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: Many Indigenous nations across North America recognized "Two-Spirit" individuals, who often held sacred roles as healers and visionaries. In South Asia, the Hijra community has been documented for over 3,000 years, eventually gaining legal recognition as a "third gender" in countries like India and Bangladesh.

: Accessing gender-affirming care like hormone therapy or surgery, though not all trans people seek or have access to these. Cultural Foundations and Community LGBTQ Community | Definition, Meaning, & Flag - Britannica hentai shemale extra quality

Someone whose gender identity aligns with the sex they were assigned at birth. : Many Indigenous nations across North America recognized