: 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

: 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

: Updating official documents like driver's licenses or passports to reflect one's true name and gender.

Understanding the transgender community and broader LGBTQ+ culture involves recognizing the diversity of identities, the unique challenges faced, and the language used to affirm individuals' lived experiences. Core Identities & Terminology

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