Affirmation is done in acrylic on canvas. It is a commentary on continuing controversy surrounding gender-affirming care, with particular attention paid to surgery in the chest region. With this piece, I intend to bring attention to the fact that gender-affirming care is not limited to transgender identifying individuals, but that care and surgeries such as these are provided to people who identify with the gender they were assigned at birth every day. The piece features four models based off real before-and-after surgical photos.