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: Many transgender people face "transphobia" in medical settings, including denial of care or lack of provider knowledge regarding gender-affirming treatments. Transgender and gender-diverse identities are not a modern

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: Documentation of gender-variant roles dates back to 1200 BCE in Egypt and includes the Hijra of South Asia, the Two-Spirit people of Indigenous North American nations, and the Mukhannathun in Arabia.

The transgender community is not a new phenomenon; trans people have existed across every culture and era, from the Two-Spirit people of Indigenous North America to the Hijra of South Asia. What is new is the demand not for tolerance, but for .