Despite our society’s growing awareness that transgender people exist, transgender children remain an understudied group that falls victim to huge amount of misunderstanding in both the scientific community and the public sphere. While academic literature is decidedly mixed on how to best support children who express a cross-sex gender identity, a growing number of parents have begun to support their children in social transitioning, a process that allows the child to live as their identified gender in all social contexts. The objective of this study was to understand the impact of social transition on children’s mental health using structured interviews with the parents of socially transitioned transgender children. We focused on parent’s report of how transgender children’s mental health (child’s mood, anxiety symptoms, and externalizing behaviors) changes over time. We recruited 60 parents of transgender children whose child socially transitioned between the age of 3 and 12. To maximize representation and generalizability, we then stratified them into subgroups by age at social transition (3-5; 6-8; 9-12); gender (girls; boys); and race (white; non-white). The interview was structured around three moments in the child’s life: the first sign of gender non-conforming behaviors from the parent’s perspective, the parent’s first realization that the behaviors might signify something more deeply about the child’s stable identity, and the age at which the child socially transitioned. The interviewer asked the same set of questions regarding the child’s mental health condition at the first sign, at first realization, during the year before transitioning, and during the year after (if applicable). Two coders then coded the wellbeing of each child in each of the mental health domains at each time point. Findings of the study will have implications for the developments of research and clinical work as how to best support transgender children regarding their social transition.