Advocating an intersectional approach to care, this book sets out advice for therapists and professionals on adopting culturally sensitive and trans-affirmative practices when working with trans and gender non-conforming clients regardless of age, race, ethnicity or religion. Through practical tips, exercises, case studies and self-assessment checklists, this informative guide provides guidance on developing cultural humility, how to acknowledge ancestral and historical trauma, the cultural and spiritual aspects of transition, working with a client's family, creating a welcoming environment, as well as specific advice throughout on supporting older trans people including housing, healthcare, and legal issues. Written by a trans and Two-Spirit therapist, this is essential reading for those working with trans people from marginalized communities and a much-needed tool for professional development.