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    Written By:
    Lea Gee-Tong, with support from
    Andrea Lewak, MFT & Jeffrey Walton, M.D.

    Transgender people identify with a gender that is different from the sex they were assigned at birth.

    The word "transgender" is a broad term that can be used by many people – including people who were assigned male at birth but who identify as female (male to female) and people who were assigned female at birth but identify as male (female to male).

    Transgender people may also include those who identity as "gender queer" or "gender neutral," those who do not identify strongly as either male or female.

    Transsexual people are those who choose to medically transition to the gender with which they identify. However, not all transgender people have completed or want to complete a medical transition. Transgender people have a wide range of experiences and realities.

    How do I know if I am transgender?

    Some people are more comfortable living their life as the gender that is different than the sex they were assigned at birth. They may feel uncomfortable with certain parts of their body that are gender-specific, while others may wish they were in the body of the "opposite" sex.

    Other people may simply feel more comfortable emotionally living in the gender that is different from their birth assigned sex. Ultimately, being transgender connects to a personal identity and conception of your gender being different than the sex you were assigned at birth.

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    Is it okay to be transgender?

    Absolutely. Throughout history, there have been many people who have identified as transgender. Transgender people are all around us and occupy many different professions and ways of life.

    While you may encounter people who do not understand transgender or gender identity issues, being transgender is completely normal and okay.

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    How does being transgender relate to my sexual orientation?

    Being transgender relates to your gender identity, which refers to your personal feelings and ideas about your gender and who you are. Gender identity is separate from sexual orientation.

    Sexual orientation refers to who you are attracted to, both sexually and emotionally. Therefore, transgender people have a variety of different sexual orientations. Some transgender people identify as straight, while others identify as gay, and others identify as bisexual.

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    What can I do about harassment of transgender people?

    Harassment based on gender identity and/or gender expression is unacceptable. There are many things that can be done to end harassment and discrimination based on gender identity and gender expression.

    Here are some tips for being an ally to the transgender community:

    • If you hear someone make a trans-phobic (discriminatory against transgender people) statement, say something. Stand up to people around you who use derogatory or offensive language – it can make a difference.
    • Ask people about what gender pronoun is appropriate to use (generally, he or she, though some people simply like to be referred to by their name). Always use that pronoun when speaking to or about that person.
    • In large group settings, such as at a Gay-Straight Alliance club meeting, start each meeting with a check-in that includes asking people to state their preferred gender pronoun (she or he or simply their name). This way, everyone shares their preferred gender pronoun, and no one is singled out.
    • Use gender neutral language and avoid making assumptions about a person's gender. For example, refer to a person by their name, rather than with gender-oriented words – such as "sir," "ma'am," or "miss" – until they have identified themselves with a certain gender.
    • Educate yourself about issues relating to the transgender community. Keep in mind that the experiences of transgender people are very diverse and that there is no single "transgender" experience.

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    Transgender Resources (for Patients)


    True Selves: Understanding Transsexualism--For Families, Friends, Coworkers, and Helping Professionals (2010). Mildred L. Brown and Chloe Ann Rounsley.

    Becoming a Visible Man (2004) . Jamison Green.

    Both Sides Now: One Man's Journey Through Womanhood (2006). Dhillon Khosla.

    Second Son: Transitioning Toward My Destiny, Love and Life (2013). Ryan Sallans.

    My Husband Betty: Love, Sex, and Life with a Crossdresser (2003). Helen Boyd.

    Head Over Heels Wives Who Stay with Cross-Dressers and Transsexuals (2006). Virginia Erhardt.

    She's Not There: A Life in Two Genders (2013). Jennifer Finney Boylan.

    Transgender Explained For Those Who Are Not (2009). Joanne Herman.

    Transitions of the Heart: Stories of Love, Struggle and Acceptance by Mothers of Transgender and Gender Variant Children (2012). Rachel Pepper.

    Helping Your Transgender Teen: A Guide for Parents (2011). Irwin Krieger.

    Trans Forming Families Real Stories about Transgender Loved Ones (2003). Mary Boenke


    PFLAG - Parents and Friends of Lesbians and Gays, Pamphlets

    Our Trans Loved Ones: Questions and answers for parents, families and friends of people who are transgender or gender expansive (PFLAG). pamphlet

    Our Sons and Daughters:
    Questions and Answers for Parents of Lesbian, Gay and Bisexual and Transgender Youth and Adults (PFLAG). pamphlet


    The World Professional Association for Transgender Health, Inc.
    (formerly Harry Benjamin International Gender Dysphoria Association)

    Transgender Law Center in San Francisco

    The Billy DeFrank LGBT Community Center (San Jose)

    FTM (Female to Male) International

    General Information for TGs

    International Foundation for Gender Education

    PFLAG (Parents, Families and Friends of Lesbians & Gays)

    The Society for the Second Self, Inc. (Tri-Ess) (for heterosexual crossdressers, their spouses, partners & families)

    National Center for Transgender Equality

    Salon & Boutique Meeting Place for TG Community (San Jose)

    Outlet, LGBTQ Youth, ages 13-18, North Santa Clara County, San Mateo County

    Transgender, Queer, Questioning, Ally Youth & Young Adults, ages 13-25, living in Santa Clara County ages 13-25, living in Santa Clara County - Email -

    Website & Yahoo Groups for Parents with Trans Children

    Trans Family Allies, Inc, (parents of younger children, ages 3 - 18) (parents of younger children, ages 3 - 18)

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    Transgender Resources (For Professionals)


    Gender Loving Care: A Guide to Counseling Gender-Variant Clients (1999). Randi Ettner

    The Transgender Guidebook: Keys to a Successful Transition (2011). Anne L Boedecker.

    Transgenderism and Intersexuality in Childhood and Adolescence: . Making Choices (Developmental Clinical Psychology (2003). Peggy T Cohen-Kettenis and Friedemann Pfafflin.

    Transgender Emergence: Therapeutic Guidelines for Working with Gender-Variant People & Their Families(2004). Arlene Istar Lev.

    Principles of Transgender Medicine and Surgery (2007). Randi Ettner, Stan Monstrey and A. Evan Eyler.

    Guidelines for Transgender Care (2007).Walter O. Bockting and Joshua Goldberg, International Journal of Transgenderism (continuous journal) and Harry Benjamin International Gender.

    Gender Born Gender Made: Raising Healthy Gender Nonconforming Children (2011). Diane Ehrensaft and Edgardo Menvielle.

    Transgender Family Law A Guide to Effective Advocacy (2012).Jennifer L. Levi.

    The Transgender Child: A Handbook for Families and Professionals (2008). Stephanie A. Brill and Rachel Pepper.

    Trans-Kin A Guide for Family & Friends of Trans People (2012). Eleanor Hubbard and Cameron T. Whitl.


    A Practitioner's Resource Guide: Helping Families to Support Their LGBT Children (2014).

    Protocols for Primary Care Providers, Center of Excellence for Transgender health, UCSF

    All Resources generously Provided by Judy Van Maasdam, MA

    Reviewed By: Nancy Brown, Ph.D.

    See our Rape, Sexual Abuse,
    and Sexual Harassment

    Last Reviewed: October 2014

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