The 1960s and 1970s was a new period for transgender medical practices. In 1966, John Hopkins University opened the first gender identity clinic in North America, with many other universities following suit. Getting into these programs was very difficult as doctors were able to control who was admitted, informed only by their preconceptions about what a transgender person should be.
In the early 1950s, an American soldier named Christine Jorgensen would make headlines in the tabloids. Her very public transition put a spotlight on transgender issues. Out of this newfound awareness, transgender communities started to blossom.