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Out in West Texas (OIWT) was founded in 2017 by co-directors Maureena Benavides, Licensed Professional Counselor, and Kerry Manzo to fill the vital need for transgender education and advocacy in the Permian Basin region of West Texas. At the time of founding, no organization existed to serve the needs of the transgender (or even the broader LGBTQ) community in our region. In our first year, we partnered with the Unitarian Universalist Church of Midland (UUCOM), our fiscal agent (MOU attached), to put on a two-day symposium on transgender professional and cultural competencies for legal, medical, and mental health providers with the larger goal of creating a network of care for transgender folk seeking transition services in our region. The symposium hosted three keynote speakers, including Claire Bow, J.D., and Dr. Colt Keo-Meier, speaking on legal and mental health barriers, respectively. The symposium was attended by 108 local professionals who serve an estimated 2,600 transgender individuals living in the Permian Basin.