Abstract
The healthcare community is attempting to expand its knowledge of LGBT health. Much of the existing literature and research amplifies the experiences of individuals who identify as lesbian, gay, and bisexual, with less focus specifically on transgender and gender nonconforming (GNC) health. One potential barrier to uniform representation and consistent care for patients who identify as transgender or GNC is the inconsistency of accepted pedigree symbols to represent them. Both the National Society of Genetic Counselors and National Comprehensive Cancer Network have differing guidelines for what are acceptable pedigree symbols to represent transgender patients and minimal recommendations for GNC patients. We surveyed genetic counselors to explore current practices of pedigree nomenclature for patients identifying as transgender and GNC and their level of confidence in addressing their psychosocial needs. Genetic counselors reported that using pedigree nomenclature that represented an individual’s gender identity was important; however, there was no consensus on best practice. This study also revealed a desire and need for more education and highlighted how education can positively influence a genetic counselor’s confidence in addressing their transgender and GNC patient’s psychosocial needs.