Given the 1 million to 1.4 million transgender people in the United States, most physicians will have transgender patients at some point as part of their practice. Until recently, this situation often caused consternation and embarrassment for both the patient and the physician. I have had transgender patients tell me that a particular specialist “doesn’t take care of people like me.” This lack of knowledge and comfort is changing with more and more publicity about transgender people through social media, TV and movies. In addition, millennials are much more fluid in their understanding and expression of gender, and most medical students I encounter now have had a friend or acquaintance who is transgender or gender nonbinary.
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