Over reliance on existing LGB models of minority stress is uncomfortable proxy for the conceptualization of a model particular to transgender individuals. Furthermore, proposed transgender minority stress models thus far have lacked an accompanying concept of transphobia itself. I advance five processes of transgender minority stress, along with five corresponding processes of state-sanctioned transphobia based on existing literature, an original quantitative analysis, and an original sociohistorical review of the birth of state-level transphobia. Minority stress is comprised of (a) discriminatory events and conditions (b) vigilance, (c) internalized stigma, (d) concealment and (e) delegitimization. Transphobia operates on state-level processes of (a) a sublimated eugenics program, (b) the breeding and domestication of a docile, homogenous population, (c) capitalist labor force management, (d) the policing of normative sex and reproduction, and (e) maintenance of the medical power of disenfranchisement. These state-level processes reflect the insidiously eugenic, malignantly capitalist, misogynist, and homophobic priorities of the body politic. These priorities are deployed on a social level via systematic exclusion from employment, housing, civic participation, healthcare access, and social welfare.