Transgender (trans) people make up 0.6% of the population1, yet are among the most underserved in health care.2–5 Barriers to accessing care have been linked to unsafe surgical practices, self-prescribed hormone therapy, and even in the high rate of suicidality among trans Ontarians.6–10 Just over half of trans people report having negative Emergency Department (ED) experiences specifically related to their identity, while one fifth avoid the ED altogether out of fear of discrimination, suboptimal care, …