Flilix said:
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Some of the older trans-identified people I know reject the concept of transgenderism though. They believe that since they've undergone surgery to have their birth genitilia either radically altered or eliminated, they now, in fact, belong to the opposite sex and that trans-identified people who haven't undergone such medical procedures are mostly, if not entirely, opportunistic frauds. These people refer to themselves as transsexual specifically and reject the term transgender.
These are the sorts or reasons why the lists of "gender identities" are as lengthy as they are.