This study was meant to be an initial step in assessing the major barriers and obstacles to accessing gender-affirming healthcare in Fresno County. While the research documented key barriers to healthcare and gender-affirming healthcare and brought forward community voices on this issue, much more research needs to be carried out.

Several logistical barriers make access to transgender healthcare extremely challenging in Fresno County. The limited numbers of trained transgender health care and mental health care providers and practitioners mean fewer access and options. Discrimination and harassment from providers can lead to more trauma and the avoidance of health care for the transgender and gender-expansive communities. This survey and interviews show that healthcare is interwoven with other basic needs to live a fulfilled and productive life. Most importantly, healthcare is fundamental to mental health and well-being for transgender and gender-expansive populations.