"River could not have been a better caregiver during my top surgery recovery. Even though I felt decently prepared beforehand, they instilled more confidence and offered great suggestions. River was very organized, flexible, attentive, and just a great presence during an intense life event. My meds schedule was, let’s say, not conducive to a good night’s sleep. They didn’t bat an eye getting up to keep me on track and just check in. They went above and beyond, even making sure I had a solid setup for days after leaving. I highly recommend and am incredibly appreciative of River and T4T Caregiving!"
-Top Surgery Client, 33
December 2024
-Top Surgery Client, 33
December 2024
"I had Liz as my caregiver after my vaginoplasty. While I was fortunate enough to have friends and family around me for much of the 3 weeks we were together, Liz's patient and thoughtful support were very often what kept me focused and calm. Her kindness and gentle nature were remarked upon by everyone.
I would not hesitate to recommend Liz as a caregiver - she is smart, compassionate, chill, curious, and a wonderful cook. She far exceeded my expectations and I am tremendously grateful to have been in her care."
-Penny, 50
July 2024
I would not hesitate to recommend Liz as a caregiver - she is smart, compassionate, chill, curious, and a wonderful cook. She far exceeded my expectations and I am tremendously grateful to have been in her care."
-Penny, 50
July 2024
"T4T made what was an overwhelming and extensive surgical experience a breeze. Between the physical support with meals and dressings, to the emotional support at appointments and healing; this service is second to none. I couldn't imagine having surgery without their help."
-Phalloplasty Client, 25
July 2024
-Phalloplasty Client, 25
July 2024
"Marion was my caregiver during my recovery from top surgery. My care was complicated by the fact that I’m neurodivergent and have been diagnosed with cancer. I could not have hoped for a better caregiver than Marion! Even before we met in person, she was an excellent communicator, easing my anxiety about having someone I didn't know in my space at a time of great vulnerability. She was very flexible, adjusting her schedule to mine after my surgery date was moved by the hospital and again when I realized my post-op appointment was a day later than expected. I felt safe letting her be in charge of all my medication, drain management, and driving. It gave me so much peace of mind to know I could count on her to handle all the practical details of life while I was recovering. She was incredibly attuned to my particular needs while being proactive and discrete. She gave me the physical and mental space I needed to heal and relax, yet being present anytime I needed her for company or medical assistance. As a French foodie and forager, it meant a lot to me that she offered to cook all my meals from scratch, going into my garden to pick herbs and greens, making me feel as if I had hired a personal chef! I really appreciated her calm demeanor and grounded presence throughout her stay. We had wonderful conversations and walks, and it was deeply soothing to know that she was another trans person with whom I could share experiences and just be myself. I’m beyond grateful for Marion's care during my first week post-op. It felt like having a best friend at home. I more than highly recommend her."
-Anphlo, 53
July 2024
-Anphlo, 53
July 2024
"I have immense gratitude for T4T Caregiving, and my amazing caretaker, Avery. It felt like a giant leap of faith to reach out for help, but then I immediately started to feel supported—first as Jos walked me through the process and matched me with Avery, then as Avery and I built a solid foundation of trust, and a friendly rapport, over a few Zoom calls and emails. Understandably, my anxiety was way up the day before surgery, when Avery arrived. And he so gently listened, helped me make final preparations, and through his calm attentiveness, took the edge off my nerves.
Avery then expertly took care of me for the first ten days after top surgery. He made me feel so comfortable, safe, and cared for. He was forever patient, thoughtful, empathetic, encouraging, a great listener, and an excellent communicator. He has years of caregiving experience, and it showed in his kind attention to details, and the way he quickly learned to anticipate my needs. I had a minor emergency one night, and he handled it beautifully. He was also fantastic company to have around! He has such positive, buoyant energy and brought a playful sense of humor to the recovery process. And there’s nothing like having another trans person around to share in the many moments of joyful euphoria. I am forever thankful!"
