RT Book, Section A1 Gaddis, Monica L. A1 Grimstad, Frances W. A2 Tintinalli, Judith E. A2 Ma, O. John A2 Yealy, Donald M. A2 Meckler, Garth D. A2 Stapczynski, J. Stephan A2 Cline, David M. A2 Thomas, Stephen H. SR Print(0) ID 1167031931 T1 The Transgender Patient T2 Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 9e YR 2020 FD 2020 PB McGraw-Hill Education PP New York, NY SN 9781260019933 LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1167031931 RD 2023/03/28 AB A transgender person is someone whose gender identity differs from their sex assigned at birth. Sex is an assignment of “male” or “female” based on birth assessment of genitalia. An intersex assignment can also be made at birth based on ambiguous genitalia. Unlike sex, gender identity is self-identified, not assigned, and may or may not be congruent with sex. Thus, transgender persons include those who were assigned as being of male sex at birth but who identify as female and those who were assigned as being of female sex at birth but who identify as male. Further, some individuals identify outside the male–female binary, including those who identify as both, neither, or in between, and may identify with terms such as gender nonbinary, gender nonconforming, or gender fluid.1 Approximately 0.5% of people in the United States identify as transgender.2 Not all transgender patients desire physical alignment.