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This medical history shapes transgender culture. Access to , gender-affirming surgeries (top surgery, bottom surgery), and puberty blockers are the central political battlefields. While a gay person can live a fulfilling life without any medical intervention, many trans people require access to healthcare to survive.

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Gender identity refers to a person's deeply felt, internal sense of being male, female, non-binary, or another gender. Transgender individuals have a gender identity that differs from the sex they were assigned at birth. Cisgender individuals have a gender identity that aligns with their assigned sex at birth. Sexual Orientation This medical history shapes transgender culture

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