There is growing evidence that strong parental support is an important protector factor for the mental health of transgender and gender diversity (TGD) youth. Studies about parental support are essential to insure greater well-being of TNB youth. However, most studies concentrate on parent living in large urban area and the perspective of parents living outside major cities are rare. This exploratory research is the first looking specifically at this topic. It aims at understanding the experiences, challenges and opportunities of parents of TGD living outside large urban areas. We interviewed 9 parents living in different regions of Québec and completed thematic analysis. The results suggest a global positive experience for these parents, but they nevertheless experience challenges with access to health and social services for their youth. We propose recommendations to improve the experience of youth TDG and their parent living in region.