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The addition of the "T" and the "+" in LGBTQ+ signifies the inclusion and acknowledgment of transgender, gender diverse, and other sexualities/identities.

Transgender culture encompasses shared experiences, art, advocacy, and history, which often intersect with, but exist independently of, gay and lesbian culture. Transgender People in the LGBTQ+ Movement

Transgender (or trans) is an umbrella term encompassing people whose gender identity or expression differs from societal norms based on their sex assigned at birth.