Reflections on Top Surgery, Part 3 : Post Surgery

Gender affirming chest masculinization “top surgery” is one of the major defining moments for trans men. But getting from your existing chest to the one you want to have can be overwhelming from both the information overload and emotional point of view. Having had surgery 3 years ago, I wanted to share my thoughts on surgery in case it may help someone else in the same position. I’ve created a 3 part series on surgery : Pre-surgery, surgery itself, and post- surgery.

This will be mainly from my personal experience as a mostly binary trans man, but could easily be applied to non-binary/GNC people.

If you haven’t read Part 1: Pre-surgery and Part 2: Surgery, start there. To recap: I had a phone consultation with a privately funded top surgeon in Ontario, who gave me a surgery date 6 weeks later. I had my surgery, had my bandages removed, but still had to wear a compressive binder for a couple more weeks.

Initial recovery

Right after the disaster of visiting the clinic for the last time, we went to a nearby mall for some fast food self care. I went into the food court bathroom which was the first public washroom since surgery and I automatically felt 100 times safer. I felt like I belonged. I didn’t feel like an imposter that everyone would automatically clock and tell me that I was in the wrong bathroom. This bathroom euphoria wouldn’t last (more on this in a future post and other bathroom shenanigans here) but for now it was an amazing experience and I couldn’t wait to use another public bathroom!

Our flight home was uneventful. I was nervously waiting for a security officer to ask why I was walking so stiffly, or wonder why I was covered in bandages but nothing happened.

Once home I had another week off before returning to work, but my energy levels did not bounce back as quickly as I had hoped. I ended up taking an additional week off.

In those couple of weeks after surgery I was mostly numb across my whole chest and down my sides. Showering was weird since I could feel the water near my neck and on my belly, but not in between. I was also getting weird prickly sensations across my chest and I would itch but it didn’t help at all. Meaghan Ray said it was my nerves starting to boot back up, so I rubbed a rough cloth across my chest to help my skin remember what sensation was all about and stop freaking out which seemed to help. This technique is called desensitization. Leave a comment or send us an email for more info.

I wore the binder all day and night, and applied polysporin to my incisions and nipples. Slowly they closed up and started healing with more normal skin tones. There was a point in healing where the scabs on my nipples started coming off in small pieces, and since the healed skin underneath was so much lighter, it looked like my nipples had fallen off entirely! It was terrifying until more of the scabs came off and I could see that my nipple was still intact.

Getting back to normal life

When I returned to work after being gone for 3 weeks, people were happy to see me, but for them not much had changed. It was like I had gone for a vacation and come back. It was very frustrating because I had spent a bunch of money to have body parts removed in order to “pass” and meet society’s expectations of what I should look like, but people still couldn’t use the proper pronouns. It felt like I had a big incision and T-rex arms for nothing. My euphoria and confidence slowly drained.

Once I stopped wearing the binder and started feeling the shirt directly against my skin, my confidence began to return. I didn’t care as much about being misgendered because I could feel how flat I was and it was awesome.

I wanted to minimize scarring so I massaged my scars with oil at least once a day for several months. I also didn’t raise my arms above shoulder height for 6+ months which made getting back to working out consistently a struggle. Everyone heals differently so it’s hard to tell if it made any difference but protecting my scars was the thing I had control over and it feels like I did the right thing for me.

Post op Depression

One experience specific to top surgery is having to keep your elbows at your sides for months which limits your use of your arms and therefore your independence. I was a bit angsty with how weak and dependent I was and I am prone to depression so the first couple weeks were a bit rough for me. But having the support of Meaghan Ray and seeing how excited they were for me helped me find that excitement for myself.

Many people experience post-op depression after top surgery. If you google “post op depression” the autofill option for “after top surgery” is only 4 options below. It happens after many surgeries due to some metabolic and physiological reasons as well as having time to yourself while you recover to ponder your life choices. It can especially happen after top surgery or other gender confirmation surgeries because there is usually a long buildup from when you are starting to wonder if you are trans, to finally getting a result in the mirror you are looking for, usually years later. You are looking forward to having the surgery completed, but then there is physical recovery, there is pain, maybe there are complications which feels like it robs you of the excitement you were expecting. And now that the surgery is completed, there is a sense of not having something to look forward to anymore.

