
Strength That Aligns With Your Story
Dr. Trey Larant, PT, DPT, Cert DN (he/him)
Physical Therapist and Fitness Coach

About me
Hi, I’m Trey — a trans man and Doctor of Physical Therapy, focused on helping people reconnect with their bodies on their own terms.I specialize in post-op recovery for gender affirmation procedures. My approach is gender-affirming and rooted in lived experience, after having gone through top surgery, hysterectomy, and RFF phalloplasty myself.I was born and raised in Wisconsin, earned my bachelor's degree in Spanish from the University of Wisconsin - Oshkosh in 2015, and my Doctorate in Physical Therapy from the University of Wisconsin - La Crosse in 2018. I have worked as an outpatient physical therapist in Washington State for over 8 years. Outside of the clinic, I enjoy trail running and backpacking with my dog, cross country skiing, and traveling the world learning about other cultures.
Services Offered

Top Surgery Recovery
Program - $99
This 8 week training program includes upper body, core, and cardio components to get you back to your life after top surgery. This is meant to be started immediately after surgery. It abides by most surgeons' recommendations to not raise your arms above shoulder height for the first month post op. With a focus on mobility, postural awareness, and progressive strengthening, you'll be back to your activities in no time!Includes:
- 8 week PDF plan
- Video demonstrating and explaining form for every exercise
- Pre-op supplies list

Hysterectomy Recovery
Program - $99
This 6 week training program includes core, lower body, and cardio components to get you back to your life after a hysterectomy. This is meant to be started immediately after surgery and focuses on restoring mobility, posture awareness, and strength with respect to your surgical healing.Includes:
- 6 week PDF plan
- Videos demonstrating and explaining how to perform every exercise
- Pre-op supplies list

Metoidioplasty Recovery
Program - $99
This 8 week training program includes core, lower body, and cardio components to get you back to your life after Metoidioplasty. This is meant to be started immediately after hospital discharge and focuses on restoring mobility, posture awareness, and strength with respect to your surgical healing.Includes:
- 8 week PDF plan
- Videos demonstrating and explaining how to perform every exercise
- Pre-op supplies list

RFF Phalloplasty Recovery
Program - $99
This 8 week training program includes upper body, lower body, core, and cardio components to get you back to your life after phalloplasty surgery. This is meant to be started immediately after hospital discharge and focuses on restoring mobility, posture awareness, and strength with respect to your surgical healing.Includes:
- 8 week PDF plan
- Videos demonstrating and explaining every exercise
- Pre-op supplies list

ALT Phalloplasty Recovery
Program - $99
This 8 week training program includes lower body, core, and cardio components to get you back to your life after phalloplasty surgery. This is meant to be started immediately after hospital discharge and focuses on restoring mobility, posture awareness, and strength with respect to your surgical healing.Includes:
- 8 week PDF plan
- Videos demonstrating and explaining every exercise
- Pre-op supplies list


Postpartum Recovery
Program - $99
This 6 week guided training program includes core, pelvic floor, lower body, and cardio components to get you back to your life after giving birth (either physiologically or C-section). This is meant to be started within days of giving birth and is designed to help you safely rebuild strength, restore core and pelvic floor function, and prevent long-term issues that commonly follow childbirth — including incontinence, pelvic pain, and prolapse.Includes:
- 6 week PDF plan
- Videos demonstrating and explaining every exercise

