Gender-Affirming Voice and Communication Change for Transgender and Gender-Diverse People

At times, people may want to change the way they talk and sound. Speech-language pathologists (SLPs) can help with these changes.

You may feel that your voice does not represent who you are. You may want to change the way you speak so that your voice or communication style is more aligned with your gender. There are different options that may help you with this.

You may choose to have gender affirmation services with an SLP. This may involve working on your voice and your overall communication. An SLP with specialized training can work with you to explore the ways your voice and communication can represent you and how you express yourself across different settings. The SLP will also talk to you about overall vocal health, which is important for anyone using their voice in new ways.

Some people may also choose to have surgery and/or hormone treatment, which may change how their voice sounds. SLPs can help you train your voice before and after surgery to restore your vocal health and meet your voice goals. Your SLP will work with your care team and providers.

The following are some of the things you may choose to work on with an SLP:

pitch, or how high or low your voice sounds
intonation, or the rise and fall of pitch in your speech
resonance, or the quality of the sound of your voice
the rhythm of your speech
rate, or how fast or slowly you speak
volume, or how loudly you speak
nonverbal communication, such as your body language and facial expressions
language, or the words you use
speech sound production, or how you say sounds
pragmatics, or the social rules of communication, such as how to adjust your voice for different situations, how to express different emotions, and how to express yourself across different languages and cultural situations

It can take some time to change your voice and the way you talk with others. SLPs can help you communicate in a way that feels authentic.

Other Resources

To find an SLP near you, visit ProFind (select “Transgender Voice” in “Areas of Expertise” on the left side of the page) or the World Professional Association for Transgender Health (WPATH) Provider Directory Search.

ASHA extends its gratitude to the following subject matter experts for their review and feedback on this content: