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state of one's gender identity or expression not matching one's assigned sex (use with P21)
An activist at a transgender rally in Paris, 2005. This person identifies as female, but she shows by the sign on her hand that she has XY (male) sex chromosomes.

Transgender people are people who identify, act, or feel different from the sex they were assigned at birth.[1]


This boy, painted by Makovski in 1869, does not fit the "gender binary".

The word "transgender" may describe many different people. People with different ideas about their genders may think of themselves as transgender. These people use different words to describe their gender. The term "trans people" is often used as a short version of "transgender people".

Some common definitions of the words used in this article are listed here:

  • Anatomical (biological) sex means whether someone was born with a male or female body.
  • cisgender is an antonym of transgender and means a person who identifies as the gender they were assigned at birth
  • Gender is the way masculinity and femininity are seen or used by all people, seperate from anatomical sex[2].
  • Gender expression is how a person behaves or acts in ways that affect how others might view them as being male or female.
  • Gender identity is a person's sense in their mind of whether they are a man, woman, something else or neither (agender).
  • The gender binary is the idea that a person must be either male or female and that there is no other gender other than those two.
  • Gender role is society's view of how people should act because of their gender: men and women are expected to act in a certain way. Gender roles are often enforced by society through disapproval of cross-gender behavior: for example, if a male child wants a doll, he might be told that he is "acting like a girl". If a female child climbs a tree, she might be called a "tomboy".

These definitions are important to help understand that what people look like outside (sex) is not always the same as how they feel inside (gender). Some people do not fit into the gender binary.

Who is transgender?Edit

There are many groups which are included as part of the group of people called transgender. It is important that not all transgender people fit into these groups. Some of the bigger groups are:

The artist Marcel Duchamp photographed by the artist Man Ray
  • Transsexual – unlike the term 'transgender', this is a more specific term. It is an older word which existed in medical communities and is preferred to be used by people who seek to change their bodies (such as through surgery or hormones). Many people prefer the term "transgender" to "transsexual" and see "transsexual" as an offensive term as it used to refer to the identity as a disease, and clinicians are advised to only use the term "transsexual" if their client is okay with it.[3][4]
  • FTM – means 'female-to-male.' It is someone who was assigned a female sex at birth but identifies as male. An FTM person is also sometimes called a transgender man, or a transman.
  • MTF – means 'male-to-female.' It is someone who was assigned male at birth but identifies as female. An MTF person is also sometimes called a transgender woman, or a transwoman.
  • Genderqueer – is someone who rejects the whole idea of a gender binary and may identify as a number of varied gender terms. Be careful with this word, since ‘’queer’’ is seen as a slur by many people.

The following groups of people are not transgender:

  • Intersex - is a word for people who are born with both some male and some female biological traits.
  • Cross-dresser – is commonly associated with transgender people but is unrelated. It’s when female identified people dress to appear as a man or male identified people dress to appear as a woman.
  • Transvestite[3] - This is considered to be offensive to most transgender people as “transvestites” will dress very masculine or feminine for sexual satisfaction. [5]


It is believed that the 19th century military surgeon James Barry was born female but spent his entire adult life as a man.

People like those who, in modern Western societies, are now identified as transgender or transsexual, have been documented in many cultures and for thousands of years. However, only in the last century have science and medicine been able to meet some of the needs for bodily change of trans people who want to change their body.[source?]

People who have traits that are different from the sex they are born with, have been accepted in some societies, both historically and now. For example, some Native American tribes accepted two-spirit people[source?]. Similarly a Tongan person born with a male body who acts and dresses in a female way is known in the local dialect as a "fakaleiti".[source?]

The "hijra" in India are born physically male, but live as women, including dressing and socializing as female. In the past they used to castrate themselves and even remove the penis in order to urinate through a small hole. Now, with the arrival of western medicine, many hijari choose to take hormone therapies and sometimes have sex reassignment surgery. Many of these people still call themselves "hijari", but some now call themselves "transsexuals" or "transgender women". The role of hijari in society is complex and varied throughout all of India.[source?]

In Western Society, there have often been people who have chosen to act and dress in a way that was not gender specific, or was not that of the sex they were assigned at birth. This is not the same as being transgender. Cross dressing actors were very popular in the theatre of the late 19th century.[source?]

