This volume (and the ones that will follow) have been in the works for some time. What finally emerges after many months of assiduous advertising, recruiting, editing, and organizing is a volume of intimate, nuanced, and heartfelt stories that reflect the wide diversity in the ways in which trans, non-binary, intersex, and Two-Spirit people have come to recognize, signify, embody, and celebrate their differences as their authentic selves. Moreover, with an increasing emphasis on the experiences of trans youth, elders constitute a routinely overlooked, disregarded, and/or silenced segment of the community. In response, this volume documents the myriad ways in which trans elders are coming to terms with the real-life challenges of aging, illness, and end of life decision-making.