Voice feminization is gender-affirming care frequently sought out by transgender women. Due to multiple barriers to receiving in-person services, telerehabilitation is an increasingly favored mode of getting voice feminization therapy. Improved intervention outcomes, therapy attendance, and compliance with home exercise programs with telerehabilitation in transgender women led to the conception of this research topic. The purpose of this investigation was to determine the effect of telerehabilitation on average speaking fundamental frequency and self-perception of vocal femininity in transgender women.