-RF, 52
July 2024
Avery then expertly took care of me for the first ten days after top surgery. He made me feel so comfortable, safe, and cared for. He was forever patient, thoughtful, empathetic, encouraging, a great listener, and an excellent communicator. He has years of caregiving experience, and it showed in his kind attention to details, and the way he quickly learned to anticipate my needs. I had a minor emergency one night, and he handled it beautifully. He was also fantastic company to have around! He has such positive, buoyant energy and brought a playful sense of humor to the recovery process. And there’s nothing like having another trans person around to share in the many moments of joyful euphoria. I am forever thankful!"
-RF, 52
July 2024
"I'm extremely happy to have heard about T4T Caregiving and to have been introduced to Liz. She met me at my first post-discharge doctor's appointment and came to help me every day for the following two weeks, between two and four hours a day.
She helped out with everything I needed assistance with, from medical stuff to picking stuff up at the store to cooking to cleanup. I had friends and family helping out as well, but it was very comforting to have her there as a calm trusted voice to read my discharge instructions and keep track of what I needed to be doing.
Liz understands that the people to whom she is giving care don't just need the physical aspects of their treatment taken care of; she was also available for me emotionally and helped me process everything that was going on. My kids were also very comfortable having her around.
Exceeded all of my expectations."
-Sônia, 46
February 2024
She helped out with everything I needed assistance with, from medical stuff to picking stuff up at the store to cooking to cleanup. I had friends and family helping out as well, but it was very comforting to have her there as a calm trusted voice to read my discharge instructions and keep track of what I needed to be doing.
Liz understands that the people to whom she is giving care don't just need the physical aspects of their treatment taken care of; she was also available for me emotionally and helped me process everything that was going on. My kids were also very comfortable having her around.
Exceeded all of my expectations."
-Sônia, 46
February 2024
"I can’t recommend and thank oliver flowers enough! He was everything I could have asked for in a caregiver and more. Right away he showed me support and compassion in my Phalloplasty journey, and my mental and physical well-being thrived because of him.
He is extremely knowledgeable, transparent, supportive, professional, personable, and just overall a wonderful human being. He really takes time and dedication to think through everything and custom tailors your care plan based on your individual needs. The house was kept tidy and very well organized, which is one of the most important things to me and my needs. He was attentive and intuitive and I always felt like I was taken care of and thought of. His assurance gave me so much peace.
As a caregiver of over 10 years myself, my standards are high for what makes a good caregiver. oliver blew me away with his level of care and I’d recommend him to anyone pursuing gender confirmation surgeries. I have zero complaints in regards to his care and I am forever grateful to have had him there to care for me. Thank you so much oliver and T4T Caregiving!"
-Levi, 31
November 2023
He is extremely knowledgeable, transparent, supportive, professional, personable, and just overall a wonderful human being. He really takes time and dedication to think through everything and custom tailors your care plan based on your individual needs. The house was kept tidy and very well organized, which is one of the most important things to me and my needs. He was attentive and intuitive and I always felt like I was taken care of and thought of. His assurance gave me so much peace.
As a caregiver of over 10 years myself, my standards are high for what makes a good caregiver. oliver blew me away with his level of care and I’d recommend him to anyone pursuing gender confirmation surgeries. I have zero complaints in regards to his care and I am forever grateful to have had him there to care for me. Thank you so much oliver and T4T Caregiving!"
-Levi, 31
November 2023
"T4T Caregiving made such a positive difference in my recovery, both physically and emotionally. I had the pleasure of working with Devin for my most recent surgery and can't recommend them enough. Their past experience as a caregiver paired with their expert medical knowledge made my healing process smoother, and included tasks like changing dressing/bandages, managing pain meds, and contacting my medical team with questions (one time resulted in getting medication sooner than I would have on my own).