Another aspect is that while your brain is telling you what you want, the actual experience of being unconscious for 2 hours and having something removed that you were carrying for 15+ years, makes part of your brain go haywire. Something is suddenly no longer there. And while you were mentally picturing what it would look and feel like, you didn’t know exactly what that would be like. So there is an adjustment period while your brain catches up. And having to wait while your brain straightens itself out makes you doubt that you have made the right decision.

While I definitely experienced all these types of thoughts, they didn’t cause a spiral into depression which I am grateful for.

Where I’m at now, 3 years later

I am still a little self conscious when taking off my shirt around others. 31 years of social training will take a little while to fight against. I have gone swimming in pools and the ocean with no shirt which was empowering. Looking down while showering is great. Doing skin to skin contact on my chest with my newborn kid was thrilling.

Once I did get back to working out and doing other activity, not having the wobble of my chest was amazing. One of the first things I noticed after that wobble was gone was the jiggle from my belly! It was a weird sensation but I quickly adjusted.

Every once in a while after I wake up in the morning my brain will remind me to grab a bra from my dresser, but then I laugh to myself when I go to open the drawer. T-shirts and button up shirts fit so much better now.

There was a point where I was wondering if I wanted a revision for what we affectionately call “the crinkle” in the middle of my chest between my scars. It would be free and the clinic was more than willing to set it up, but when it came time to booking the appointment I never followed through. I had started accepting what my chest looked like, and then grew to love it. It will never be a cis male chest since I am not a cis male, and that is ok.

Having a flat chest has greatly increased my general gender euphoria, and decreased my chest dysphoria down to nearly zero. My social dysphoria was also decreasing as my voice deepened and I grew a scraggly mustache. About 3 months after top surgery when I was healed a decent amount and not struggling with day to day activities I did notice a shift in dysphoria. The very blatant dysphoria of “you have breasts, everyone thinks you’re a girl” was pretty much gone, but my discomfort with my lower area (which I didn’t have much of before surgery) started ramping up to noticeable levels. This is also very common in trans guys – once the seemingly obvious problem gets dealt with, the focus moves to a more personal but just as glaring difference between what you were born with and what you should have.

As trans or GNC people, our dysphoria will likely never go completely away. There will be sudden surprising moments of “I wish my hands were a better size, they completely give me away as trans” or having to explain a different name on a credit application. But hopefully as time goes on, our gender euphoria and comfort with our bodies (surgically altered or not) will increase and those moments of dysphoria will be so much less devastating than they were at the beginning of transition. Having top surgery was life changing for me and provides so much gender euphoria armour against dysphoria frustrations, and I am grateful that I had the opportunity to pursue it.

I hope you found this 3 part series on top surgery helpful! If you are contemplating top surgery and have questions leave them in the comments below, or send an email to letstalkgenderpodcast@gmail.com.


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Making Sense of Myself by Writing Poetry

Back in 2008, a few years after my initial gender questioning experience but many years before I actually figured out my gender or heard the term ‘nonbinary’, I wrote a poem for an LGBT publication at my university. I was going through boxes of notebooks and found the one I had written it in. Reading through it, I found it incredible how accurate it still feels. I don’t even think it was chosen for the publication but it means a whole lot to me so I thought I’d publish it here.

Both

Neither boy nor girl.
Not neither, both. 
Sometimes one more than the other, 
But always both. 

Gender is fluid, always changes.
It's not black and white, 
not static, 
not for me. 
Gender fluidity.

It's not visible like race. 
It's who I am and part of all I do. 
The way I walk,
the way I talk,
the way I punch your shoulder. 
The clothes I wear defy gender, do not conform,
instead show who I am. 
And the way I sit - have you not noticed?

Of course not. 
I use the women's washroom
(every time glancing at the men's sign).
I check the 'female' box on forms
(wishing it didn't matter).
It's in the language:
Masculine, feminine, he, she, him, her. 
It's defined, as it should be, 
as it needs to be,
for society. 
But not for me. 

I'm not butch, that's just an image. 
Don't call me a tomboy, that's just a name. 
I don't need a category, 
I don't want a label. 
I'm me and will forever be
neither boy nor girl. 
Not neither, both. 
Always both. 

