Advocating for the LGBTQ community takes different forms in the United States and China, with domestic politics and cultural norms influencing how organizations raise awareness and provide services in each country. One of the leading LGBTQ rights organizations in the United States is the Human Rights Campaign (HRC), whose director of global, Jay Gilliam, participated in the National Committee’s Professional Fellows Program in 2018. Through this two-way exchange program for emerging NGO leaders, Mr. Gilliam spent two weeks at the Zhitong Guangzhou LGBT Center, where he learned about the organization and shared insights from his work at HRC. In this interview, he explains the differences between HRC and Zhitong’s programming, how healthcare and LGBTQ issues intersect, and social attitudes toward the LGBTQ community in both countries.