This presentation will discuss the experience of a public outpatient clinic dedicated to the health promotion and comprehensive care of transgender adults aged 40 and older at the University of São Paulo (USP), Brazil. The initiative integrates the three pillars of a university hospital: clinical care, education, and research. The clinic is linked to the geriatrics service, where medical residents in geriatrics actively participate in patient care under supervision.

Ensuring access to healthcare for transgender people remains a major challenge for the advancement of human rights and for improving physical, mental, and social wellbeing across the life course. In this context, the clinic provides inclusive, person-centered, and age-sensitive care for transgender individuals, addressing both healthcare needs and barriers related to stigma and discrimination.

A central aspect of the initiative is its educational role. Over the past three years, more than 60 medical residents have trained within the service, contributing to the dissemination of knowledge and practical experience in transgender health and ageing. This model helps expand cultural competence and improve future healthcare practices beyond the clinic itself.

The presentation will also address future research perspectives emerging from this experience, particularly regarding the ageing process, health trajectories, and social dynamics of transgender older adults in Brazil. The initiative highlights the importance of integrating care, education, and research to advance inclusive ageing policies and practices.