My patient preferred to be called by his female name. She was in her early thirties and relatively new to Cincinnati from Dayton. When I went to his apartment, I noticed an unfamiliar and unpleasant odor as he opened the door. He offered me to come in and we soon began our interview. I decided to wait about halfway through our visit before asking her about the smell. My patient said that as she was getting ready for the day, she was shaving her chest and was disgusted by how hairy it was. So she forced herself to vomit and hated herself. My patient had received electrolysis on her face, but couldn't afford to have it done all over her body. As he took hormonal treatments his hair became less thick and noticeable, but in the meantime he had to learn to manage the problem. Part of the problem transgenders face is living in a puritanical society that is ignorant, judgmental, and afraid of their sexual choices. This shaped how her family ultimately related to her, as did Jenner's and the lecturer's families. My patient felt lonely because she had little contact with her family, mainly her mother and sister. Her father hadn't spoken to her in a couple of years because his son was transgender. Perhaps just the thought of his son wanting to be a woman threatened his sense of masculinity. The father may have dealt with his own conflicts while ignoring hers