We’re excited to welcome Dr. Jeanne Marazzo as the first woman and openly LGBTQ+ Director of the National Institute of Allergy and Infectious Diseases (NIAID). Dr. Jeanne Marazzo has a wealth of experience in patient-centered design and sexual health to draw upon as she takes lead of an agency so central to TAG’s work. This open letter lays out our aspirations for her tenure, including the prioritization of TB Research & Development (R&D) funding, community engagement, inclusivity, access, and infection elimination.