Abstract
This article is based on a qualitative study of 18 mothers who learned that their daughters identified as transgender. The interviews reveal a process of reconciliation that included themes of initial devastation, daughter-loss, and recollections of early gender-variant behaviors. Turning points such as adjustment to a male presentation and a perceptual-cognitive shift enabled mothers to view their daughters as male and begin to respond to them as their son. A discussion of psychotherapeutic issues and techniques is also highlighted.