Transgender individuals face many barriers when accessing formal health care including being verbally harassed, refused treatment, physically assaulted, and having to teach clinicians how to care for them to get appropriate care ( Bauer et al., 2009 James et al., 2016). Recommendations for improving transgender health care are provided. Clinicians who don't get me and system-level factors such as fragmented care, lack of insurance, and a low volume of transgender-competent clinicians contributed to transgender women's unmet health and education needs. Clinicians who don't get me were aloof, uninterested, and unwilling to provide care. Clinicians who get me provided gender-affirming care, fostered patient engagement, performed appropriate health screenings, and were willing to learn about transgender health. Participants encountered two clinician types: Those who get me and Those who don't get me. Data were analyzed using conventional content analysis. We conducted a secondary analysis of qualitative data collected via semistructured interviews with 18 transgender women ranging in age from 21 to 60 years and living with HIV. Transgender individuals face many barriers when accessing health care, including having to teach clinicians how to care for them to receive appropriate care.