Transgender people have a gender identity or gender expression that differs from their assigned sex. Transgender is also an umbrella term: Being transgender is independent of sexual orientation: The term transgender is also distinguished from intersexa term that describes people born with physical sex characteristics "that do not fit typical binary notions of male or female bodies". The degree to which individuals feel genuine, authentic, and comfortable within their external appearance and accept their genuine identity has been called transgender congruence.
Most transgender people face discrimination in the workplace  and in accessing public accommodations,  and healthcare. Oliven of Columbia University coined the term transgender in his reference work Sexual Hygiene and Pathologywriting that the term which had previously been used, transsexualism"is misleading; actually, 'transgenderism' is meant, because sexuality is not a major factor in primary transvestism.
Bythe concept of a "transgender community" had developed, in which transgender was used as an umbrella term. A Movement Whose Time has Come", circulated inidentified transgender as a term to unify all forms of gender nonconformity; in this way transgender has become synonymous with queer. Between the mids and the early s, the terms used under the transgender umbrella were "female to male" FtM for men who transitioned from female to male, and "male to female" MtF for women who transitioned from male to female.
These terms have now been superseded by " trans man " and " trans woman ", respectively, and the terms "trans-masculine" or "trans-feminine" are increasingly in use.
Health-practitioner manuals, professional journalistic style guidesand LGBT advocacy groups advise the adoption by others of the name and pronouns identified by the person What is transsexualism facts about being a transsexual question, including present references to the transgender person's past.
In contrast, people whose sense of personal identity corresponds to the sex and gender assigned to them at birth — that is, those who are neither transgender nor non-binary or genderqueer — are called cisgender. The term transsexual was introduced to English in by David Oliver Cauldwell[note 2] and popularized by Harry Benjamin inaround the same time transgender was coined and began to be popularized.
However, the concerns of the two groups are sometimes different; for example, transsexual men and women who can pay for medical treatments or who have institutional coverage for What is transsexualism facts about being a transsexual treatment are likely to be concerned with medical privacy and establishing a durable legal status as their gender later in life.
Distinctions between the terms transgender and transsexual are commonly based on distinctions between gender psychological, social "What is transsexualism facts about being a transsexual" sex physical. In his book Transgender, an Ethnography of a Categoryanthropologist David Valentine asserts that transgender was coined and used by activists to include many people who do not necessarily identify with the term and states that people who do not identify with the term transgender should not be included in the transgender spectrum.
It notes that there are no universally-accepted definitions, and terminology confusion is common because terms that were popular in at the turn of the 21st century may now be deemed offensive.
The THP recommends that clinicians ask clients what terminology they prefer, and avoid the term transsexual unless they are sure that a client is comfortable with it. Harry Benjamin invented a classification system for transsexuals and transvestites, called the Sex Orientation Scale SOSin which he assigned transsexuals and transvestites to one of six categories based on their reasons for cross-dressing and the relative urgency of their need if any for sex reassignment surgery.
There are also people who have had SRS but do not meet the definition of "transsexual", such as Gregory Hemingway.
In addition to trans men and trans women whose binary gender identity is the opposite of their assigned sex, and who form the core of the transgender umbrella, being included in even the narrowest definitions of it, several other groups are included in broader definitions of the term. These include people whose gender identities are not exclusively masculine or feminine but may, for example, be androgynousbigenderpangenderor agender —often grouped under the alternative umbrella term genderqueer  —and third-gender people alternatively, some references and some societies conceptualize transgender people as a third gender.
Genderqueer or non-binary identities, which are not exclusively masculine or feminine but instead may be agenderandrogynous, bigender, pangenderor genderfluid exist outside of cisnormativity. Limited forms of androgyny are common women wearing pants, men wearing earrings and What is transsexualism facts about being a transsexual not seen as transgender behavior. Androgyne is also sometimes used as a medical synonym for an intersex person.
A transvestite is a person who cross-dressesor dresses in clothes typically associated with the gender opposite the one they were assigned at birth. Gilbertprofessor at the Department of Philosophy, York UniversityToronto, offers this definition: These individuals are cross dressing but are not cross dressers. The majority of cross-dressers identify as heterosexual. The term transvestite and the associated outdated term transvestism are conceptually different from the term transvestic fetishismas transvestic fetishist describes those who intermittently use clothing of the opposite gender for fetishistic purposes.
Drag is a term applied to clothing and makeup worn on special occasions for performing or entertaining, unlike those who are transgender or who cross-dress for other reasons.
Drag performance includes overall presentation and behavior in addition to clothing and makeup. Drag can be theatrical, comedic, or grotesque. Drag queens have been considered caricatures of women by second-wave feminism. Drag artists have a long tradition in LGBT culture. Generally the term drag queen covers men doing female drag, drag king covers women doing male drag, and faux queen covers women doing female drag. Nevertheless, there are drag artists of all genders and sexualities who perform for various reasons.
Some drag performers, transvestites, and people in the gay community have embraced the pornographically-derived term tranny to describe drag queens or people who engage in What is transsexualism facts about being a transsexual or cross-dressing; however, this term is widely considered offensive if applied to transgender people. Intersex people have genitalia or other physical sex characteristics that do not conform to strict definitions of male or female, but intersex people are not necessarily transgender because they do not necessarily disagree with their assigned sex.
Transgender and intersex issues often overlap, however, because they may both challenge rigid definitions of sex and gender.