Dalia Magaas Building Confianza demonstrates that effective doctorpatient communication in Spanish requires that practitioners not only have knowledge of Spanish but also have transcultural knowledge of Latinoa values and language use. Using linguistic analysis to study realtime doctorpatient interactions Magaa probes the role of interpersonal language and transcultural competency in improving patientcentered health care with Spanishspeaking Latinoas highlighting successful examples of how Latinoa cultural constructs of confianza trust familismo familyorientation personalismo friendliness respeto respect and simpata kindness can be deployed in medical interactions. She proposes that transcultural interactions entail knowing patients cultural values and being mindful about creating an interpersonal connection with patients through small talk humor selfdisclosure politeness and informal language including language switching and culturally appropriate use of colloquialisms. By explicitly articulating discourse strategies doctors can use in communicating with Spanishspeaking patients Building Confianza will aid both students and providers in connecting to communities of Spanish speakers in health care contexts and advancing transcultural competence.