There are some parts of this that I’ve changed my perspective on or have a deeper understanding of. I now understand that race can be as invisible as gender, just as difficult to navigate as gender, and is absolutely as inherent to someone’s identity as their gender. I also do appreciate labels as a way to communicate who I am in a variety of ways depending on who I’m talking to and what the situation is. But the labels typically given to me by society feel just as wrong or irritating now as they did when I wrote this poem.

Even without accurate language to describe it, much understanding of it, or much experience exploring my own gender, I was still able to communicate the emotional experience of living as a nonbinary person in a binary-gendered society.

If you’re stuck on a strong emotion and keep going around in circles no matter who you talk to or what advice you hear, try writing it down as a poem. I have relied on this as a tool of expression, communication, and self-discovery many times over the years all the way from elementary school into adulthood. Even if you’re not the poetry type, or don’t think you’re good with words, it doesn’t matter. It doesn’t have to be eloquent. If you start from a place of strong emotion and use words that represent that emotion and the experience that triggered it or what it feels like to sit with it, you may be surprised how powerful your words can be.

Give it a try and, if you’d like to share, post your poem in the comments or send it to me in an email. I’d love to read it.


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Let’s Talk Gender S2E7: Living in the World as a Nonbinary Person

Hi everyone. Welcome back to Let’s Talk Gender.

This episode is about living in the world as a nonbinary person including what ‘passing’ means for nonbinary people, navigating public washrooms, going to the gym, and how a nonbinary perspective can influence how you interpret other aspects of society. 

PASSING AS NONBINARY

Passing typically refers to the idea of ‘blending in’ with one of the binary genders, or being consistently recognized as the gender you identify as (assuming it’s one of the binary options). In Western society, we are trained to categorize everyone as male or female as quickly as possible because we learn from a young age that this is a vital piece of information that we need in order to interact with people. Since ‘nonbinary’ isn’t a gender that people assign to strangers, passing doesn’t exist in the same way for nonbinary people

Some varieties of passing that might apply to nonbinary people are being read as female in one situation and male in the next, or causing confusion and hesitation when the cues they typically use to gender you are conflicting.

I have found that some of these cues are stronger than others. Voice is one of the strongest. Luckily it doesn’t come into play until you interact with someone but this can be very frustrating over the phone, radio, or at a drive through. Another strong one is whether you have a curved or flat chest. There is some variability to this one depending on body size and structure but a chest that is curved or rounded, as when pushed up by a bra, is, in my experience, exclusively read as female where a flatter chest does not signal male nearly as strongly. On the flip side, having facial hair strongly signifies male, especially if it is darker, thicker, and more widespread, whereas having no facial hair does not necessarily signify female. A slightly less strong cue is bone structure, particularly of the face, presence of an Adam’s apple, a person’s stature, and shoulder to hip ratio. And lastly, clothing and hairstyle can have a significant effect from farther away but are easily overridden by the other cues above. 

I don’t mean to list these as a way to trigger dysphoria in anyone. It’s more a way of expressing my frustration that society is so hung up on these aspects of how we look and present that they can completely hijack a stranger’s brain into categorizing us a certain way regardless of our efforts to flag our gender. 

I also think about the list of cues above as a guideline of how to mess with the gendering system in other people’s brains. If I avoid the cues that have a stronger effect in either direction by flattening my chest, speaking in the lower range of my voice, wearing clothes that look boxier, and keep my hair short, maybe I will have a stronger effect. Or for someone else, this may look like having facial hair, wearing more feminine clothes, and maybe even a padded bra or breast forms. 

Unfortunately, if you can’t be easily categorized into male or female, you tend to stand out and draw attention to yourself. Always feeling like you stand out just for being who you are can be exhausting and often we end up compromising our personal comfort in order to blend in, even if just temporarily. This can be for safety reasons or to have one day where we don’t get second glances, stares, and looks of confusion. Some days I’m able to reframe the double takes as a positive thing, that who I am is showing through and challenging their binary views of gender, but most of the time it just feels like unwanted negative attention. 