An example of a transgender person is the 19th century military surgeon who was known as James Barry. It is now believed that Barry was born female but disguised his sex all his adult life. Barry's work, which saved, and helped thousands of lives by improving treatment of wounds to stop amputations, would not have been possible, as a woman, because as a female he could never have attended medical school or entered the army.[6]

A 20th century example of a transgender person is Jan Morris, a geographer, explorer and journalist, who began life as James Morris. As "James", Morris married and had children, but felt female and eventually became Jan Morris.[7]


Trans - the "T" in LGBTEdit

Transgender people are not accepted in every society. They suffer discrimination, violence, and even murder. Transgender people have fought for and have gained many rights and protections in some societies. In many places the fight for transgender rights is associated with the fight for gay and bisexual rights. Together these groups are sometimes described by the acronym LGBT for lesbian, gay, bisexual, and transgender.[source?]

However, some transgender people do not want to be a part of the LGB (lesbian, gay and bisexual) community, as they may see themselves as heterosexual and not feel like they belong with gay or queer people, and some LGB people do not want to be a part of the transgender community, as they may be transphobic, which means that they may have a fear or dislike of transgender people, or they may not want heterosexuals to see sexuality and gender identity as the same thing. However, gay and transgender people often have some of the same problems in society, so many gay, lesbian, bisexual, and transgender people try to work together to solve all of their problems.[source?]

Mental healthEdit

A 2012 study of British transgender people found that 84% had considered suicide. 55% had been diagnosed with depression. 33% had not been diagnosed with depression, but thought that they had it in the past or at the time of the survey. 46% of the people who had self harmed had self harmed regularly at some time in their lives. 38% of the transgender people had been diagnosed with anxiety. 53% had self-harmed at some time in their lives. 44% had used antidepressants at some point and 31% were using antidepressants.[8] A study of 164 Irish transgender people found that 80% had considered suicide. 40% of those had attempted suicide at least once. 44% had self-harmed.[9]

The reason for these high numbers is often seen as a result of discrimination and social problems and not as an effect of being transgender.[10] [11] However, it has been shown that transitioning to the right gender decreases suicide rates and improves mental health the longer the person is into their transition.[12] Often even bringing these numbers down to close to normal.[13]

Medical careEdit

Transgender people who wish to take medicine and have surgery to change their bodies face several problems. In order to change their bodies, they must have doctors who are willing to help them and make the changes. They sometimes cannot do this because doctors will not help them. They may also not be able to do this because even if a doctor would treat them, they may not be able to afford the medicine or surgery. But the Declaration of Montreal affirms that such medical care be provided for them by public health insurance.[source?]

Disease versus differenceEdit

Many transgender people do not like being labelled as having a disease or gender identity disorder. In some places, the government labels being transgender a disease.[source?] One of the international human rights laws of the Yogyakarta Principles (Principal 18), disagrees with any use of a medical disease label.[14]

However, many transgender people depend on this diagnosis. Some people can only get medical and surgical treatment paid for by their government if it is to "treat a disease," so if it is not considered a disease, they will not get the medicines and surgery they need. Also, some laws protect transgender people from transphobia and discrimination. In places that do not have these laws, transgender people may only be protected under laws that protect people with diseases or disabilities, so their condition needs to be labeled one of these.[source?]

Doctors do not agree on one way of viewing being transgender. Some doctors view the condition as a birth defect that can easily be fixed, others may not even recognize being transgender as a medical condition.[source?]

This argument still goes on in both the transgender community and in the medical community that treats them.[source?]

Since May 25th, 2019, the World Health Organization does not see being transgender as a disorder, asking many countries to change their definition as well.[15]


About 50% of transgender people have been sexually assaulted.[16]

Legal problemsEdit

Transgender people have problems with laws and regulations about sex. To be seen and treated as the sex they wish, transgender people usually have to change their first name. (Though some names are unisex, which means that they can be used by both men and women, transgender people with a unisex name may still want to change their name, though this is not always the case.) They also may want to change their identity documents to say the correct sex. For example, a transgender woman may wish to change her birth certificate or driving license to say her new female name and to say that she is a female.[source?]

These changes can protect transgender people from discrimination. For example, transgender people often have difficulty traveling because their appearance does not match their identity papers. These changes can also be necessary for transgender people to be allowed to marry their spouses in places where it is illegal for homosexual people to marry. These changes can even protect transgender people from a wide variety of violence. Some transgender people are only recognized when their documents reveal them. Being revealed as transgender can put people in danger because of transphobia (fear and/or hatred of transgender people).[source?]

