The process by which transgender people change their physical, sexual characteristics from those associated with their sex at birth. This process occurs over time and may include adopting the aesthetic markers of the new gender; telling one’s family, friends and/or co-workers; changing one’s name and/or sex on legal documents; hormone therapy; and sometimes, but not always, surgery or other body modification procedures. Not synonymous with sexual reassignment. Avoid the outdated term sex change.
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