As the US population ages, ensuring that our society adequately supports us all as we get older becomes more important than ever. Researchers and advocates have recently turned increased attention to LGBT aging issues, highlighting discrimination against LGBT elders in long-term care facilities and in federal programs such as Medicare and Medicaid. However, there has been little research, discussion or advocacy on transgender older adults. Indeed, the recent Institute of Medicine report on LGBT health identified transgender aging as a major gap in existing health-related research. And the amount that has been written about transgender aging in any field makes for a very short reading list. While many challenges and issues are common to LGBT older adults, we know there are also issues that are particularly important for transgender older adults.