Although I have done some basic CEUs in transgender health care and did my training in San Francisco, I am not a specialist in transgender care. That said, I work my hardest to create safe space. I have provided hormone transition therapy to a handful of transmasculine and transfeminine patients. I am hooked into a support network in Yakima and Seattle where I can seek guidance from other providers and I am actively working to build up more of a local support team including safe mental health providers. I believe that trangender care belongs in primary care and am honored to help fill a gap in services.