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To meet the learning needs of health care providers less familiar with gender\u2010affirming care, this article begins with an overview of gender identity concepts. Initiation and management of feminizing gender\u2010affirming hormone therapy is then covered in detail, including common gender\u2010affirming medications and their adverse effects, diagnostic criteria, psychosocial evaluation, initial physical examination and laboratory work, and recommendations for follow\u2010up visits and laboratory monitoring. Lastly, the article briefly reviews health care of transfeminine individuals before and after surgical gender\u2010affirming interventions and details best practices for transfeminine preventive care.<\/jats:p>","DOI":"10.1111\/jmwh.12957","type":"journal-article","created":{"date-parts":[[2019,4,8]],"date-time":"2019-04-08T11:25:49Z","timestamp":1554722749000},"page":"298-311","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["<scp>Midwifery Care for Transfeminine Individuals<\/scp>"],"prefix":"10.1111","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5463-4098","authenticated-orcid":false,"given":"Simon Adriane","family":"Ellis","sequence":"first","affiliation":[{"name":"Kaiser Permanente Washington  Seattle Washington"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lily","family":"Dalke","sequence":"additional","affiliation":[{"name":"Planned Parenthood of New York City  New York 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