Education on the unique needs of gender expansive patients is increasingly recognized in medical education; however, the populations remain underrepresented and experience disparities in access and outcomes. When gender diversity is understood by health care providers and patient’s communities across the lifespan, gender diverse patients have improved outcomes. Telemedicine and virtual medicine provide patients access to culturally informed care even when that care is not geographically accessible. The presenters will explore the gender spectrum inclusive of but not limited to transgender and nonbinary persons. They will discuss how telemedicine/virtual medicine can enhance medical and surgical interventions to interventions to help their gender expansive patients thrive. Complexity of intersecting minority status including race will be addressed.