Historically, then, transgender health has been less about empowering trans people and more about tying up the loose ends of binary gender in a society where some people’s lives seemed to threaten such a notion.8 In this sense, the development of trans healthcare is more analogous to that of women’sfn1 reproductive health – particularly access to free, safe and legal abortion – than it is to the cosmetic-surgery Ponzi scheme dreamed up in the fevered minds of conspiracy theorists.