Unfortunately, in many places this is hard or impossible for transgender people to change their identity documents, with or without undergoing genital surgery, which is required in many places, contrary to the definition of the Yogyakarta Principles.[17] This is changing, however. Recently the United Kingdom passed the Gender Recognition Act of 2004. This act allows people to have their change of sex officially recognized without surgery. Once changed, they have all the rights, privileges, and responsibilities of their new gender.[source?]


  1. Oxford Textbook of Palliative Social Work. Oxford University Press. p. 380. ISBN 978-0199838271. Transgender is an umbrella term for people whose gender identity and/or gender expression differs from the sex they were assigned at birth (Gay and Lesbian Alliance Against Defamation [GLAAD], 2007
  2. "WHO | Gender". WHO. 09.07.2019. Gender refers to the socially constructed characteristics of women and men – such as norms, roles and relationships of and between groups of women and men. Check date values in: |date= (help)
  3. 3.0 3.1 "GLAAD Media Reference Guide - Transgender Issues". (in Standard English). GLAAD. Retrieved 16 December 2014.CS1 maint: unrecognized language (link)
  4. "Fenway Health Glossary of Gender and Transgender Terms" (PDF) (in Standard English). January 2010. Retrieved 2013-12-27.CS1 maint: unrecognized language (link)
  5. Thompson, Sarah. (in Standard English). Gender and Transgender in Modern Paganism page 118. 
  6. Dr James Barry, "A Strange Story", excerpt from "The Manchester Guardian" of 21st August 1865, accessed October 10 2008
  7. Jan Morris' biography
  8. McNeil, Jay; Bailey, Louis; Ellis, Sonja; Morton, James; Regan, Maeve; Scottish Transgender Alliance; TREC; Traverse: Crossing Boundaries in Research; Sheffield Hallam University; TransBareAll (September 2012). "Trans Mental Health Study 2012" (PDF). (in British Standard English). Multiple. Retrieved 20 December 2014.CS1 maint: unrecognized language (link)
  9. Transgender Equality Network Ireland (TENI) (2 December 2013). "Press Release: New survey reveals nearly 80% of trans people have considered suicide" (in Irish Standard English). Press release. Retrieved 20 December 2014. 
  10. Perez-Brumer, Amaya; Day, Jack K.; Russell, Stephen T.; Hatzenbuehler, Mark L. (2017-09-01). "Prevalence and Correlates of Suicidal Ideation Among Transgender Youth in California: Findings From a Representative, Population-Based Sample of High School Students". Journal of the American Academy of Child & Adolescent Psychiatry 56 (9): 739–746. doi:10.1016/j.jaac.2017.06.010. ISSN 0890-8567. 
  11. Seelman, Kristie L. (2016-10-02). "Transgender Adults’ Access to College Bathrooms and Housing and the Relationship to Suicidality". Journal of Homosexuality 63 (10): 1378–1399. doi:10.1080/00918369.2016.1157998. ISSN 0091-8369. PMID 26914181. 
  12. Bauer, Greta R.; Scheim, Ayden I.; Pyne, Jake; Travers, Robb; Hammond, Rebecca (2015-06-02). "Intervenable factors associated with suicide risk in transgender persons: a respondent driven sampling study in Ontario, Canada". BMC Public Health 15 (1): 525. doi:10.1186/s12889-015-1867-2. ISSN 1471-2458. 
  13. Cohen-Kettenis, Peggy T.; Doreleijers, Theo A. H.; Wagenaar, Eva C. F.; Steensma, Thomas D.; McGuire, Jenifer K.; Vries, Annelou L. C. de (2014-10-01). "Young Adult Psychological Outcome After Puberty Suppression and Gender Reassignment" (in en). Pediatrics 134 (4): 696–704. doi:10.1542/peds.2013-2958. ISSN 0031-4005. PMID 25201798. 
  14. Yogyakarta Principles, Principle 18. The Protection from Medical Abuse
  15. "Transgender no longer classified as "mental disorder" by World Health Organization". Independent. May 28th, 2019. Check date values in: |date= (help)
  16. Rebecca L Stotzer
  17. Yogyakarta Principles, Principle 3 .The Right to Recognition before the Law

Other websitesEdit