“Primrose has been seeing Block for voice therapy on and off for about a year. Her voice has progressively become increasingly feminine as she has continued to perform her exercises. The progression of her voice has been gradual and subtle. Primrose realized how much her voice had changed when she recently called her bank to update her information on her credit cards. She says that it was the first time she had been gendered correctly on the phone by someone who didn’t know her and was not aware of her trans identity.”