Saint Francis Memorial Hospital’s new Gender Institute was established in 2016 and is designed to meet the physical and mental health needs of San Francisco’s transgender population. Our goal is to offer compassionate, high-quality, and affordable health services to transgender patients to improve their long-term health outcomes as well as their overall quality of life. The program provides a comprehensive continuum of care to the Hospital’s patients and their families throughout the pre-operative process, including a positive and supportive environment for transgender patients to seek: care; counseling services; ongoing education opportunities for patients and their families; and referrals to related resources and services. The Institute also includes a training component for staff and physicians to ensure that Saint Francis is consistently delivering the best possible care to these patients.