The curriculum for endocrinology training does not include adequate focus on transgender health, while that for internal medicine makes no mention of this important subject. ...few physicians and endocrinologists possess the skills necessary for transgender care. Optimal trans-healthcare delivery will be possible only if we move away from the one-size-fits-all concept to a more individualized person-centered care, learn patient–provider communication skills, and practice informed, shared decision-making. 6 These ideas have been paraphrased as the four core competencies of professional responsibility, caregiver/care-receiver relationship, interdisciplinary practice, and content knowledge, by the World Professional Association for Transgender Health (WPATH).