“…Here we assess changes to brain measures of sexual arousal related to transition using fMRI, focusing on the VS, based on previous reports of its specific role in this function (Safron et al, 2007 , 2017 , 2020 ; Sylva et al, 2013 ; Walter et al, 2008 ). We hypothesized that the patterns of behavioral responses and VS activation to erotic stimuli shift from assigned to experienced gender over the course of GHT, in analogy to patterns detected using other MRI based outcome parameters, such as white and gray matter structure (Flores et al, 2022 ; Kilpatrick et al, 2019 ; Kranz et al, 2017 , 2018 ). To this aim, we assessed the subjective arousal ratings and VS activation in a sample of TW and TM before and after four months of GHT as well as CW and CM control groups, all undergoing an fMRI sexual arousal task.…”