Two years ago, I first raised the need for building the conservative case for trans acceptance. Back then, I argued that 'the starting point of an intellectual conservatism should be to adapt effectively to new circumstances and demands, while insisting on preserving the good things in our basic social structure', and therefore on trans issues the conservative should 'find and support proposals for change that will help integrate trans people into society as productive members with equal opportunities, while preserving our shared values and institutions'. Today, I will expand on this argument, and illustrate the work we need to do to bring this vision to life.