Aim: To explore the experiences of trans (binary and non-binary) people accessing Emergency Department care in Australia. Design: This qualitative descriptive study utilised a grounded theory approach. Method: Seven people who identified as trans were recruited through social media and trans support groups. Individuals participated in an in-depth narrative interview. Results: Interviews were analysed using a constant comparative approach which identified four key themes: 1. identity; 2. clinical care; 3. communication; and 4. health professional education, beliefs and experience in caring for trans people. Impact: This study is the first in Australia to explore the experiences of trans people utilising Emergency Department services. It was found that the experiences of trans people accessing care in Australian EDs is similar to international counterparts, whereby healthcare professionals are perceived as inadequately educated, and gender is inconsistently recognised or understood.