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The purpose of this quantitative study is to examine the perceptions of superintendents regarding the needs of transgender students and how their perceptions impact the implementation of policies for transgender students within the K-12 school systems in New York State. This quantitative design study examined these questions through the conceptual framework of Bolman and Deal’s Four Leaderships Frames (Bolman & Deal, 2013) by utilizing a survey to assess the perceptions of superintendents and how their perceptions related to decision-making regarding the implementation of the policies that provide support to transgender students.