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LGB culture has largely fought to remove homosexuality from the DSM (Diagnostic and Statistical Manual of Mental Disorders). Conversely, the transgender community has had a fraught relationship with medicalization. To access hormones or surgery, trans people have historically needed a diagnosis of "Gender Identity Disorder" (now Gender Dysphoria). While many trans individuals need medical care, the requirement of a psychiatric diagnosis perpetuates the stigma that being trans is a mental illness—a fight that LGB activists successfully won decades ago.

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However, it is also vital to acknowledge differences. A cisgender gay man faces discrimination based on who he loves. A transgender woman faces discrimination based on who she is . This difference manifests in unique needs: LGB culture has largely fought to remove homosexuality

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