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: In North America, many Indigenous nations recognized "Two-Spirit" individuals, who often held revered roles as healers and caretakers.

Transgender and gender-diverse identities have deep roots in global history, often holding significant spiritual or social roles: hung shemale whore

The transgender community has reshaped broader LGBTQ+ culture by challenging binary concepts of gender: From LGBT to LGBTQIA+: The evolving recognition of identity : In North America, many Indigenous nations recognized