Dr. Lou Himes, a psychologist in New York, shares with us about their presentation at the recent ISSTD annual conference regarding trauma-informed treatment of transgender clients. They explain the difference between gender and sex. Together we explore gender identity, including discussions regarding expression, roles, and presentation. They also explain the difference between physical attraction and emotional attraction. We discuss why this matters, how misgendering and microaggressions are additional traumas, and how this impacts clients who already struggle with trauma and dissociation. Trigger warning for gender identity issues, reference to religious abuse, reference to oppressive parenting, and reference to therapeutic ruptures.