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has historically treated being trans as a disorder (formerly "Gender Identity Disorder," now "Gender Incongruence" in the ICD-11). The requirement for a psychiatric diagnosis to receive hormone replacement therapy (HRT) or gender-affirming surgeries (GAS) remains a controversial "gatekeeping" model. Trans culture has birthed the concept of informed consent —the idea that adults have the right to understand the risks and benefits of medical treatment and choose it without a therapist's permission slip.
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LGBTQ culture is built on a foundation of shared symbols, language, and historical milestones. has historically treated being trans as a disorder