Gender Dysphoria is a term that describes the unease of distress due to a perceived incongruence between one’s biological sex and an internal sense of gender identity. Does the Bible speak of such realities? What is a gospel approach to those who respond to dysphoria with hormone treatment or surgery? Is it possible for the church to enter into their distress with a message of hope and help rather than demonstrations of neglect or harassment? A resource from Hope Community Church, Minneapolis, MN.