This radically re-visioned and expanded edition of Trans Sex offers a joyously pleasure-centered approach to nurturing trans erotic embodiment and finding gender-pleasure in the body. Trans Sex challenges limiting models of gender-affirming care that focus on resolving gender dysphoria, and preserving sexual function, or highlight sexual losses that may arise as a result of transition pathways. Grounded in social justice, somatics, and queer theory, this book offers a pleasure-positive approach to working with trans and gender expansive individuals. Building on the groundbreaking concepts introduced in the award-winning first edition, the second edition features new frameworks such as gender-pleasure and a fresh set of experiential activities and illustrative vignettes to bring theory to practice. The final chapter features a new set of contributing trans and gender expansive authors who work at the intersections of sexuality and gender. This book is designed to be accessible to a range of readers. Mental health and medical providers will be able to harness creative strategies to enhance their practice and become more imaginative, ethically curious providers. Trans and gender expansive folks and allies will find tools and strategies for queering sex, circumventing limiting understandings of the erotic, and opening a potential universe of pleasure that celebrates the polymorphous perversity of our bodies.