 The results of this study suggest that transgender individuals engage in gender-affirming body modification practices such as binding and tucking. These practices can be beneficial for some individuals but may also come with potential health risks. Transgender individuals should be asked about their experiences with these practices and clinicians should be aware of the potential risks associated with them. Further research is needed to better understand the benefits and risks of these practices. This article was offered by Tonya Poteet, Mannat Malik and Erin Kuni.