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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. 

Mainstream platforms’ content moderation systems typically employ generalized “one-size-fits-all” approaches, intended to serve both general and marginalized users. Thus, transgender people must often create their own technologies and moderation systems to meet their specific needs. In our interview study of transgender technology creators (n=115), we found that creators face issues of transphobic abuse and disproportionate content moderation. Trans tech creators address these issues by carefully moderating and vetting their userbases, centering trans contexts in content moderation systems, and employing collective governance and community models. Based on these findings, we argue that trans tech creators’ approaches to moderation offer important insights into how to better design for trans users, and ultimately, marginalized users in the larger platform ecology. We introduce the concept of trans-centered moderation – content moderation that reviews and successfully vets transphobic users, appoints trans moderators to effectively moderate trans contexts, considers the limitations and constraints of technology for addressing social challenges, and employs collective governance and community models. Trans-centered moderation can help to improve platform design for trans users while reducing the harm faced by trans people and marginalized users more broadly. 

While much of the transgender health literature has focused on poor health outcomes, less research has examined how trans people find reliable information on, and actually go about accessing, gender-affirming healthcare. Through qualitative interviews with creators of trans technologies, that is, technologies designed to address problems that trans people face, we found that digital technologies have become important tools for proliferating access to gender-affirming care and related health information. We found that technologists often employed different processes for creating their technologies, but they coalesced around the goal of enabling and increasing access to gender-affirming care. Creators of trans health technologies also encountered precarious conditions for creating and maintaining their technologies, including regional gaps left by national resources focused on the US east and west coasts. Findings demonstrated that trans tech creators were motivated to create and maintain these technologies as a means of caring for one another and forming trans communities in spite of the precarious conditions trans people face living under systemic oppression. 

Trans technology – technology created to help address challenges that trans people face – is an important area for innovation that can help improve marginalized people’s lives. We conducted 104 interviews with 115 creators of trans technology to understand how they involved trans people and communities in design processes. We describe projects that used human-centered design processes, as well as design processes that involved trans people in smaller ways, including gathering feedback from users, conducting user testing, or the creators being trans themselves. We show how involving trans people and communities in design is vital for trans technologies to realize their potential for addressing trans needs. Yet we highlight a frequent gap between trans technology design and deployment, and discuss ways to bridge this gap. We argue for the importance of involving community in trans technology design to ensure that trans technology achieves its promise of helping address trans needs and challenges.