Part 1. Background: Patient History and Evaluation -- Chapter 1. Introduction to the Care of Trans Gender Persons -- Chapter 2. Medical Management for Transgender Patients -- Chapter 3. Strategies for Evaluating Patients' Readiness for Surgical Intervention - From a Psychiatric Perspective -- Chapter 4. Barriers to Care and Cultural Responsiveness in Trans and Gender Nonconforming Voice Modification -- Chapter 5. Patient Reported Outcomes & Data Collection in Treatment Seeking Transgender and Gender Nonconforming Individuals -- Part 2. Behavioral Interventions to Aid Transition -- Chapter 6. Applying Flow Phonation in Voice Care for Trans Women, Nonbinary, and Gender Nonconforming Individuals -- Chapter 7. Resonant Voice Care -- Chapter 8. Working with pitch in trans gender and gender nonconforming voice care -- Chapter 9. Nonverbal communication -- Chapter 10. The Singing Voice -- Chapter 11. Behavioral management for masculinization of voice and communication across the gender spectrum -- Part 3. Surgical Techniques to Aid Transition -- Chapter 12. Surgical Concepts in Trans Gender Voice Change -- Chapter 13. Cricothyroid approximation -- Chapter 14. Laser-Assisted Voice Augmentation (LAVA) -- Chapter 15. Laser Reduction Glottoplasty: Vocal Fold Reduction Surgery for Feminine Voice Quality in Transgender Women -- Chapter 16. Modified Wendler Glottoplasty: Endoscopic Bilateral Partial Cordectomy with Primary Closure -- Chapter 17. Feminization Laryngoplasty -- Chapter 18. Type III Thyroplasty - Voice Masculinization -- Chapter 19. Thyroid Cartilage Reduction.