Lynn Hawk’s Voice and Swallow Clinic was approached by an OB-GYN to build a program that would provide high quality transgender voice therapy. Lynn outlines the steps she and her SLP colleagues undertook to build a program from scratch to meet a rising need in our scope of practice. Lynn discusses the CEUs and expert providers her clinic relied on to learn foundational skills, such as the concept of meta-therapy, prior to rolling out the new program.