Eli is a 48-year-old life model throwing a “Wild West”-themed party to celebrate ten years on hormones. But before the celebration, he’s meeting with Dr. Massarella to talk about taking another big step in his transition.

Janelle is a 24-year-old beauty blogger officially changing her name and gender. She’s celebrating in style with a “(trans)gender reveal” party.

Cole is a 30-year-old chef who’s ready for the next stage of his transition: top surgery. With Dr. Massarella’s help, he’ll have the masculine chest to match who he’s always known he is. After the surgery, Cole is announcing himself to the world with a luau-themed pool party.

Aliyah is 22 years old and gearing up for the biggest moment of her young life: her vaginoplasty (bottom surgery). Dr. Massarella is helping her finally have the female body that corresponds with her true self. After the surgery, Aliyah is taking her first trip and travelling to Canada to meet with Dr. Massarella.