Jade Quintanilla had come to the northernmost edge of Mexico from El Salvador looking for help and safety, but five months had passed since she had arrived in this border town, and she was still too scared to cross into the United States and make her request for asylum. Violence and persecution in Central America had brought many transgender women such as Ms. Quintanilla to this crossroads, along with countless other LGBTI migrants. They are desperate to escape an unstable region where they are distinct targets.