Background.Feedback from patients is an important source of information for improving healthcare. This study aims to investigate accessibility of gender-affirming and general healthcare for transgender people in the Republic of Belarus. Materials and methods. Thematic analysis of 16 oral interviews using the socio-ecological model. Results. Social factors complicating access to gender-affirming healthcare include: the lack of legal possibility to initiate hormone therapy before changing the gender marker; inaccessibility of medical transition for individuals under 18; psychopathologization of transgenderism; inability to change the identification number, which encodes gender; inability to enter marriage for individuals with the same legal gender. Institutional factors: centralization of gender-affirming healthcare in Minsk, which leads to geographic barriers and the system's instability; the need to pay for hormonal drugs out of pocket; long evaluation time and unpredictability; unnecessary evaluations; low quality of surgeries; the lack of connection between specialists; the lack of gender-neutral toilets; sex-based separation of specialists (gynecologist/urologist). Interpersonal factors: misgendering and deadnaming; the lack of properly defined diagnostic criteria; gender stereotypes of specialists; denial of service; breach of confidentiality. Intrapersonal factors: low awareness; psychophobia; the lack of self-confidence; concerns about the reactions of people around.