ASSUMED CIS

Passing is usually referred to in a way that makes it sound like trans people are attempting to hide i.e. be ‘stealth’, trying to trick cis people, or frames passing as the goal of transitioning. These perspectives can be very toxic to lots of people, but especially nonbinary people. 

Instead of using the term ‘passing’ to mean ‘being identified by stranges in alignment with my identity’, which doesn’t feel like it will ever apply to me, I prefer to use the term ‘assumed’. Most of the time, I am assumed to be female by strangers, acquaintances, co-workers, really anyone I’m not out to. There has been the occasional time when I was assumed male and got called sir. One of these times they ‘corrected’ themself and changed it to ma’am when I turned around and spoke. The other time I was so surprised, in a good way, that I couldn’t remember my breakfast order and my husband ordered for me while trying not to laugh at my deer-in-the-headlights reaction. 

Anyway, I much prefer the term ‘assumed’ to ‘passing’. Not only does it relate much more strongly to my experience as a nonbinary person, but it also assigns the action to the stranger rather than to me. This is also much more accurate to my experience. I am living my life, presenting and interacting however is most comfortable for me and it is the people around me who are assuming that I am a cis woman. 

PUBLIC GENDERED BATHROOMS

There are some specific situations where not blending in with either binary gender can make life a lot more difficult. Namely, public gendered bathrooms and gym changing rooms. Let’s start with bathrooms.

When it comes to using a binary gendered public washroom, I have a few different options. Choosing either binary gendered washroom comes with the psychological impact of having to misgender myself in order to use the bathroom. I can use the bathroom I’m guessing that most people are assuming is in alignment with my gender regardless of how I’m feeling (usually the women’s which is lucky because it has a lower safety risk). I can use the bathroom that most closely aligns with my gender at that time to minimize the psychological cost (but if this happens to be the male bathroom I am trading the psychological cost for a much higher safety risk). Or I can avoid going to the bathroom until I have access to a gender neutral, all-gender, or non-gendered washroom with the increased risk of getting a UTI if this becomes a regular occurrence. When I’m out, having a friend to go to the washroom with can help protect against the safety risk posed by strangers but it doesn’t take away the impact of having to misgender myself in order to use the bathroom. 

As you can see, none of these options is great. But it has led to me making note of every business I come across that has non-gendered washrooms. 

GOING TO THE GYM AND OTHER PHYSICAL ACTIVITY

Going to the gym includes a few different things I want to talk about. The first is the changeroom situation. This closely mirrors the things I talked about related to public washrooms but with a few extra points. We aren’t just using a stall at the gym, we’re actually getting changed, often in view of strangers. This can be terrifying for anyone who’s body doesn’t fit the gendered expectations associated with the space they’re in. Getting changed is also often a trigger of dysphoria for lots of trans and nonbinary people. So overall, this experience sucks. 

On the plus side, most change rooms include bathroom stalls or changing stalls. This added privacy can definitely help with the safety risk. There are also often family change rooms that are single use. I know it feels weird to use those as a single person (maybe this is one of the random benefits of being a parent as a nonbinary or trans person?). I’ve done it when my dysphoria was too bad to feel comfortable using the women’s change room (and there’s no way I look like I belong in the men’s). It feels like everyone is watching you and judging you for using the one family change room as a single person but I know it’s what I need to do sometimes so I change as fast as I can and try to ignore the feelings of guilt. 

Then there’s the working out part of going to the gym. Let’s ignore for a minute that there’s a global pandemic and lots of areas have gyms closed or many of us are choosing to work out at home instead. Some of this will still apply. 

Gyms often have at least one wall made of mirrors. This sucks for a lot of people with dysphoria. Though I have found that sometimes, if my dysphoria is mostly social in nature rather than physical, seeing my body do something strong and personal and gender-affirming can actually help mitigate dysphoria or increase euphoria. 

The physical activity involved in working out can have lots of positive effects on our bodies in terms of endorphins, health, mood, energy level, and a sense of control over our physical being that we often feel so at odds with. All of these things can help improve our resilience and resistance to the negative effects of dysphoria. Unfortunately, with the nature of lots of types of physical activity, we can’t use some of our dysphoria management strategies such as binding, tucking, or packing. And feeling parts of our body move around that we don’t feel should be there in the first place can make certain types of physical activity a strong trigger of dysphoria.

