So far, research and popular opinion about disordered eating and body image concerns in trans and nonbinary (TNB) populations has been damage-centered and individual-focused. As a result, scholars, treatment providers, and media outlets tend to focus only on distress reported by TNB people as if there is something disordered about identifying as TNB and they attempt to fix TNB people as a way to resolve that distress. A continued hyperfocus on damage and individual experiences fails to account for sociocultural influences on the health of TNB people and largely omits the incredible resilience exhibited by TNB people. In response to such narrow ways of understanding disordered eating and body image in TNB populations, the authors offer a trauma-informed model that considers the sociocultural context in which disorders take shape and that takes into account the role that social dynamics play in both illness and healing for TNB people. Using this trauma framework, they trace the origins of disordered eating and body image in TNB populations and highlight ways that cissexism, sexism, transphobia, and other maladaptive social standards both cause and maintain disordered eating and negative body image. Based on this expanded approach to distress and coping framed by this chapter, the authors discuss treatment implications and opportunities to emphasize resilience over dysfunction. They also offer future directions and recommended emphases for scholarship and practice focused on disordered eating and body image in TNB populations.