This article argues that the field of rhetoric of health and medicine (RHM) needs queer and (trans)formative methodologies to support a disempowered, ignored, and devalued queer community. Building directly from Mohan J. Dutta’s (2022) work, the article 1) addresses that RHM scholarly practices attend to whiteness and neglect to amplify queer and transgender interventional and rhetorical approaches; 2) develops a methodology–institutional critique–for RHM practitioners that crosses disciplinary boundaries to showcase cistematic oppression at infrastructural, structural, institutional, and interpersonal levels; and 3) provides a personal medical story that showcases how institutions fail transgender and queer patients. Through this work, this article argues for the need for rhetorical methodological intervention in RHM research and to mobilize transgender rhetorical agency through coalitional building.