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The impact on relationships following disclosure of transgenderism: a wife’s tale.What is known on the subject? • The experiences of transgender people are becoming increasingly more visible in popular culture, biographical literature and the media. • The topic has received little attention within the psychiatric and mental health nursing literature. • There is a paucity of literature exploring the impact on relationships following a disclosure of transgenderism. What does this paper add to existing knowledge? • A narrative account of the consequences for the wife of one transwoman and their relationships with friends and family following the disclosure of transgenderism. • The article identifies a range of issues that require further attention in relation to healthcare provision. These include the: mental health needs of partners and spouses; attitudes of healthcare professionals towards transgender issues; and the adequacy of the formal support offered to partners and spouses of transgender people. What are the implications for practice? • There is a need for healthcare practitioners to explore their understanding of transgender issues and how these may impact on the mental health of partners and spouses. • It is important that healthcare professionals provide a hopeful and supportive environment to enable couples to explore their relationships following disclosure of transgenderism.