The purpose of this study was to explore transgender couples’ beliefs and experiences of couple and family therapy. This study utilized a secondary data set of interviews from seven transgender participants and three partners. A queer feminist framework guided this study. The results of this project indicate that participants believe couple and family therapy to be relevant to their lives and therapeutic needs of transgender couples and their families. However, participants expressed unfamiliarity with the field and uncertainty that couple and family therapists are equipped to provide affirmative care.