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A young man, JT, arrives at the clinic to establish care. The front desk staff is confused because his gender is listed as female in the chart. After several minutes of discussion, your assistant walks out and calls for “Ms T.” When you walk into the room, he is clearly upset with the process.  Transgender describes a person whose gender identity differs from the sex assigned at birth. Gender identity is a person's inherent sense of being female, male, or an alternative gender.1 To adequately treat gender nonconforming patients, healthcare providers should recognize that not all patients fit into a binary gender description.  In Louisiana, transgender people represent approximately 0.6% of the population, or 20,900 people.2 Transgender individuals experience a high degree of homelessness, violence, abuse, and hate crimes.3 Furthermore, transgender individuals have a suicide attempt rate of 41% that far surpasses the national average of 4.6%.4 In addition, transgender individuals battle extensive healthcare disparities, but aligning the treatment of transgender patients with the ethical principles of autonomy, nonmaleficence, benefice, and justice can help eliminate these disparities.

Bioethics in Practice: Ethical Issues in the Care of Transgender Patients.