Health Patch-worked Access to Hormone Replacement Therapy in Philadelphia March 5, 2024 Madylyn Hayes Zeiders Those seeking gender-affirming care in Philadelphia use a patchwork of options, as a primary method has yet to be established.
![Dr. Billie Swiggard, 71, sits on the third floor of Mazzoni Center, Philadelphia, Pa, on Wednesday, Nov. 29, 2023. “You've got to find out what's in [a patient’s] heart, what's in their dreams. Where do they want to wind up in several years? That's the most important thing. [Then], clearly defining the goals, making it clear that the goals may change, but the initial trajectory needs to be determined entirely by what the patient wants.”](https://phillyn-media.s3.amazonaws.com/wp-content/uploads/2023/12/21130805/Zeiders_Madylyn_PP2HRT-13-1-326x245.jpg)
