In this ISSM Podcast episode, Marcelo Praxedes discusses sexual health and healthcare access for transgender individuals and the LGBTQ+ community. He explores the unique challenges faced when seeking care, the importance of sensitivity and training among healthcare providers, and the impact of minority stress on patient well-being. Dr. Praxedes emphasizes the need for multidisciplinary support before and after gender-affirming surgery and highlights the mental health realities affecting this population. Interview by Estela Citrin.