Transgender Care

What is the difference between sex and gender?

Sex refers to the biological and physiological characteristics that define men and women. Gender refers to the socially constructed roles, behaviors, activities, and attributes that a given society considers appropriate for men and women.

What is gender identity?

Gender identity is a person’s innermost concept of self as male, female, a blend of both or neither – how individuals perceive themselves and what they call themselves. A person’s gender identity can be the same or different from their sex assigned at birth.

What is gender expression?

Gender expression is the external presentation of one's gender identity, usually expressed through behavior, clothing, haircut or voice, and which may or may not conform to socially defined behaviors and characteristics typically associated with being either masculine or feminine.

What does it mean to be transgender?

Transgender is an umbrella term for people whose gender identity and/or expression is different from cultural expectations based on the sex they were assigned at birth.  Being transgender does not imply any specific sexual orientation.  Therefore, transgender people may identify as straight, gay, lesbian, bisexual, pansexual, asexual, and so forth.

What does gender transition mean?

Gender transition is the process by which some people strive to more closely align their outward appearance with their internal experience of gender. Some people socially transition which means they begin dressing, using names and pronouns and/or being socially recognized as another gender. Some people undergo physical transitions in which they modify their bodies through hormone therapy and/or surgery. 

Extraordinary Care

The Nebraska Medicine Transgender Clinic team provides care and support for the initiation and monitoring of masculinizing and feminizing hormonal treatment as well as referrals to transgender friendly providers for primary and specialty medical care. Patient referrals to support programs and institutions that offer gender affirming surgery can also be provided.

Services We Provide:

Additional Services:

  • Documents Required for Legal Gender Marker Changes

  • Referral for Legal Services

  • Referral for Fertility Services

  • Referral for Local Health Care Providers Including: Urologists for transwomen who want to pursue orchiectomy (removal of testes), plastic surgeons for top and bottom surgery, primary care and other specialists needed.

Patient Guides

Accreditations and Awards


Nebraska Medicine is proud to be awarded the 2016 Healthcare Equality Index LGBTQ Leader in Healthcare Equality designation and 2017 Top Performer status by being nationally recognized by the Human Rights Campaign, America’s largest civil rights organization working to achieve equality for lesbian, gay, bisexual and transgender (LGBT) Americans.