At Sakura Pelvic Health, we provide affirming, individualized pelvic physical therapy for trans and non-binary individuals. Our goal is to support your comfort, confidence, and connection to your body wherever you are in your journey.

Binding, packing, and tucking can sometimes place extra strain on the diaphragm, abdominal wall, and pelvic floor. Over time, this may contribute to:

• Urinary or bowel incontinence

• Constipation

• Pain in the chest, abdomen, lower back, pelvis, or hips

• Sexual discomfort or dysfunction

Our therapists have an in-depth understanding of how these muscles and systems work together. We can help by addressing posture, breathing, core coordination, strength, and mobility, supporting better function and reducing pain or tension.

Support Before and After Gender-Affirming Surgery

We provide care both before and after gender-affirming surgeries to help optimize healing and recovery.

Pre-operative care:

A pre-surgical assessment allows us to identify and treat any existing pelvic floor issues that could affect recovery. Addressing pain, incontinence, constipation, or sexual dysfunction beforehand helps promote a smoother healing process. We also provide education and gentle exercises that can be safely continued after surgery to support comfort and function.

Post-surgical care:

After surgery, we help you restore pelvic floor muscle function and manage common side effects related to bowel, bladder, or sexual health. Our therapist is trained in post-surgical care, including scar mobilization, lymphatic drainage for swelling management, and gentle manual therapy. Through personalized, hands-on care and targeted exercises, we’ll work together to help your body heal and move comfortably, so you can feel more at home in your body.