Transgender is an umbrella term for people whose gender identity is different from their sex assigned at birth; ‘gender identity’ is one’s innermost concept of self as male, female, a blend of both (gender fluid), or neither (non-binary). Gender expression involves expressing one’s gender identity through their social roles, appearance, and behaviors. Many health concerns that transgender people face are due to minority stress, such as discrimination and social/internalized stigma.
Transgender people experience gender dysphoria, a clinically significant distress recognized by the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM) caused by a person’s assigned birth gender differing from the one with which they identify. This leads to increased depression, which can be exacerbated by being rejected by family and friends, being the victim of abuse/violence, or experiencing discrimination. Gender-affirming operations have shown to yield long-term mental health benefits for transgender people.