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Some seek medical or surgical interventions, such as hormone replacement therapy or gender-affirming surgeries, while others transition only socially.

Transgender people have been central to the LGBTQ+ rights movement since its inception, including the 1969 Stonewall Riots. Cultural Competence in the Care of LGBTQ Patients - NCBI shemale creampie movies

Transgender people may become aware of their identity at any age, often tracing feelings of "not fitting in" back to early childhood. Some seek medical or surgical interventions, such as