They provided excellent care while remaining professional, friendly, and compassionate which made me feel safe and more comfortable than I thought possible during recovery from major surgery. I would absolutely, 100% recommend both Devin and T4T Caregiving and wouldn't hesitate to use their services in the future."
-Cody, 31
July 2022
They provided excellent care while remaining professional, friendly, and compassionate which made me feel safe and more comfortable than I thought possible during recovery from major surgery. I would absolutely, 100% recommend both Devin and T4T Caregiving and wouldn't hesitate to use their services in the future."
-Cody, 31
July 2022
"Szonic was a lifesaver during my recovery from top surgery. I'm a pretty independent person and was nervous about having to depend on someone else in my day-to-day activities after surgery, bu once I met Szonic I realized I'd been nervous for no reason! He's very experienced with top surgery and stayed on top of my medication schedule, kept me fed and watered, and was generally a kind and caring presence during a vulnerable time. It was a fantastic experience and I'm really grateful that I found T4T Caregiving."
-CJ, 33
January 2022
-CJ, 33
January 2022
"Honestly I don’t know how I would have managed without T4T Caregiving.
Jos was my caregiver post op Stage 1 ALT phalloplasty.
He was extremely communicative before surgery and during my stay in the hospital he was proactive in getting everything I needed once I was released. He even came and visited with me while I was there.
He eased so much of my anxiety with his knowledge of the surgery and really made me comfortable in situations I don’t think I could have been had I another caregiver service or had friends/family take care of me.
He helped me with all my meds - making sure I took them on time, grocery retrieval, cooking, cleaning, all the help with wound care and showering.
Jos honestly was much better than the nurses in the hospital when it came to wound care.
But deep down the greatest thing about T4T aside from meeting Jos was the feeling of safety and comfort in a very vulnerable situation.
I can’t speak highly enough about him and this experience. 100% worth it."
-AC, 31
October 2021
Jos was my caregiver post op Stage 1 ALT phalloplasty.
He was extremely communicative before surgery and during my stay in the hospital he was proactive in getting everything I needed once I was released. He even came and visited with me while I was there.
He eased so much of my anxiety with his knowledge of the surgery and really made me comfortable in situations I don’t think I could have been had I another caregiver service or had friends/family take care of me.
He helped me with all my meds - making sure I took them on time, grocery retrieval, cooking, cleaning, all the help with wound care and showering.
Jos honestly was much better than the nurses in the hospital when it came to wound care.
But deep down the greatest thing about T4T aside from meeting Jos was the feeling of safety and comfort in a very vulnerable situation.
I can’t speak highly enough about him and this experience. 100% worth it."
-AC, 31
October 2021
"After having multiple surgeries from top surgery to phalloplasty I was always fortunate to have someone come and stay with me during recovery. This last surgery was one which I had no one to travel and stay with me after my procedure. T4T was recommended to me and I looked into their services. Jos set me up with caregiver Szonic in San Francisco. This took a lot of stress off of me knowing I would have someone come pick me up at the hospital and assist me once we got back to the Airbnb where I was staying. Szonic was very caring and really went the extra mile. He is a kind, giving person and wanted to make sure I was comfortable and had what I needed. I cannot say enough about how wonderful and helpful he was to me during this time. "
-Pat, 63
June 2021
-Pat, 63
June 2021
"I worked with T4T Caregiving for recovery from stage 1 RFF with the NYU team and was matched with Jos. He took care of everything I needed besides actually having the surgery for me. Cooked all my meals, quickly responded if I needed something even if it was in the middle of the night, did my dressing changes (even better than the actual surgeons and nurses lmao), and when I got some wound separation at the tip of my penis he was proactive with taking photos to send to the surgical team.
Given that he’s also trans and is post op phallo, he was able to reassure me from personal experience that my bleeding and swelling was normal. It was such a relief to not have to feel awkward or apologetic about the state of my body like I would if I had enlisted the services of a friend or hired home health aide, where in most cases they are cis and haven’t had previous experience with taking care of someone post-phallo. It was also just psychologically helpful to see someone further ahead with these surgeries able to go about life as “normal”, as a reminder that the early stages of recovery aren’t forever.
