In this AUANews Inside Tract episode, Drs. Rachel Rubin and Una Lee take listeners inside the movement that successfully pushed the FDA to eliminate the outdated black box warning on estrogen therapies. They unpack the origins of the warning, the modern evidence that contradicts it, the impact on GSM care, and the powerful role urology played in driving this change. A forward-looking conversation about implementation, education, and the future of hormone-based care.