For transgender and gender diverse people (TG/GD) social determinants of health such as SES, access to transportation, health insurance status, geographical location, and intersectional issues affect access to life-saving gender affirming care. By leveraging social media and telemedicine, providers can improve access to expert, individualized, affirming care from the safety of patient's own home. By offering sliding scale telemedicine services with transparent pricing, the effects of SES status and health insurance status can be reduced. Telemedicine minimizes the effect of transportation and geographic allocation barriers. Social media exposure allows transparency around the provider and clinic's views and values decreasing fear of discrimination. Telemedicine based gender affirming care offers improved access to care in areas where care is otherwise minimal or limited by social determinants of health helping improve the quality of life of TG/GD people!