Transgender people have a gender identity or gender expression that differs from the sex that they were assigned at birth. Being transgender is distinct from sexual orientation. The term transgender is also distinguished from intersex , a term that describes people born with physical sex characteristics "that do not fit typical binary notions of male or female bodies". The degree to which individuals feel genuine, authentic, and comfortable within their external appearance and accept their genuine identity has been called transgender congruence. Many transgender people face discrimination in the workplace  and in accessing public accommodations  and healthcare. Psychiatrist John F.
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