Luckily there are lots of different types of physical activity to choose from. And that’s the last part of going to the gym, or in this case, even working out at home, that I wanted to talk about. For me, different types of physical activity feel more or less affirming depending on how my gender feels at the time. Whether it’s social conditioning or something inherent in the types of movement and how they feel in my body, stretching, Pilates, and low impact or endurance cardio feel more feminine to me, kickboxing and Thai chi feel more neutral, and weight lifting and higher intensity cardio feel more masculine. I can choose the type of activity that feels most in alignment with my gender at the time or I can choose a type of activity that will temporarily make me feel a different aspect of my gender to increase my sense of balance. 

THE POWER OF A NONBINARY PERSPECTIVE

Discovering you are nonbinary starts with questioning the gender binary. But living as a nonbinary person and challenging the gender binary on a daily basis also gives you the skills and awareness to recognize other binary situations and systems that you are uniquely equipped to navigate in a new way. 

For example, we have the saying ‘there are two sides to every story’. But what about a third or fourth interpretation? What about recognizing that those two sides overlap? What if neither side is wholly correct or wholly incorrect? 

In divisive politics and crisis situations, there is often a rhetoric of ‘you are either for us or against us’ or there being a ‘right way’ and a ‘wrong way’ to react to a situation. A perspective derived from a nonbinary view of gender teaches us that there is lots of space for middle ground, other options, and nuance. 

And lastly, when it comes to emotions, we often struggle with so called ‘conflicting’ emotions – grief and gratitude, love and anger, excitement and frustration, relief and shame. We often express these emotions by saying something like ‘I’m so excited to get my new ID but it’s taking forever!’ or ‘I will really miss my grandmother but I’m glad she’s in a better place’. We use the word ‘but’ between concepts that feel like they conflict because the two can’t possibly exist in the same space at the same time. This would be equivalent to me describing my gender by saying ‘I’m female but I’m also male.’ Instead, what I say and what feels true for me is ‘I’m both female and male.’ Applying a nonbinary perspective to conflicting emotions teaches us that just because these emotions are different from each other does not mean they are in opposition, in conflict, or are mutually exclusive. Just as various experiences of gender can exist in the same person at the same time, so can various emotions. Try listening for the times when you use the word ‘but’ and switch it out for the word ‘and’. You might be surprised by how this little change in phrasing makes the experience you are describing feel more whole and valid. 

REACH OUT!

If you have other thoughts on how being nonbinary has influenced your perspective on the world or you’re struggling with the day to day experience of living as a nonbinary person, send me an email at letstalkgenderpodcast@gmail.com. I’d love to hear from you and help if I can, or connect you to other resources. You are not alone. 


That’s it for Episode 7 of Season 2 of Let’s Talk Gender.

The music for this podcast is by Jamie Price. You can find them at Must Be Tuesday or on iTunes.

Coming up in Episode 8 I will be talking about pregnancy and parenting as a nonbinary person including navigating the incredibly gendered world of fertility and pregnancy, the physical experience of being pregnant, and my thoughts as I look ahead to parenting.

Talk to you soon.


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Let’s Talk Gender Season 2 Coming Soon!

Hey everyone,

I’m Meaghan Ray, a nonbinary person, and the host of Let’s Talk Gender.

Coming up in September 2020 is season 2!

This season will be another eight episodes, this time around the topic of nonbinary identities and experiences. If you listened to Season 1 you got to hear from my husband about his experiences with transitioning. This season will be more of a radio host monologue style with just me as the host. 

Here’s a brief look at what this season will include:

  • Episode 1: Nonbinary identities and labels 
  • Episode 2: Exploring your gender as a nonbinary person 
  • Episode 3: Nonbinary gender presentation and expression 
  • Episode 4: Navigating names, pronouns, and other language 
  • Episode 5: Coming out as nonbinary
  • Episode 6: Complexities of nonbinary identities such as how they interact with sexual orientation and a deeper look at gender fluid identities 
  • Episode 7: Living in the world as nonbinary including using bathrooms, going to the gym, and what passing means as a nonbinary person
  • Episode 8: Pregnancy and parenting as a nonbinary person

You can find the podcast on any itunes populated platform or stream it from this website. You will also find the show notes for each episode on this website and if you subscribe, new episodes and blog posts will be sent to your inbox so you don’t have to remember to keep checking back! 

