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Extended reality (XR) technologies are becoming increasingly pervasive, and may have capacity to help marginalized groups such as transgender people. Drawing from interviews with n = 18 creators of trans technology, we examined how XR technologies do and can support trans people. We uncovered a number of creative ways that XR technologies support trans experiences. Trans technology creators are designing augmented reality (AR) and virtual reality (VR) systems that help people explore trans identity, experience new types of bodies, educate about and display trans stories and curated trans content, manipulate the physical world, and innovate gender-affirming surgical techniques. Additionally, we show how considering XR as an analogy for trans identity helps us to think about the fluidity and fluctuation inherent in trans identity in new ways, which in turn enables envisioning technologies that can better support complex and changing identities. Despite XR’s potential for supporting trans people, current AR and VR systems face limitations that restrict their large-scale use, but as access to XR systems increase, so will their capacity to improve trans lives.