I. Introduction
II. Sex and Gender
III. Gender Expression and Orientation
IV. Stigma and Social Support: Two Important Concepts
V. Specific Issues Related to Gender Expression
1. Gender Dysphoria
VI. Bullying and Stigma
1. Mental Health Treatment
2. Access to Healthcare
VII. LGBT+ Concerns for Rural Communities
1. Montana State Example: Laws Protecting LGBT+
VIII. Educational Considerations for Health Clinicians
IX. Case Study: Transgender Female-to-Male
X. Summary