The transgender community is a vital and historically foundational segment of broader LGBTQ+ culture, characterized by a unique "culture of survival". While often grouped together under one acronym, the transgender experience is distinct, as it focuses on gender identity—one's internal sense of being a man, woman, both, or neither—rather than sexual orientation. Key Pillars of Transgender and LGBTQ+ Culture Cultural Competence in the Care of LGBTQ Patients - NCBI