I know that the cost can be a barrier for many people, but I definitely got more than I paid for from T4T Caregiving in terms of knowledge, patience, and competence. Nurses and caregivers aren’t given nearly enough credit for the vital work they do."
-Phalloplasty Client, 29
May 2021
Given that he’s also trans and is post op phallo, he was able to reassure me from personal experience that my bleeding and swelling was normal. It was such a relief to not have to feel awkward or apologetic about the state of my body like I would if I had enlisted the services of a friend or hired home health aide, where in most cases they are cis and haven’t had previous experience with taking care of someone post-phallo. It was also just psychologically helpful to see someone further ahead with these surgeries able to go about life as “normal”, as a reminder that the early stages of recovery aren’t forever.
I know that the cost can be a barrier for many people, but I definitely got more than I paid for from T4T Caregiving in terms of knowledge, patience, and competence. Nurses and caregivers aren’t given nearly enough credit for the vital work they do."
-Phalloplasty Client, 29
May 2021
"Jos exceeded my expectations for a caregiver for my Phase I Phalloplasty. An unfortunate circumstance prevented my parents from travelling to be my caregivers and I had to tap into outside resources. I quickly realized, once in the care of Jos, I would not have wanted anyone else to have cared for me. There is something both special and soothing in sharing this healing process with another trans person who has experienced the intricacies involved in the physical and emotional work that comes with these types of surgeries. I did not know what I needed from Jos until he effortlessly provided it. He made me feel relaxed and comfortable within hours of meeting him.
Jos is organized, responsible, and well educated in phalloplasty. Prior to meeting in person, Jos was an excellent communicator throughout the process of setting up our plan of action. Once in his care, all transportation was arranged, the timing of my medications were strictly monitored, and all wound care was addressed with experienced hands. I had comfort in knowing his established relationships with my surgeons, careteam network, as well as other post op trans men from different surgical teams. Jos did everything for me short of juggling for my entertainment (although, I think if requested, he’d make accommodations). He knew the perfect balance as far as being respectful of times I needed company and times I needed privacy.
I will always be grateful to have made this connection and I credit many successes of my healing to my caregiver. "
-Phalloplasty Client, 25
January 2021
Jos is organized, responsible, and well educated in phalloplasty. Prior to meeting in person, Jos was an excellent communicator throughout the process of setting up our plan of action. Once in his care, all transportation was arranged, the timing of my medications were strictly monitored, and all wound care was addressed with experienced hands. I had comfort in knowing his established relationships with my surgeons, careteam network, as well as other post op trans men from different surgical teams. Jos did everything for me short of juggling for my entertainment (although, I think if requested, he’d make accommodations). He knew the perfect balance as far as being respectful of times I needed company and times I needed privacy.
I will always be grateful to have made this connection and I credit many successes of my healing to my caregiver. "
-Phalloplasty Client, 25
January 2021

"This has been ideal and honestly fun hanging out with another trans person who understands while going through all this...
Josefine has been great. Not only was she comfortable coming to NYC and able to stay for nearly a month, she stayed with me in the hospital and has been preparing amazing meals with the very limited hotel kitchenette. She took care of my more advanced care needs the first week after discharge. She has also been a great person to hang out with.... I feel this is really great resource since having someone for support is a huge barrier for surgery especially if you don't have family or a partner who is able or willing to stay with you."
-Vaginoplasty Client, 31
June 2019
Josefine has been great. Not only was she comfortable coming to NYC and able to stay for nearly a month, she stayed with me in the hospital and has been preparing amazing meals with the very limited hotel kitchenette. She took care of my more advanced care needs the first week after discharge. She has also been a great person to hang out with.... I feel this is really great resource since having someone for support is a huge barrier for surgery especially if you don't have family or a partner who is able or willing to stay with you."
