The transgender community and LGBTQ+ culture are defined by a rich history of resilience, diverse identities, and a shared struggle for civil rights and social acceptance . Transgender individuals are those whose gender identity differs from the sex they were assigned at birth, while LGBTQ+ culture encompasses the collective social experiences, traditions, and advocacy of lesbian, gay, bisexual, transgender, and queer people. Key Pillars of LGBTQ+ Culture Cultural Competence in the Care of LGBTQ Patients - NCBI