In this episode of The Resident Review, we’re joined by Dr. Blair Peters, a double-fellowship trained plastic and reconstructive surgeon who specializes in gender-affirming surgery and peripheral nerve surgery at OHSU in Portland, Oregon. We discuss their clinical and academic work in gender-affirming surgery, as both a gender-affirming medical provider and a vocal, visible member of the transgender & gender-diverse community. In a world beset by increasing legislation targeting transgender individuals, we discuss the harms of false binary narratives, the importance of patient-reported outcome measures and unique perspectives to be gained from interdisciplinary training within reconstructive surgery. We also discuss unique challenges faced by those who are traditionally underrepresented in surgery, and Dr. Peters shares some tips for aspiring gender-affirming microsurgeons.