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Trans and transgender are terms used for people whose gender is different from the sex they were assigned at birth. Trans is a term that includes both binary trans people (trans boys/men and trans girls/women) and non-binary trans people. While these are general term, being trans means different things to different people. The trans community is diverse, and trans people identify with and express their gender in lots of different ways.
When someone changes how they express their gender identity is known as transitioning, and is the process of a person moving from being seen as an assumed gender to their self-identified gender.
Being trans does not have to mean a person has undergone surgery, or will in the future – but it can. How people choose to transition is unique and personal to them. Trans people don't need to undergo any particular processes to become the gender they are, because their gender is valid regardless of what steps they do or not take.
For example: Using different names and pronouns, changing hairstyles and clothes, as well as binding breasts or wearing breast forms.
For example: Laser hair removal, hormone therapy, and various surgeries such as facial surgeries, top surgery (removing or augmenting breasts), hysterectomy (removing someone's uterus), and bottom surgery (to alter genitals), which can also be called gender reassignment surgery or sex reassignment surgery.
When people talk about medical care for trans people, they often say it is gender affirming care. This is becuase it is healthcare that affirms (or supports) someone's gender identity.