This training will cover what weight stigma is and the role of weight stigma in gender affirming medicine. As part of that topics discussed will include Weight & Gender and Gatekeeping Gender Affirming Care Through Weight, Body Image and what actual treatment looks like when discussing weight with clients. We will cover the most innovating evidence-based treatments and how to be a more ethical provider within those communities. Based on the research of Parker and Harringer (2020), Minority Stress greatly affects the TGNC+ community including the ability to learn self-nourishing skills. By utilizing the Minority Stress Model, we can create medical care and treatment inclusion (Calzo, Blashill, Brown& Aregnal, 2017). This is further cemented by the American Psychological Association’s composite research on Acculturated Stress (APA, 2022).