While there are now transgender parades and conversation about Caitlyn Jenner's transition, transgender youth still face many struggles.
One is finding a doctor.
"I transitioned starting at 14 and 15," said Danni Askini of Gender Justice League.
Growing up in Maine, she had to travel to Boston for medical care.
"Often times people have to drive several hours to find a provider with any knowledge of transgender youth," Askini said.
In Seattle, transgender patients of all ages end up in the office of family doctor Linda Gromko.
She's been seeing trans patients for 18 years, and says gender identies form early.
"Puberty is difficult for anyone but it's terribly difficult if you realize you're going through the wrong puberty," Gromko said.
Gromko just published "Where's My Book?"
The title's a reference to traditional puberty books geared either for boys or girls.
Gromko gives detailed medical information for trans youth in hopes of keeping them from despair.
Studies show nearly half of transgender youth attempt suicide.
"My hope will be to get information out that will in fact be lifesaving for kids," Gromko said.
Transgender care is rarely taught in medical school.
Gromko wants it required, so more doctors will serve a community that's becoming more visible.