You can always get in touch with me at letstalkgenderpodcast@gmail.com or leave a comment on this website. I’d love to hear your thoughts, topic requests, or be a sounding board if I can. 

I’m really looking forward to this season. I hope you are too.

Talk to you soon!


CREDITS

All music for this podcast is written and performed by Jamie Price. You can find them at Must Be Tuesday or on iTunes.


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Let’s Talk Gender S1E5: Social Transition: Coming Out At Work

OVERVIEW

Jake has now been out at work for nearly two years. We discuss his process for coming out at work from the preparation, through coming out, and all the frustrations that happened afterwards including HR struggles, bathrooms, mysogeny, and misgendering.

Meaghan Ray talks about what it was like to be in the role of the partner during this part of the transition process including having to come out to their co-workers about Jake’s transition.

We discuss Meaghan Ray’s process for coming out at work as non-binary so far and Jake’s experience of having a non-binary spouse when he’s talking to co-workers.


SHOW NOTES

Jake’s process for coming out at work

Preparation

  • Talking to community, online friends to learn from other people’s experiences
  • Talking to team lead and other coworkers in a hypothetical context
    • They didn’t really apply the conversation to real life or think about it practically
  • Should have gone to HR in advance though he wouldn’t have necessarily known what to bring up as a potential concern until he encountered them

Tipping Point

  • Eventually dysphoria was bad enough that he could not do his job so it was either come out or quit
  • Told team lead in advance
  • Had written an email
  • Pulled aside immediate co-workers to tell individually
    • Generally supportive
  • Sent email to whole department
    • Much more generic than discussion with immediate co-workers
  • Told other higher-ups
    • One person in particular had immediately helpful comments such as “Which bathroom are you going to be using” and “How do we get your name changed in the computer system” ie considering the practical aspects
    • Some were confused as to why Jake’s transition would be affecting anyone and why he needed to tell everyone when it’s a personal/private issue (ie thinking of it as the same thing as coming out as gay)

Challenges

  • Old name on emails and inter-office messaging until his name change document came in
  • Then was told he had to get his birth certificate changed first as well as a new SIN card (even though others who are changing their name due to marriage etc do not require all of this extra documentation and there was no good explanation as to why he did)
  • Eventually discovered that HR had a diversity and inclusion rep that helped a lot
    • Met with her in person and discussed all the concerns with things that had been happening and unnecessary hoops that he was being forced to jump through
    • She was super feisty and got things changed really fast which was amazing

Bathrooms

  • Started out by going to the farther away women’s washroom
  • Then used the men’s washroom in the same farther away area but was terrifying, especially prior to top surgery
  • Found a single use bathroom a couple floors up in an abandoned area that was under renovation
    • Felt safe but isolating and cumbersome
  • Found out later that some of the management had been talking behind his back about what bathroom he should be using in order to decrease the discomfort of others
  • Decided he wasn’t going to hide anymore and went back to using the men’s washroom closer to the work area
  • Had emailed facilities management to ask about bathrooms and they connected him to the diversity rep at HR

Looking Back

  • Felt like it took forever, in reality was about a year
  • Fighting on all fronts
  • Exhausting and circular and convoluted

Did People Adapt?

  • Took a really long time, no trigger event like we had with the family (see Episode 4)
  • An ally helped by correcting others on Jake’s behalf
  • Still getting misgendered 5-10 times per shift by immediate co-workers one year later
    • Now, another year later, still getting misgendered 1-2 times per shift
  • People now know him longer as Jake than anything else and he still has a hard time correcting people
  • Newer co-workers don’t know he’s trans and never knew him prior to transition
    • Others who misgender him get a completely confused reaction rather than people realizing he’s trans – people just don’t think of that
    • Now that he passes, being misgendered doesn’t bother him as much because they end up looking like idiots

Other Interesting Situations

  • Suddenly being included in mysogenistic ‘bro’ language and conversation in an attempt to show acceptance
    • Difficult to counteract the mysogeny without losing the acceptance
  • People tried to teach him how to be a guy as though he had never been exposed to masculinity

