Gender-affirming healthcare plays a crucial role in the lives of transgender individuals, helping them align their gender identity with their legal documents. The Aurum POP INN clinics in South Africa are making significant strides in this area by offering comprehensive support to transgender women (TGW) through their Gender-Affirming Healthcare (GAHC) model. Understanding Gender Marker Changes Gender marker change is the process of officially altering the gender designation on legal documents to reflect an individual’s affirmed gender identity. This is essential not only for accessing services and avoiding discrimination but also for affirming one’s identity in daily life. In South Africa, the Alteration of Sex Description and Sex Status Act (Act No. 49 of 2003) allows individuals to change the sex recorded on their identity documents.