Inservice on Trans and Queer Competency for Physical Therapists
I offer educational in-services specifically for physical therapists and rehab professionals focused on improving transgender and queer–competent care across the continuum of treatment.Led by a physical therapist who is also trans, these in-services bridge the gap between clinical education and lived experience. The goal is to help providers feel more confident, informed, and affirming when working with trans, nonbinary, and queer patients—especially around gender-affirming surgeries, anatomy-specific considerations, and inclusive clinical environments.Topics can include:
- Foundations of trans and queer–affirming language and best practices
- Creating safer, more inclusive clinic environments
- Pre- and post-operative rehab considerations for gender-affirming surgeries (top surgery, hysterectomy, phalloplasty, metoidioplasty, etc)
- Common complications and overlooked rehab needs
- Case examples and practical takeaways you can apply immediatelyIn-services can be tailored to your specific clinic and are appropriate for PTs, PTAs, and rehab teams at all experience levels.If your team is interested in expanding competence, confidence, and quality of care for trans and queer patients, reach out to schedule an in-service or discuss customization options.
Testimonials
"I've been working with Trey in his top surgery recovery program with weekly coaching. As a fairly active person, it was important to me to work with someone who could address both my post-surgical and athletic needs. Trey has been amazing in his personalized programming and support of my overall goals. He's helped me regain my mobility and strength post-surgery, alongside introducing new exercises and corrections into my normal workout routine. His specific knowledge of top surgery has helped me throughout my preparation and recovery stages, and his informed and supportive approach to coaching has been incredible. He goes above and beyond to ensure that the program works for me, given my individual goals and constraints, and it’s been an awesome experience to work with an affirming professional who understands this journey."- Reed, March 2026
"We hired Dr. Trey to provide an all-staff in-service at our multi-clinician pelvic health clinic with the goal of better serving our trans patients. Dr. Trey proved himself to be a deeply informed and natural educator, whose clear and thorough presentation was relevant and informative even to our most experienced therapists. Drawing from his experience both as a provider and a patient, he is able to tell impactful stories that help us better understand our patient's needs and their experiences. If you are looking to improve your approach to inclusive care, Dr. Trey is the expert you want!"- Dr. Julie Wallace, PT, DPT (she/her) Owner of Insight Pelvic Health, Loveland, Colorado
January 2026
"Trey quickly became a ray of light during my recovery from hysterectomy and metoidioplasty. Living with chronic back and nerve pain means my recovery looked very different than most, but Trey met me exactly where I was. With his support, I was able to get up and moving within just three weeks. "
- Santiago, January 2026
"I really enjoyed this rehab program and I found it very useful. I'm now six weeks post op (top surgery) and I went back to working out. I found that my mobility is already amazing, almost completely back to normal and my strength as well. On top of helping me to go back to my previous strength in the gym quicker, I found it motivating and helpful during my recovery to keep me busy and give me goals to work towards to every week (and also to stop me from pushing to hard too soon).
Finally, even if I'm in the UK, Trey has been available and ready to help throughout the whole time both by email and on social media, making the whole experience even better.
I highly recommend this program and working with Trey has been a pleasure."
- Luke, November 2025
"Trey Larant is an amazing resource! I cannot say enough good things about working with him.
Personally, I had a really rough time with complications from RFF Phalloplasty, needing to have 4 surgeries in 7 months and an SP catheter for 9 months. When I finally got the catheter out I had lost a ton of mobility and muscle in so many places and didn’t know where to start to get back on my feet.
I found Trey around this time and he made really straightforward plans that helped me safely reach my goals and return to what I could do before surgery.
Working with him is ridiculously affordable - $12-$25 a week and he cares deeply about the people he works with and will personalize your program based on whatever you need and are looking for."
- Caleb, October 2025
"Trey is the best health care provider and trainer that I’ve ever worked with. I trained with Trey pre-top surgery and through his post-op recovery program. I went into my surgery feeling confident and recovered my strength and mobility way faster than I expected, all thanks to Trey’s support. He is so dedicated to providing top-quality care and programming that meets you where you’re at in every way. He asks questions, really listens to your needs, and warmly shares his wide-ranging expertise. His monthly training programs are super fun and have helped me build strength and address chronic pain issues at the same time. I feel so grateful to have Trey in my corner for all things PT and training. I can’t recommend him and his programs highly enough."
- Gray, August 2025
"Trey is one of the most wonderful people I have had the pleasure to meet and work with. I suffer from EDS, a hypermobility diagnosis, and in the 6 months I have been seeing Trey I have been making marked improvements. I have Never felt this supported from a healthcare professional. Everything is presented in a way that I can easily understand, and I am always met where I am at. Thank you Trey for all of the amazing work!"
- Chikori
Frequently Asked Questions
1. Who do you work with?
I work with transgender, nonbinary, and gender-diverse individuals, as well as cisgender clients of all ages. Whether your goal is recovery, pain relief, improved mobility, or building strength, my programs are designed to be safe, inclusive, and affirming.2. Where are your services available?
These downloadable programs are available worldwide.3. Do you take insurance?
Currently, I operate as a cash-based service and do not bill insurance. You can use an HSA or FSA card for purchase however.4. How soon after surgery or injury can I start these programs?
These programs start very light and gentle and are meant to be started within a few days of hospital discharge. However, every individual heals differently and some folks may need to wait a bit longer depending on their individual healing process and/or their surgeon's orders.5. Can these programs help with scar tissue or restricted mobility?
Yes— I work to incorporate self scar mobilization, targeted stretching, and progressive strengthening in all my programs. I also have additional videos made demonstrating various techniques including scar tissue mobilizations, cupping, and KT taping.
Contact Form
Have other questions/concerns? Send me a message and I would be glad to discuss with you further!
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