Partner Experience

  • Could only be a cheerleader
  • Wasn’t able to help with any of it in the ways I was able to help during other phases
  • Having to come out to MY coworkers for Jake so I could talk about my husband instead of my wife
    • Made a little presentation which my immediate team responded to really well
    • Hoped that it would get around via gossip but it really didn’t so I had to tell everyone separately, often more than once
    • Lots of disjointed conversations where I had to stop mid conversation to explain why I was referring to my husband
    • Most common question was “Does that make you straight?”
  • Had a hard time getting support from co-workers because no one had enough context for how the process was affecting me, what type of support to give me, and why I was getting burned out
    • Tried to explain but ended up spending more energy than I got back in support
    • More recently I have had more co-workers who have trans experiences
  • Educating co-workers was still important to me because I work in a health care setting and I want as many people who work with patients to understand how to be respectful towards trans people
  • Once I was no longer talking about my wife, I lost my ability to come out as queer off-handedly in a conversation
    • Made my own identity feel a lot more invisible
  • Had a few difficult situations in my workplace where I witnessed transphobia or had co-workers misgender trans patients which were very triggering for me (and still are though I deal with them slightly better now)

Meaghan Ray’s experience of coming out at work

  • Most dysphoria at work, mostly social dysphoria
  • Half the people I interact with are strangers
  • Rather than a goal of not getting misgendered (not feasible), set the goal of minimizing discomfort
    • Most uncomfortable with other female language (ma’am, ladies, girl)
  • Instead of “I’m non-binary, use they/them pronouns, call me Meaghan Ray,” I’ve chosen to instead say “I’m non-binary, this is what that feels like, please avoid these types of gendered terms and instead use these neutral ones”
  • Very choosy with who I have these conversations with
  • I still have a hard time correcting people when they use female terms but I tend to groan, squint, flinch, go silent, or say “Nope!” and they eventually get the idea and self-correct

Jake’s experience as a partner

  • Couple of co-workers that know about Meaghan Ray’s non-binary identity and are generally good at using they/them pronouns
  • Refers to Meaghan Ray as his partner or spouse
  • Generally less gossipy/social work environment so it comes up less

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It’s All About Bathrooms

BATHROOMS ARE A BIG ISSUE

The bathroom debate has gotten a lot of media attention lately. Should trans people be forced to use the bathroom that relates to their sex assigned at birth or be free to use the bathroom they are most comfortable with?

I don’t want to go too much into the political debate but I can’t leave it be without making a couple key points: How exactly would this be enforced? With a DNA sample at the bathroom door? Who is this designed to protect? Because the highest risk group of people in bathrooms are trans women. And the most common offenders are cis men. In the women’s bathroom. Attacking women who are using their own bathroom.

Ok. That’s all I’ll say about that. I promise.

The reasons why bathrooms are a big issue for me are:

  1. The physical safety risk of having to use a bathroom that I don’t appear to belong in (either men’s or women’s),
  2. The psychological safety risk of having to misgender myself in order to use the bathroom,
  3. Or the medical risk or choosing to avoid the first two by not using the bathroom when I really need to (which can lead to urinary tract infections, kidney infections, bladder dysfunction, or even bladder rupture).

DYSPHORIA AND BATHROOMS

Using either binary public washroom can cause trans people increased dysphoria for a number of reasons. The most obvious is by misgendering themselves in order to stay safe while using the bathroom. Then there are the mirrors, the access/lack of access to appropriate receptacles for tampons and pads, the feeling of being clocked (identified as trans by strangers) for choosing to use a stall in a men’s room when they are only peeing, and even the difference in how it sounds to pee with various types of plumbing.

Yes, trans people are going to be more sensitive to these things than the cis strangers using the bathroom with them but these are all things that run through a trans person’s head that they have to spend energy to ignore or recover from after the fact.

ALL THE DIFFERENT OPTIONS

Multi-Use Binary-Gendered Bathrooms

As an AFAB person who is not on testosterone and who has not had top surgery, I will almost never choose to use a men’s multi-use bathroom for safety reasons, no matter how masculine presenting or male I feel.

