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Transgender: identity, terminology, history and social context

An accessible overview of transgender identities: definitions, terminology, history, transition options, social and legal issues, and distinctions from sexual orientation.

Overview

Transgender describes people whose gender identity differs from the sex they were assigned at birth. This term is an umbrella category that includes a range of experiences and identities, such as binary transgender men and women as well as non-binary, genderqueer, and other gender-diverse people. Discussions about transgender identity often address personal, medical, legal, and social dimensions.

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Identity and terminology

Key concepts used in conversations about transgender people include gender identity (an individual's internal sense of gender), gender expression (how one presents gender publicly), and cisgender (people whose gender identity matches their assigned sex). Language and labels vary across cultures and communities; many people select terms that best reflect their experience. Respecting chosen names and pronouns is central to interpersonal recognition.

History and cultural context

People who would now be described as transgender have been recognized in many societies throughout history, often with roles and identities shaped by local cultural practices. In modern Western contexts, visibility increased in the 20th and 21st centuries alongside activism, medical developments, and legal advocacy. Academic and legal understandings of transgender identities have evolved, and community-led movements have driven much of the change.

Transition, healthcare, and support

Transition can involve social steps (name, pronouns, clothing), legal steps (changing documents), and medical steps (hormone therapy, surgeries), though not all transgender people pursue medical interventions. Access to competent, respectful healthcare and mental-health support is important for many. Medical guidelines emphasize individualized care and informed consent. Peer support and community resources also play a large role.

Transgender people may face legal, economic, and social challenges including discrimination in employment, education, housing, and health care. Many jurisdictions have adopted anti-discrimination protections and processes for changing identity documents, while others lack such safeguards. Activism, policy debates, and court decisions continue to shape the legal landscape. For general information and resources, see further resources.

Distinctions and common misconceptions

Transgender is about gender identity, not sexual orientation; transgender people may be heterosexual, gay, lesbian, bisexual, asexual, or queer. Not every transgender person experiences distress; when distress occurs it is often linked to social stigma or barriers to care. Important distinctions include:

  • Gender identity vs. sexual orientation
  • Transgender as an umbrella term vs. specific identities like non-binary
  • Social/legal transition vs. medical transition

Understanding transgender issues benefits from listening to lived experiences, consulting reputable health and legal sources, and recognizing that terminology and needs may change over time and across cultures.

Frequency

A June 2016 Williams Institute study on how many adults in the U.S. identify as transgender found the population to be 0.6%.

The frequency in Germany can be derived from the case figures of the Federal Ministry of Justice and Consumer Protection (BmJV). The business load at courts and public prosecutors' offices in the area of voluntary jurisdiction shows about 29,700 proceedings according to the Transsexual Act (TSG, proceedings for change of name and civil status) for the period 1981 to 2019. The number of cases has been increasing for years and is currently (2019) at 2582 (2018: 2614, 2017: 2085, 2016: 1,868, 2015: 1648) per year. This does not include people who consider themselves to be transgender, transsexual or transident, but who do not wish to be classified in one of the two available genders according to the TSG and therefore could not file an application under this law until 22 April 2020 (BGH XII ZB 383/19, RN 53). A frequency of 1:298 (0.336 % of the total population) results if one puts the annual number of cases in relation to the annual number of births (in 2019 this was 778,090). The Transsexual Act has been open to people without a desire for medical gender reassignment surgery since 2011.

In spring 2020, 2.1% of 50,300 undergraduates in the U.S. answered in the affirmative to the question, "Do you identify as transgender?" (1,055 people); 97.9% answered "no." A total of 3.7% or 1,844 students reported being non-binary; 57% of them had answered "transgender" in the affirmative (details). In response to the question, "What gender were you assigned at birth?", 68.4% of all respondents were female, 31.6% were male, and 19 individuals (0.038%) were intersex. The online survey was conducted as an annual study by the two U.S. student health organizations, American College Health Association (ACHC) and National College Health Assessment (NCHA), and had a response rate of 14%.

Basics

The term transgender was originally a designation for people who identify with their original biological sex only insufficiently or not at all and feel their biological sex to be wrong.

Transmen are people who were assigned the female gender at birth but identify as men. Transwomen, conversely, are people who identify as women despite being initially assigned the male gender. While many transgender people clearly identify with one gender, others reject any clear form of gender assignment or categorization for themselves.

By some groups transgender is meanwhile also used as a generic term for all persons who evade a clear gender assignment. They define transsexuality and transvestitism as well-known sub-concepts to this umbrella term. However, occasionally some other non-transsexual people are also referred to as transgender who live permanently or predominantly in or empathize with a different gender role. These include, for example, androgyny, cross-dressing, dragking, or drag queen.

The last three manifestations are considered transgender if the transgression of the gender role is not only to be seen as travesty in the sense of a publicly displayed disguise art. Usually transvestite fetishism is not included, in which the change of gender roles only happens temporarily and serves a sexual stimulation, however, in individual cases the demarcation can be difficult.

Whether and to what extent transgender persons seek medical gender reassignment varies from case to case, but this is or was often considered a necessary condition for a legal change of first name or civil status.

The opposite of transgender is cisgender (Latin cis "this side", and English gender "social sex"). This term evolved from the term cissexuality, coined by sexologist Volkmar Sigusch, to describe people whose gender identity matches their innate biological sex.

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