For much of the 20th century, transgender identity was pathologized by the medical establishment. Unlike homosexuality, which was removed from the DSM (Diagnostic and Statistical Manual of Mental Disorders) in 1973, gender identity disorder remained. To access hormone replacement therapy (HRT) or gender-affirming surgeries, trans individuals were subjected to humiliating "real-life tests," forced psychiatric evaluations, and required to present as stereotypically masculine or feminine to gain approval.
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While not glamorous, the daily practicalities of living as a trans person have created unique cultural knowledge. Trans women teach each other how to "tuck" (conceal male anatomy) safely and comfortably. Trans men share tips on "binding" (flattening breast tissue) to avoid rib damage. This passing of survival knowledge is a cornerstone of trans culture. The best way to judge quality in a