“In this article, we contend that laws and health policies governing access to gender-affirming care should not unjustly discriminate between cisgender and transgender and gender diverse (TGD) patients. To demonstrate this point, we discuss two interventions, testosterone therapy and chest surgery, that hold gender affirmation as a goal and share the qualities of being initiated by the patient and evaluated on psychosocial outcomes. Recognizing these as gender-affirming interventions can help identify forms of bias against TGD patients and the clinicians who care for them.”