Second opinions. Part 1: The referral process and screening. Referrals. Diagnosis. Categorisation and differential diagnoses. Dealing with the differentials. Challenging patient types and circumstances. Part 2: The real life experience. Common issues. Challenging patients and circumstances. Part 3: Non-surgical treatments. Speech and language therapy. The practical management of hormonal treatment in adults with gender dysphoria. Part 4: Surgical treatments for born males. Feminisation of the larynx and voice. Breasts. Genital surgery. Advice for patients undergoing vaginoplasty and vulvoplasty. Part 5: Surgical treatments for born females. Breasts. Phalloplasty. Part 6: Post-op psychological follow up. Relationships. Reversion to former gender role after GRS. Part 7: Legal issues. The Gender Recognition Act. Military service. Religious matters. Fertility issues.