Just having literally any trans people actually working there would make me a lot more comfortable, and is not something I’ve ever experienced before.

Probably not something you can affect, but my biggest issue with trans care is just access to it through insurance. Free clinics and out of pocket payments make it doable, but around me, the offices specializing in trans care don’t cover insurances except the few largest.

I just love a clean, efficient, clinical experience. I’m sure this is idiosyncratic, but I spent a long time in direct care work taking clients to doctors. Some places are a mess. Nurses gotta find things. Nurses gotta figure things out. A good doctor’s office has places for things and things in their places. Procedures are known and followed. The Planned Parenthood where I get my hrt can be downright crispy. Once it’s my turn, I can be out of there in 10-15 minutes. It would be faster if they didn’t check in on me in general and offer me any and all other services they can provide or connect me with. If they’d stop being so damn supportive, we could do that shit in five minutes. And it fills me with trust. I’m a well informed and prepared patient, so we’re almost always on the same page. Quick chat>skillful disensanguination>gone. It’s beautiful. It’s almost a bummer to go to six month appointment intervals because it’s always such a wholesome and satisfying experience. So yeah, for me personally, give me a well oiled machine and I’ll be happy.

Follow international medical guidelines (i.e. WPATHv8) as a baseline, actually listen to trans people, and be willing to deviate based on patient need.

Have the trans community involved in governance in a non-tokenestic way, e.g. seats on the board.