Vicki Estrada is a 54-year-old trans woman who has come to Mt. San Rafael for genital reassignment surgery. She is accompanied by her girlfriend Cristina and father Steven, both of whom are very supportive. Cristina describes how Vicki's transition has prompted her own introspection, and says that she has become a better person for it. Jim Howley is a 33-year-old trans man from Hilliard, Ohio. After years of unhappiness, substance abuse, and suicide attempts, Jim has the full of support of his parents, who are relieved that Jim has a path toward wellness. He is at Mt. San Rafael for a hysterectomy.