Despite these challenges, the transgender community and LGBTQ culture have achieved remarkable triumphs, including:
Within LGBTQ healthcare, trans people have historically been required to undergo psychological evaluation to receive hormones—a form of gatekeeping often enforced by cisgender gay or lesbian doctors. The fight for models (where adults make their own medical decisions) was led by trans activists pushing back against a paternalistic LGBTQ medical establishment. shemale with small dick