If multi-use binary bathrooms are the only option (as they usually are), I will usually choose the women’s washroom which often means I am misgendering myself in order to pee in a safe place. Some days, the impact that has on my mental health is not worth it and I will wait longer than I should to use the bathroom (see health risks discussed above).

I would love to hear what other people choose as their default, especially an AMAB non-binary person or a transwoman (please leave a comment below!)

Single-Use Binary-Gendered Bathrooms

Why do these even exist? I mean really. People who want to pee standing up can pee into a toilet just fine. People who want to sit down can ignore the urinal and use the toilet. We wouldn’t have to wait for the ‘correct’ washroom to be available and no-one would have to put themself at risk in order to use the washroom. These need to be made illegal.

Multi-Use Multi-Gendered Bathrooms

I have encountered one of these. It was an interesting experience. Coming out of a stall to see a man standing at the urinal and having him surprised to see me just as a feminine presenting woman walks in was definitely a new experience. It felt odd, mildly shocking, but mostly just interesting. And it was definitely inclusive. No one was in the way of anyone else or overtly making anyone feel uncomfortable. But I’m not sure this is the best option for the sake of protecting women from being attacked in bathrooms. I do not know enough about the stats on that to comment specifically but that is what makes me the most nervous about this option.

Single-Use Multi-Gendered Bathrooms

This is clearly the ideal. It is not very effective for saving space but definitely the most inclusive and safe. I am lucky to work in a place where this is the default type of washroom. When I see these in an airport or other public building it is fantastic. When I have to go hunting for one that I know is somewhere in the building it is less ideal but still good that it exists.

These are so optimal that I automatically keep track where the closest one that I know of is when I am out in public. If I know that a cafe across the street or a block down has these bathrooms, I will take the extra steps to use it rather than putting myself at risk by using the male or female washroom in the building I am already in.

Family/Accessibility Single-Use Bathrooms (multi-gender by default/omission)

I have a hard time allowing myself to use these washrooms. There is a lot of social stigma around a single person who appears able-bodied using a family or accessibility washroom. So of course, I have internalized that stigma. I often do not feel I have the right to use that space, even when there is no other gender inclusive option. I am trying to combat that internal voice, especially on days when I have significant dysphoria and do not have the emotional reserve to misgender myself just to use the washroom, but it is always an internal fight.

If you are someone who requires the accessible washroom, what do you think of this situation? Please leave a comment below with your thoughts.

BATHROOM MATH

As a non-binary person, I am constantly doing math to decide which bathroom to use or whether to use a bathroom at all. Things that factor into these equations are: Who is around? How badly do I have to go? When is the next time I will likely have access to a bathroom? Is there a gender inclusive bathroom close enough to make it worth the trip? What does my gender feel like? How much emotional impact will there be for me to use the women’s washroom? Do I have a friend who can go with me for safety if I would prefer the men’s washroom?

As you can see, this can be a pretty exhausting process, just to decide whether or not to go to the bathroom.

A FEW WORDS ON SIGNAGE

Why do bathrooms have to be represented by signs that indicate overtly gendered people? How does this represent a bathroom at all? Why not just a bathroom sign? And if they have to be gendered, why not a male symbol (circle with arrow) and a female symbol (circle with plus sign)? The quintessential bathroom people perpetuate gendered clothing and presentation as well as being inaccurate representations for a washroom.

Gender neutral signs that are male|female are okay but still based on binary gender and not necessarily inclusive.

While aliens, mermaids, and other mythical creatures are cute, they can feel like they are equating any gender outside the binary to being akin to being an alien or being mythical ie that it doesn’t actually exist or is not within the realm of human experiences. Clearly problematic.

‘Washroom,’ ‘All-Gender Washroom,’ or simply a toilet and/or urinal symbol would be ideal. This could include a wheelchair to represent accessibility if it is accessible (we will leave the discussion about how a wheelchair is also not inclusive signage for accessibility to another day).

Problematic Signage

Better Signage


If you are trans or non-binary, what are your experiences using public bathrooms?

If you are someone who needs to use the accessible washroom, how do you feel about able-bodied non-binary or trans people sharing this space?

Please leave a comment below with your thoughts!


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