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Patients were categorized based on questions regarding gender identity, biological sex, and self\u2010descriptions. The primary outcome was cost and non\u2010cost barriers. Multivariable logistic regression was used to examine SGM status and experiencing barriers to care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>7708 patients with CRS were included; 595 were SGM and 7113 were non\u2010SGM. SGM patients were significantly more likely to delay primary care (AOR: 1.51, 95% CI: 1.09\u20132.11), specialist care (AOR: 1.54, 95% CI: 1.18\u20132.00), mental healthcare (AOR: 1.70, 95% CI: 1.29\u20132.24), and filling prescription medication (AOR: 1.31, 95% CI: 1.03\u20131.66). Regarding non\u2010cost barriers, SGM patients were significantly more likely to delay care because of transportation problems (AOR: 1.84, 95% CI: 1.39\u20132.42), their provider having a different background (AOR: 1.48, 95% CI: 1.14\u20131.90) and due to a lack of respect by their providers (AOR: 1.42, 95% CI: 1.16\u20131.73).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>SGM patients with CRS report multiple cost and non\u2010cost barriers. While differences between CRS and non\u2010CRS groups were modest, rhinologists and other healthcare practitioners treating SGM patients with CRS should be mindful of these disparities to address these barriers at a patient and system level.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>Level III, 2025.<\/jats:p><\/jats:sec>","DOI":"10.1002\/lio2.70202","type":"journal-article","created":{"date-parts":[[2025,7,17]],"date-time":"2025-07-17T04:24:43Z","timestamp":1752726283000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Obstacles to Obtain Care Among Sexual and Gender Minorities With Chronic Rhinosinusitis"],"prefix":"10.1002","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-5507-2916","authenticated-orcid":false,"given":"Faizaan I.","family":"Khan","sequence":"first","affiliation":[{"name":"Texas A&amp;M School of Engineering Medicine  Houston Texas 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