The Marie Equi Center’s mission is to enrich the health of the trans, queer, intersex, and gender expansive community through trauma informed care, cultually specific services, and social justice advocacy. We build our programs around the philosophy and practical application of the theories of cultural and gender affirming health care, Health at Every Size, Racial Justice, Economic Equality, and Non-Violent Communication, with a focus on community advocacy, education, and positive sociocultural change. Healthcare is not as simple as offering a service; we often strategize with patients around navigating complicated barriers to care, and fiercely advocate for them when they are outright neglected and discriminated against within larger health systems. Our main challenges are addressing social determinants of health such as food and housing insecurity, as well as fighting systems of oppression like racism, ableism, and transphobia that cut people off from the care they need. We focus our work around LGBTQI2s folks, People of color, people with significant mental health concerns, houseless folks, people living with addictions, people living with disabilities, and elders.