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Drawing from observations of clinical appointments and routine bureaucratic practice, as well as debriefing interviews with transgender and gender\u2010expansive patients, this article applies Laura Bear's theory of \u201ctime\u2010maps\u201d and a new materialist approach to bodily agency that recognizes the variability of the body's responses to gender\u2010affirming health care. This evidence demonstrates how health care staff and patients\u2019 labor practices structured patients\u2019 abilities to embody their plans for medical transition. Anticipating the varied trajectories bodies take during medical transition can interrupt the reproduction of harmful cultural assumptions about sex difference in U.S. health care bureaucracy.<\/jats:p>","DOI":"10.1111\/maq.12661","type":"journal-article","created":{"date-parts":[[2021,7,22]],"date-time":"2021-07-22T04:12:50Z","timestamp":1626927170000},"page":"402-417","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["\u201cI Could See Little Bits of How I Progressed\u201d: Coordinating Rhythms in a Midwest Gender\u2010affirming Health Clinic"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5751-5422","authenticated-orcid":false,"given":"AM","family":"Racila","sequence":"first","affiliation":[{"name":"Department of Internal Medicine University of Iowa Carver College of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,7,22]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/maq.12500"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-9566.1983.tb00268.x"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1215\/10642684-2843239"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/1467-9655.12091"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-anthro-102313-030159"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1525\/maq.2004.18.2.258"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-6210.2012.02657.x"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1525\/9780520960763"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/aman.12680"},{"volume-title":"The Medical Care of Transgender Persons","year":"2015","author":"Cavanaugh T.","key":"e_1_2_13_11_1"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.2307\/1519765"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/15532739.2011.700873"},{"key":"e_1_2_13_14_1","article-title":"The Iowa Supreme Court Struck down the State Medicaid Ban on Transgender Surgeries. 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