-Vaginoplasty Client, 31
June 2019
"oliver was divinely sent for my surgery. I would recommend his services to anyone.
You are not getting just a caregiver, but a healer and friend. From the very beginning of the process, to the day he left, he was acutely tuned in to what I needed - even when I didn’t know I needed it.
He was a calming presence that radiated unconditional love and support in every moment. He knew exactly when to leave me in solitude with family or friends, and when to step up and be front and center. He was fierce in his protection of me, and serene in stressful or scary situations. In a time that is deeply vulnerable, raw, emotional and transformative- oliver held me with pure acceptance, safety and celebration. He embraces and honors the entirety of the healing process and can empathize on a level very few people can understand until you are under his care. He cooked me delicious meals; cleaned up the space as I left gauze and cups and plates all over the place; drove me to appointments; went food shopping; made my family laugh and feel supported; helped me shower; and held the space for my body, mind and spirit to express all the ranges of emotion fully as we danced through this rite of passage all together.
Surgery is the most powerful and intense experience in the world, and to have oliver there as my teammate and anchor was more than I could have asked for. He is truly an amazing, kind, and extraordinary man, and I am lucky to know him and have been cared for by him."
-Phalloplasty Client
June 2019
You are not getting just a caregiver, but a healer and friend. From the very beginning of the process, to the day he left, he was acutely tuned in to what I needed - even when I didn’t know I needed it.
He was a calming presence that radiated unconditional love and support in every moment. He knew exactly when to leave me in solitude with family or friends, and when to step up and be front and center. He was fierce in his protection of me, and serene in stressful or scary situations. In a time that is deeply vulnerable, raw, emotional and transformative- oliver held me with pure acceptance, safety and celebration. He embraces and honors the entirety of the healing process and can empathize on a level very few people can understand until you are under his care. He cooked me delicious meals; cleaned up the space as I left gauze and cups and plates all over the place; drove me to appointments; went food shopping; made my family laugh and feel supported; helped me shower; and held the space for my body, mind and spirit to express all the ranges of emotion fully as we danced through this rite of passage all together.
Surgery is the most powerful and intense experience in the world, and to have oliver there as my teammate and anchor was more than I could have asked for. He is truly an amazing, kind, and extraordinary man, and I am lucky to know him and have been cared for by him."
-Phalloplasty Client
June 2019

"The best decision I ever made was getting my top surgery! The second best decision I ever made was hiring a personal caregiver to be with me for a full two weeks for my recovery. I cannot give a higher recommendation than I can for oliver. He was spot on in every facet of care, and seemingly anticipated my needs in every way before I could even verbalize my needs myself.
His attention to my health not only included my wound care and tracking my medication, but also my mental health, physical health, and nutrition. These were the things that were expected by me for my caregiver. oliver took it ten steps further... including helping me navigate through securing the rental property, attending my pre-op visit with my doctor, caring for my service dog and keeping the house a clean, cool, and relaxed environment for my healing. In the end he even drove me 15 hours in a car to bring me safely home. This is certainly going the extra mile.
I'm so happy to refer oliver to anyone needing care or companionship. He is an excellent and attentive caregiver on top of being a peaceful, fun, and radiant human being."
-Max, 43
January 2016
His attention to my health not only included my wound care and tracking my medication, but also my mental health, physical health, and nutrition. These were the things that were expected by me for my caregiver. oliver took it ten steps further... including helping me navigate through securing the rental property, attending my pre-op visit with my doctor, caring for my service dog and keeping the house a clean, cool, and relaxed environment for my healing. In the end he even drove me 15 hours in a car to bring me safely home. This is certainly going the extra mile.
I'm so happy to refer oliver to anyone needing care or companionship. He is an excellent and attentive caregiver on top of being a peaceful, fun, and radiant human being."
-Max, 43
January 2016