Accessing gender-affirming care for a child or young person can bring many questions for young people and their families. This guide provides a practical overview of gender-affirming care pathways for children and adolescents in Australia, including social, psychological and medical affirmation, public and private pathways, Australian Standards of Care, WPATH Standards of Care Version 8 (SOC8), consent and decision-making, and how to access gender-affirming healthcare providers and support services. While pathways vary between states, healthcare providers, and individual circumstances, understanding the available options can help families make informed decisions that support the young person's wellbeing and goals.