Due to COVID-19, none of Sasha's loved ones were allowed into the surgery room or recovery room. Here, Noah and Sasha’s mother hold Sasha to prevent him from shaking before checking in for the procedure at sunrise on Nov. 23, 2020, at St. Lukes Hospital. Soon after, a nurse misgendered Sasha 13 times. “I immediately feel defeated when it happens, he said. "I’m never going to be seen like I want to be seen.”