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: People whose gender identity aligns with the sex they were assigned at birth.

: These are distinct concepts. Gender identity is about who you are , while sexual orientation is about who you are attracted to . A transgender person can be straight, gay, lesbian, bisexual, or asexual. The Process of Affirmation & Transition

The LGBTQ+ acronym is an evolving umbrella that represents a wide spectrum of sexual orientations and gender identities.

: Individuals whose gender identity exists outside the male-female binary. This can include identities like genderqueer , agender , genderfluid , and bigender .

LGBTQ+ culture is not a modern Western invention; diverse gender expressions have existed throughout history. Cultural Competence in the Care of LGBTQ Patients - NCBI

: Some (but not all) trans people use hormone replacement therapy (HRT) or gender-affirming surgeries (like chest or genital surgery) to align their physical characteristics with their identity. Global Perspectives & Cultural History

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