Trans Sex, 2nd ed. (Routledge, 2025)
Book Description
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 new 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.
Publication Date: October 23, 2025
Praise for Trans Sex (2nd Ed.)
““In Trans Sex, Lucie Fielding invites us to imagine something so much more delicious than mere survival. What if our genders could feel good—like really, really good? What if trans pleasure wasn’t the exception but the foundation? What if our joy, our bodies, our wildest erotic selves were the blueprint for liberation? With brilliance and care, Lucie reminds us that pleasure is not a detour from the work—it is the work. This is a book for those of us who know that dreaming is sacred, that softness is power, and that trans people have always been at the heart of every freedom movement worth naming. If you’ve ever longed for a world that’s more touchable, more sensual, more free—start here.””
““You will find not a single cliché, not a single concession in these pages. Eschewing caution without ever capsizing into carelessness, Lucie Fielding has given us more than an “updated” edition of her celebrated book; she has given us a deepened and original reworking of ideas that are responsive to the current moment. Pushing past respectability politics and refusing to theorize from a defensive viewpoint, this erudite volume invites and seduces us—even dares us!—to think anew pleasure, risk, and solidarity.””
““Pleasure and all that it embodies—autonomy, consent, knowledge, discourse—is not only necessary but the apex of personal and cultural liberation. We are all deserving of a happy and healthy sexuality, and Trans Sex lays the groundwork. A striking balance of being nerdy while not elitist, deeply personal while incredibly well-versed, and the citation notes alone are beyond impressive. Trans Sex is a beacon of radical affirmation, education, and care in this critical time for trans rights and sexual freedoms.””
““This is an essential guidebook for every medical provider, therapist, teacher, and helping professional. For those whose work centers on gender and sexuality, it is an invaluable resource they’ll return to again and again. For others, it provides a foundational bedrock on which to build a practice that welcomes and supports dimensions of a client’s identity and body. This book will be a vital part of promoting comprehensive literacy in these areas for years to come.””
Awards and Honors for Trans Sex (1st Ed.)
Finalist, Transgender Nonfiction Category, Lambda Literary Awards 2022
Recipient, Book for Sexuality Professionals, AASECT Book Awards 2022
Recipient, APA Division 44 Distinguished Book Award 2024
Recipient, SSTAR Health Professionals Book Award 2024
Praise for Trans Sex (1st Ed.)
“As a psychotherapist and trainer, I am so excited that this book exists! Lucie Fielding has created a wonderful resource for trans communities in a way that is grounded in context and the many dimensions of experience that might affect trans sex and sexualities. What a refreshingly thoughtful yet humble take on topics that are so often misunderstood, neglected, or oversimplified! Fielding does an excellent job of providing an overview of interesting and relevant concepts related to trans sexualities, and pieces by invited contributors did an excellent job of bridging theory and practice. Well written and thoughtfully laid out for the reader, as well as grounded in social justice and intersectional frameworks, I recommend this book to anyone who wants to deepen their understanding and practice in a more nuanced, complex way when working with concerns related to trans experiences and sexuality.”
“This is an essential guidebook for every medical provider, therapist, social worker, teacher, and helping professional, whether their work focuses on sexuality and gender or not. For those whose work centers these topics, this book is an invaluable resource they’ll return to again and again. For those for whom these topics have been peripheral, it will provide a foundational bedrock on which to build a practice where all dimensions of a client or patient’s identity and body are fully welcomed and supported. Written by an author with rare insight, garnered through transitioning while training as a sex therapist, it speaks to providers in language that demonstrates, as well as explains, how to be present with trans and nonbinary clients. Ongoing training in sexuality and gender is necessary for ethical practice. This book will be a vital part of promoting comprehensive literacy in these areas for years to come.”
“Trans Sex: Clinical Approaches to Trans Sexualities and Erotic Embodiments is the book I want every clinician, educator and medical health provider who works with trans and/or nonbinary people to read. Lucie Fielding has created an essential resource that was long overdue in the field of sex therapy and that will be essential reading for many providers outside of our field as well. As well as sharing her own knowledge and wisdom, the author has included activities and practical applications by an incredible range of practitioners. This book is a treasure trove of information and I urge you to read it.”
“Too much of the literature on gender transness falls off the balance beam, either ignoring trans sexuality or sexually objectifying trans people. Lucie Fielding’s Trans Sex hits a sweet spot. It offers psychotherapists, medical care providers, sex educators and other professionals a compassionate and deeply grounded guide to working with trans folx and our sexualities. It is simultaneously erudite and approachable, practical and theoretical, permission-granting and boundary-setting, and encourages the kind of respectful, ethical curiosity about our lives on which successful therapies depend.”