: Understand that being transgender is about gender identity (one's internal sense of self), which is distinct from sex assigned at birth [33].
: Approximately 19% of transgender people report being refused care due to their identity [22], and many experience "gatekeeping" or misgendering in medical settings [15]. how is shemale
: Transgender women specifically report increased happiness and life satisfaction following gender-affirming surgeries, such as facial feminization [8]. : Understand that being transgender is about gender
: Transgender individuals, particularly women of color, face higher rates of violence and trauma, which directly impacts their health outcomes [17, 20]. particularly women of color