Living with kidney disease presents a unique set of challenges—physically, emotionally, and socially. For individuals who identify as Two-Spirit, lesbian, gay, bisexual, transgender, queer, or other gender and sexual minorities (2SLGBTQ), these challenges can be compounded by systemic barriers, stigma, and a lack of culturally competent care. In Canada, while strides have been made toward inclusive healthcare, many 2SLGBTQ kidney patients still face discrimination or feel invisible within the healthcare system.

Accessing care that respects both your identity and your medical needs can be difficult. Some 2SLGBTQ individuals report feeling the need to “come out” repeatedly to different healthcare providers, which can be emotionally exhausting—especially when dealing with a chronic illness like kidney disease. Fear of judgment or misunderstanding may lead some to delay or avoid seeking care altogether, potentially worsening health outcomes. It’s crucial that healthcare environments become safer and more affirming spaces for all identities.

One particularly sensitive issue is disclosing a kidney disease diagnosis to others. For 2SLGBTQ individuals, this can be layered with the complexities of already navigating disclosure of their sexual orientation or gender identity. Sharing a chronic illness diagnosis may feel like another vulnerability to manage, especially in communities or families where acceptance is not guaranteed. The fear of being perceived as “too much” or “burdened” can lead to isolation, even when support is needed most. Building a trusted circle—whether through friends, chosen family, or support groups—can be a vital lifeline.

Mental health is another area where 2SLGBTQ kidney patients may face additional hurdles. The emotional toll of managing a chronic illness is significant, and when combined with experiences of marginalization or trauma, it can lead to increased rates of anxiety, depression, or substance use. Access to affirming mental health care is essential, yet often limited. Advocating for integrated care models that address both physical and mental health in a culturally safe way is a step toward healing and resilience.

To all 2SLGBTQ individuals living with kidney disease: your experiences are valid, your identity matters, and you are not alone. There is strength in your story, and by speaking up, seeking support, and advocating for inclusive care, you are helping to shape a more compassionate and equitable healthcare system for everyone. Let’s continue to push for visibility, understanding, and dignity in every aspect of our health journeys.