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The community encompasses a wide spectrum of gender identities and expressions that go beyond the traditional male/female binary.

: A traditional role in some Indigenous cultures that encompasses both masculine and feminine spirits. Intersectionality & Community Dynamics Cultural Competence in the Care of LGBTQ Patients - NCBI shemalecom xxx

: A personal process that can involve social changes (like names and pronouns), medical steps (hormones or surgery), or legal recognition. The community encompasses a wide spectrum of gender

: An umbrella term for people whose gender identity differs from the sex they were assigned at birth. medical steps (hormones or surgery)