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While gay and bisexual cisgender men have fought for HIV/AIDS treatment and PrEP, the transgender community faces a unique healthcare desert. Access to gender-affirming surgeries, hormone replacement therapy (HRT), and mental health care is abysmal. Within LGBTQ culture, there is a growing frustration that major LGBTQ nonprofits spend millions on gay-straight alliances and same-sex marriage celebrations while trans youth suicide rates climb and waiting lists for gender clinics stretch for years.