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The distress caused by a mismatch between gender identity and assigned sex.

Traditionally, Indian culture has recognized groups like Hijras (or Kinnars) , who were legally recognized as a "Third Gender" by the Supreme Court in 2014.

The community observes annual events like Transgender Day of Visibility (March 31) and Transgender Day of Remembrance (November 20) to honor those lost to anti-trans violence. Cultural Competence in the Care of LGBTQ Patients - NCBI tube sexo shemales

An umbrella term for people whose gender identity differs from the sex assigned at birth. This includes trans men , trans women , and non-binary individuals.

Other cultural identities include Two-Spirit (Indigenous North American), Muxe (Mexico), and Fa'afafine (Samoa). The distress caused by a mismatch between gender

Gender identity is an internal sense of being (e.g., man, woman, non-binary), while sexual orientation refers to whom one is attracted to (e.g., gay, straight, bisexual).

Modern LGBTQ+ culture is defined by an evolving language that emphasizes respect and recognition . Cultural Competence in the Care of LGBTQ Patients

Transgender people have existed across all cultures throughout history, often recognized outside Western binary systems.