The Pink Paper on Health offers an unprecedented national overview of 2SLGBTQIA+ health and healthcare experiences in Canada, representing one of the most detailed studies to date. The evidence it presents shows how Canada’s healthcare system currently fails to meet the needs of 2SLGBTQIA+ communities, particularly in rural and racialized contexts. Respondents described profound experiences of exclusion, stigma, and mistrust, all of which undermine care and contribute to a cycle of unmet health needs. This report therefore offers data designed to give policymakers, educators, and healthcare providers a clear direction to begin closing these gaps. Ensuring equitable and affirming care for 2SLGBTQIA+ people is not only a matter of health justice—it is an evidence-based imperative.