On the TER Reviews Page, go to Quick Search, type Philadelphia County, PA, in the Location Box, and click Advance Search beneath the green search option.  Scroll down the Search Options until you reach the “Provider’s Appearance” section. Open the Transsexual box and click on Yes-pre Op. This will reveal a diverse selection of recently reviewed Trans providers in your area. I encourage you to explore these options to refine your search and pinpoint the most important qualities to you.  Good luck!