Using Oregon’s All-Payer All-Claims dataset (2016–2023), this analysis examines GAC utilization among transgender and gender-diverse adolescents, identifying disparities by insurance type, age, and sex assigned at birth—even within one of the nation’s most affirming policy environments. Quantitative findings are contextualized with lived experience: the journey of raising a ten-year-old transgender son, illustrating, through narrative and video excerpts, how timely, evidence-based, and affirming care fosters gender euphoria, confidence, safety, and family cohesion.