Cervical screening can be a lifesaving intervention, but the test is not easy for every patient. An almost infinite amount of factors can make the test difficult: it is invasive, it can be very hard for those with physical disabilities, and even getting a convenient appointment can be challenging. The same is true for trans men and/or non-binary people with a cervix. However, for this group, there are additional personal and systematic barriers to accessing routine cervical screening, as well as potential discrimination because of their gender identity. Here, Eluned Hughes, head of health information and engagement, Jo’s Cervical Cancer Trust, looks in detail at a number of these barriers and gives practical tips to help general practice nurses (GPNs) overcome them, and presents a patient’s experience of attending cervical screening