Transgender and non-binary people encounter frequent difficulties when working with health care providers who lack sufficient cultural awareness or training. What can we do to offer welcoming and competent care for these clients? This won?t be about "herbs for transition," but will focus on increasing gender literacy: how to practice, teach, write and live as an ally to people of all gender identities and how to proceed when we inevitably mis-step. Topics will include inclusive thinking and language, with consideration for cross-cultural work; informed consent in largely uncharted clinical waters; figuring out herb-hormone interactions; using herbs for surgery support and beyond (and, yes, a few herbs for gender affirmation).