My doctor is female and I have been seeing her for about ten years. The office I go to has a holistic approach to the care they provide, and I agree with that. Since I consider myself more trans in nature and not "just a crossdresser" I felt it was important as part of my overall care for them to know. So one day at my annual physical when asked to strip down to my underwear I also took off my socks too so my painted toenails would be on display. When my doctor came in she commented on the "nice color" which began a discussion of my thoughts and feelings on gender and such. She was a complete professional but not in a distant, clinical sense. Since that time some years ago I have been back twice a year on a routine basis and the care provided is just as good now as it has ever been and I continue to have a very good relationship with my doctor.