nterviews occurred between June and November 2020 via Zoom and lasted one-hour. Except for one interview, tworesearchers interviewed each participant, one as the primary interviewer following the interview guide and the otherone asking clarifying questions. During the first half of the interview, we asked participants to “Tell us about a timewhen you had an interaction with a doctor where you felt not heard, disrespected, or made uncomfortable?” (RQ1.Experiences). The second half of the interview asked them “If you had the power to change the experience youdescribed, what would you change?” (RQ2. Strategies). After each interview, the researchers made notes summarizingthe participants’ experiences and solutions. Interviews were recorded and transcribed for qualitative analysis.

Participants who perceived that they lacked control over their medical care also feared that itwould be taken away. One participant (demographics missing) described a transgenderfriend’s fear that asking his provider questions about hormone injection techniques mightlead them to think, “Oh, you don’t know how to inject. We should just take this away.”Given this context, participants highlighted the importance of shared decision-making duringwhich the provider discusses risks and benefits, and the patient has an opportunity to decidehow to proceed. A straight, intersex, white woman (TI1) said,

ach focus group, AA waspresent along with a note-taker and, in one instance, one additional facilitator. In each group,all non-participants identified as LGBTQI. Focus groups were held at the followinglocations: a transgender conference at a state university; a LGBTQI community center in asmall city; a transgender community center run by and for Latina transgender women; aprivate home in a large city; the office of an LGBTQI service organization; and an LGBTQIcommunity center in a large city. T

is a LGBTQI-identified whitewoman who conducted the study as part of her medical school scholarly project. For th