Gender-affirming medical care is often determined by doctors and researchers who are not transgender. The Transgender and Non-Binary Allied Research Collective (TRANS-ARC) aims to change that. OHSU urologist Geolani Dy co-founded the collective to incorporate trans and nonbinary patient perspectives in research about gender-affirming surgeries. Since the collective started in 2019, trans and nonbinary patients have been shaping the ways that providers care for people in their community, including choosing research topics to focus on and influencing the ways that surgical outcomes are measured. We hear from Dy and TRANS-ARC Project Co-Lead Jae Downing, who is an assistant professor of health policy at the OHSU-PSU School of Public Health.