I would love to be at a point where—and obviously, we’ve taken this ki — Transgender

"While numerous surgical interventions can be considered GAS, the procedures have been broadly classified as breast and chest surgical procedures, facial and cosmetic interventions, and genital reconstructive surgery. Prior studies have shown that GAS is associated with improved quality of life, high rates of satisfaction, and a reduction in gender dysphoria. Furthermore, some studies have reported that GAS is associated with decreased depression and anxiety.8 Lastly, the procedures appear to be associated with acceptable morbidity and reasonable rates of perioperative complications."

"The preoccupation with transition and surgery objectifies trans people. And then we dont get to really deal with the real lived experiences. The reality of trans peoples lives is that so often we are targets of violence. We experience discrimination disproportionately to the rest of the community. Our unemployment rate is twice the national average; if you are a trans person of color, that rate is four times the national average. The homicide rate is highest among trans women. If we focus on transition, we dont actually get to talk about those things."

"Several studies demonstrate a decrease in sexual desire after initiation of estrogen and antiandrogen medications. Prevalence of low sexual desire ranged from 32% to 73%, but the percentage of those experiencing distress from low sexual desire or hypoactive sexual desire disorder (HSDD) was 22% in a study of 214 trans women after medical and surgical affirmation. This distress associated with low sexual desire is a key marker for HSDD, a diagnosis often paired with depression."

"Hope is part of the human condition and trans people’s hope is our proof that we are fully human. We are not an ‘issue’ to be debated and derided. We are symbols of hope for many non-trans people, too, who see in our lives the possibility of living more fully and freely. That is why some people hate us: they are frightened by the gleaming opulence of our freedom. Our existence enriches this world."

"Evidence suggests that less than 1% of transgender people who undergo gender-affirming surgery report regret. That proportion is even more striking when compared to the fact that 14.4% of the broader population reports regret after similar surgeries. For example, studies have found that between 5% and 14% of all women who receive mastectomies to reduce the risk of developing breast cancer say they regretted doing so. However, less than 1% of transgender men who receive the same procedure report regret. These statistics are based on reviews of existing studies that investigated regret among 7,928 transgender individuals who received gender-affirming surgeries. Although some of this prior research has been criticized for overlooking the fact that regret can sometimes take years to develop, it aligns with the growing body of studies that show positive health outcomes among transgender people who receive gender-affirming care."

"To be trans is an experience bound up with economic struggle. There cannot be one without the other."

"At one point a heated discussion arose over the possible interpretation of Lolita as a grandiose metaphor of the classic Europeans hopeless love for young, seductive, barbaric America. In his afterword to the novel Nabokov himself mentions this as the naive theory of one of the publishers who turned the book down. And although there cant be the slightest doubt that Nabokov did not mean to limit Lolita to that interpretation, there is no reason to exclude it as one of the novels many dimensions. The point, I felt, became obvious when one drew the line between Lolita as a delightfully frivolous story on the verge of pornography and Lolita as a literary masterpiece, the only convincing love story of our century."

"Lovely food, for rabbits, that is."

"One makes mistakes; that is life. But it is never a mistake to have loved."

"[explaining to Ernie how April apologized to him] She just showed up at the factory, took off her coat, and begged me to take her. We made love in a way that Ive only ever seen in nature films."

"Love is always love, come whence it may. A heart that beats at your approach, an eye that weeps when you go away are things so rare, so sweet, so precious that they must never be despised."

"He was obeyed, yet he inspired neither love nor fear, nor even respect. He inspired uneasiness. That was it! Uneasiness. Not a definite mistrust — just uneasiness — nothing more. You have no idea how effective such a... a... faculty can be. He had no genius for organizing, for initiative, or for order even. That was evident in such things as the deplorable state of the station. He had no learning, and no intelligence. His position had come to him — why? Perhaps because he was never ill . . . He had served three terms of three years out there . . . Because triumphant health in the general rout of constitutions is a kind of power in itself."