Interview with Victoria Perera

Monika: Today we are going to Ontario in Canada, where my guest lives. Victoria Perera is a Serbian-born model, fitness instructor, and media influencer that shares her story on social media. We are going to talk about being trans and challenges related to her fascinating journey towards womanhood. Hello Victoria!

Victoria: Hello Monika. I feel so blessed to have this opportunity to speak with you and share my story.

Monika: Could you say a few words about yourself?

Victoria: I’m a 44 year old transwoman. I work as a residential appraiser near Toronto, Canada. I’m recently divorced and share custody of my two young boys with my ex-wife that we successfully co-parent. I would call myself a fitness fanatic and a very social woman who is always looking for a new challenge.

Monika: What inspired you to share your intimate life moments via social media?

Victoria: It started out innocently enough. I joined Instagram because I was bored after my first facial surgery. It has become entirely different. After I started posting a few pictures, I found I was connecting and interacting with other transwoman who had similar stories. I was inspired by their transition stories and felt it was my responsibility to share mine as well. Before I had transitioned, I was a closed off person.

Interview with Carys Massarella

Monika: Today it is my pleasure and honor to interview Carys Massarella, a doctor of emergency medicine at McMaster University and Lead Physician of the Transcare Program at Quest Community Health Centre in St. Catharine’s, Canada. She grew up in Sudbury, Ontario, and graduated from the University of Western Ontario. Hello Carys!

Carys: Hello Monika!

Monika: You are one of few ‘non-pathologizing’ trans-care health providers in Ontario. Could you explain what ‘Non-Pathologizing’ stands for?

Carys: A non-pathologizing approach to transgender care essentially implies that there is no diagnosis to make with transgender people. The idea that this is a pathologic process is patently absurd. There is no inherent biological risk in being transgendered.

In that I mean by being transgendered there is no measurable biological effect in a negative way. The documented poor outcomes for trans-identified individuals are a product of issues related to the social determinants of health that affect all such marginalized populations such as poverty, homelessness, access to health care, and violence. These are corrected at the political level with advocacy from health care providers and transgender activists as key players.

So for me, there is no diagnosis essentially to make. I allow transgender people to claim their identity and then provide safe and medically appropriate access to cross-gender hormone therapy and surgery plus support through the transition. That is the essence of what I do.