People identifying as transgender are those whose gender identity differs from their biological sex. It is estimated that there are at least 1.4 million transgender people in the United States1 and at least 25 million worldwide.2-4 The number of people undergoing medical or surgical gender affirmation may rise, given the increasing social awareness and decreasing stigma surrounding transgender people.1 More transgender people create a greater need for health care providers, including dental professionals, who are experienced in managing the care of transgender patients. Despite the growing need for multidisciplinary care, the social and institutional stigma against transgender people results in discrimination in the health care field.5