Despite research findings that transgender individuals have higher rates of body dissatisfaction and disordered eating than their cisgender peers, reasons for greater eating pathology remain unclear. We propose a Misgendering-Congruence Process by which being misgendered (i.e., labeled a gender other than that with which one identifies) could lead transgender individuals to feel greater incongruence between their bodies and internal identities, which in turn leads to body dissatisfaction and efforts to bring one's body in line with one's identified gender by engaging in weight and shape control behaviors such as dietary restraint.