: Many trans people undergo social transition (changing names and pronouns) or medical transition (hormone therapy or surgery) to align their physical characteristics with their identity. However, not all trans people desire or have access to medical procedures.
Transgender individuals have a gender identity that differs from the sex they were assigned at birth. This identity is distinct from sexual orientation; trans people may identify as straight, gay, lesbian, bisexual, or asexual.
: Identity is a person's internal sense of being a man, woman, both, or neither (non-binary/genderqueer). Expression is how they present that identity through clothing, behavior, and appearance.
: Experiences are heavily influenced by race, ethnicity, and socioeconomic status. For example, trans women of color face significantly higher rates of violence and housing instability. LGBTQ+ Cultural Foundations