ARNP or PA, or a mental health professional, you probably did not receive this training in medical school - and here's your chance to learn now.

Order your paperback copy now!

A Practical Reference for Transgender and Gender-Nonconforming Adults

“The kids have grown up, and they need a more detailed reference,” said Dr. Linda Gromko. The author picks up where her award-winning youth book leaves off, covering much of the same material but in far more detail. In her new 542-page book, A Practical Reference for Transgender & Gender-Nonconforming Adults, Dr. Gromko brings new information on gender-affirming surgeries, non-surgical enhancements to presentation, sexuality, hormones, reproductive planning, PTSD, and more.

“I found the best medical illustrations available to make the details of gender-affirming surgeries more understandable,” Gromko said. “Plus, I’ve included Greyson Simon’s Transgender Language Primer as an up-to-date glossary, and the gorgeous paintings of Seattle artist Jacqui Beck.”

The reference draws from Dr. Gromko’s twenty-plus years of experience working with her transgender and gender-non-conforming patients. Physician and surgeon colleagues and Gromko’s clients weigh in to enrich this full reference. “I learned so much in writing this book, I can practically guarantee that the reader will learn some new information, regardless of their experience level.”

A Practical Reference for Transgender & Gender-Nonconforming Adults is now available as an e-book ( and in Paperback. Audio and Hardback formats to follow. 
Click here to order your paperback copy

Where's MY Book?

A Practical Guide For Transgender and Gender-Nonconforming Youth,
Their Parents & Everyone Else

Linda Gromko MD is a Board Certified Family Physician who has worked with the transgender community for years. She explains the basics of gender identity, sexual orientation, puberty, puberty blockers, hormone treatments, and gender affirming surgeries. She shares years of her patients’ wisdom and practical information on getting through every day in the best way possible—from coming out to parents, to school issues, to coping with depression, to love and sex.

Why is this book important?

We know that transgender kids and their families need specialized information. Alarmingly, the suicide attempt rate among trans youth is close to half! This book is intended to give gender non-conforming kids some of the information they need to grow to be happy, productive, loving and loved. It’s intended to provide the information we need as parents, educators, and health care providers to do better with and for our kids.

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“A comfortably written guide that should prove to be a useful resource for anyone negotiating the complexities of a gender transition.”

Marci Bowers, MD, Surgeon, FACOG, Burlingame, California

“Honest, accurate, sensitive, and straightforward, Dr. Gromko’s advice and explanations are a breath of fresh air. ANYONE curious about this topic can benefit from her wisdom and clarity. Highly recommended!”

Jamison Green, PhD, author of Becoming a Visible Man & President of the World Professional Association for Transgender Health

“Frank, thorough, and thoughtfully written using language that is understandable to youth.”

Dan Metzger, MD, Clinical Professor Department of Endocrinology, University of British Columbia

Linda's Other Books

Let Me Go When the Banter Stops: A Doctor's Fight for the Love of Her Life

The true love story of Seattle physician, Dr. Linda Gromko, who finds love in midlife, only to discover that her future holds joyous new beginnings as well as the pain of letting go. Her book chronicles her burgeoning relationship with Steve Williams, and the challenges of family dynamics, and most significantly, Steve's declining health resulting from adult onset diabetes, high blood pressure, and kidney failure. Written from both a doctor's professional perspective and a caregiver’s personal point of view, this book presents a firsthand testament to overcoming adversity and meeting new challenges. Let Me Go When the Banter Stops is a powerful story of the unthinkable realities of disease and the unfathomable capacity of human endurance, bearing witness to the sustaining lessons that love reveals in the most unexpected of ways.

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Complications: A Doctor's
Love Story

Dr. Gromko's true story begins with the implausible inheritance she receives from a former patient. Completely unexpected, the windfall jolts her life, which is already out of balance with her professional demands. She reshuffles her life's priorities and finally gives into the need to seek a life partner once and for all. Browsing on the Internet, the Seattle doctor advertises "I'd like to meet a nice Democrat." and finds Steve, a businessman who is "gifted at banter, irreverently funny, and loyal as a beagle." While he brings joy, he also brings unforeseen complications into the doctor's life. For one thing, Steve has full custody of his nine-year-old daughter who greets the doctor with "I hate every centimeter of you - get used to it!" Then, there is the more serious issue of Steve's health. As a diabetic and high blood pressure patient, he falls rapidly into kidney failure. Without a transplant or dialysis, Steve will die within one to two weeks. Written from a doctor's perspective, the book takes the reader on a tumultuous course of medical and personal trials, as Dr. Gromko exerts the most powerful advocacy of her life.

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Arranging Your Life When Dialysis Comes Home:
"The Underwear Factor"

When Steve Williams' kidneys quit working in September 2007, he and his wife Dr. Linda Gromko had two choices: a kidney transplant or kidney dialysis (the kidney machine). There was, of course, the option of no treatment - but that would mean certain death for this husband and father of a teenage daughter. Steve and Linda eagerly embraced the technology of Home Dialysis, which could be done on their own time and on their own terms. But nothing could have prepared them for the onslaught of medical supplies that descended upon their home, making it seem more like a medical clinic or an ICU! Home Dialysis - while life saving - was taking over, consuming their lives and redefining their family as one tethered to illness. Fortunately, Interior Designer Jane McClure saved the day by creating a comfortable, manageable home center. This book will show you how to manage storage, design an easy-to-use space and reclaim as much of your “normal” life as you can!

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