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informed consent model

The fight for healthcare—specifically puberty blockers, hormone replacement therapy (HRT), and gender-affirming surgeries—is the central material struggle. The community advocates for the , arguing that gender-affirming care is medically necessary and life-saving (studies show it drastically reduces suicide risk). Opponents frame this as child abuse. Within the community, there is also internal discussion regarding the medicalization of identity: the feeling of needing a "diagnosis" (gender dysphoria) to receive care versus the desire to decriminalize trans identity entirely.

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• Respect for chosen names/pronouns (she/her, he/him, they/them, neopronouns like ze/zir) is foundational.
• Transition can be social (name, clothing, pronouns), legal (ID change), and/or medical (hormones, surgeries). Not all trans people medically transition.
• Passing vs. non-passing: Some seek to be perceived as cisgender (not trans); others embrace visible trans identity. Both are valid.