Transgender surgery is a burgeoning field in urology and, with nearly 700,000 people in the United States alone identifying as transgender, this represents a significant unmet patient need. Although the field is new and encompasses both plastic surgery and urology, urologists are more familiar with the anatomy (both male and female) than any other specialty. Thus, they are uniquely positioned to play a key role in the surgical management of transgender patients. It is very likely that there will soon be transgender surgical fellowships in the future. Work by these surgeons and others will, hopefully, ensure that these fellowships remain within the purview of urology. Commentary on each video is provided by Lee Zhao, MD, assistant professor of urology at New York University Langone Medical Center, New York, and by 'Y'tube Section Editor James M. Hotaling, MD, MS, assistant professor of surgery (urology) at the Center for Reconstructive Urology and Men's Health, University of Utah, Salt Lake City.