A qualitative study revealed gaps in care for people identifying as sexual or gender minorities (LGBTQ+) living with inflammatory bowel disease (IBD).[1] These patients often perceive unequal treatment in medical facilities, leading to discomfort and stress, and many avoid doctors for fear of discrimination.[1][2] LGBTQ+ patients feel that their relationships are not recognized by doctors and are afraid to show affection to their partners.[1] Stigma and discrimination worsen mental health, including depression and anxiety, which doctors sometimes confuse with IBD symptoms.[1] Only 14 percent of gastroenterologists routinely assess the sexual health of patients with IBD.[1] According to the survey, 6 percent of transgender respondents reported being refused treatment by a clinician, 12 percent of transgender people had experienced denial of health care, 21 percent of transgender people had experienced harsh or offensive behavior, and 23 percent had been mislabeled as gender.[2] Eight percent of LGB respondents delayed or avoided care, 14 percent of those who experienced discrimination, and 22 percent of transgender respondents.[2] To improve care, it is recommended to provide visual and verbal signals of inclusivity so that patients feel safe and share necessary information.[1]