Moving Beyond Shock on Transgender Health – By Paul Schindler

Even for those with some knowledge of the economic, social, and health disparities facing the transgender community, an August New York Times Magazine story, “The High Price of Looking Like a Woman,” likely shocked the conscience.

The story explored an underground and little known practice by which so-called “pumpers” inject silicone into the breasts, buttocks, hips, and faces of transgender women aiming to feminize their appearance. The practice exists outside the medical care industry and without its safeguards –– or, usually, even anesthesia.