This study evaluated (a) educational background, experience, and confidence among speech-language pathologists in providing services to transgender individuals and (b) awareness of transgender speech services among the lesbian, gay, bisexual, and transgender population. Two anonymous surveys were sent to practicing speech-language pathologists and transgender participants in Illinois; 228 speech-language pathologists and 88 transgender participants responded. A majority of speech-language pathologists indicated that providing services to transgendered individuals was within their scope of practice but felt improperly prepared to provide assessment and treatment. Almost half of the transgender individuals were unaware of speech and language services to address their needs during transition.