For the Keith family from here in Farmington, that conversation started two years ago when their daughter Olivia reintroduced herself as their son - Hunter.
Up until two years ago, Richard and Roz Keith had two daughters, Danielle and her younger sister Olivia.
"I think he always felt like something wasn't right," said Roz Keith, Hunter's mother.
Mom was the first to find out that her daughter wasn't living the life she wanted to and thought of herself as a boy.
"She was a tomboy, never a girly girl," Roz said. "So when Hunter told me he was tran, I wasn't surprised."
Acceptance didn't come overnight for anyone in the family. Hunter's sister couldn't find the word to explain this to her friends.
"They knew him as Olivia and I didn't know how to tell them that my sister wants to be my brother," Danielle, Hunter's older sister, said.
But eventually they did, and it turns out it was for the betterment of them all.
"We used to fight a lot and he would take his anger out on me but now we get along well," said Danielle. "But it's made me more outspoken about the issues like things in the LGBT community."
"There is a tendency to want to fight normal, to want to be a rebel," said Richard Keith, Hunter's father. "But I think everyone eventually wants to come back to normal - whatever it is for that person."
"He's more confident, he smiles, he is more social," Roz said. "He is doing better in school. He's just a different kid."
Now this family has made it their mission to be there for others. Resources were hard to find two years ago when they first heard what it meant to be transgendered.
In February, Roz Keith founded a nonprofit called Stand with Trans with a simple message.
"People out there care and they are not alone," Roz said.
"They are just being themselves, you need to be happy for them," Danielle said.
"We've just held our head up and said this is our family, this is our child," Roz said
"It's a great principle," said Richard. "It's sort of like teaching your child unconditional love in a conditional world."
FOX 2 wanted to hear from Hunter himself for this story, but his family says he's still feeling a little overwhelmed by all the attention right now.
Hunter's family says that his friends at school were okay with the change and that his confidence has grown in him.
For more information on the Keith's mission, go to https://callhimhunter.wordpress.com/ally-moms/