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Transgender people have a gender identity or gender expression that differs from the sex that they were assigned at birth. Being transgender is distinct from sexual orientation. The term transgender is also distinguished from intersex , a term that describes people born with physical sex characteristics "that do not fit typical binary notions of male or female bodies". The degree to which individuals feel genuine, authentic, and comfortable within their external appearance and accept their genuine identity has been called transgender congruence. Many transgender people face discrimination in the workplace [17] and in accessing public accommodations [18] and healthcare. Before the midth century various terms were used within and beyond Western medical and psychological sciences to identify persons and identities labeled transsexual , and later transgender from mid-century onward.

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As a trans man or woman, you soon notice how many people have what Daffy Duck called 'pronoun trouble'. No matter how supportive of your transition they claim to be, and how much well-intentioned advice they give you about your new hairstyle, or the name you always used in your head but only just told them about, they misgender you every other time they open their mouths, and get quite upset if you call them on it. You're being too sensitive, they say, or it's too soon. Families, in particular, think it's too soon even after years.