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While generally aligned, the "T" (transgender) and "LGB" (lesbian, gay, bisexual) communities can have distinct needs. The inclusion of trans people is a point of solidarity, but trans individuals sometimes face exclusion even within the broader queer community.

The acronym has expanded to LGBTIQCAPGNGFNBA (Lesbian, Gay, Bisexual, Transgender, Intersex, Queer/Questioning, Curious, Asexual, Pansexual, Gender-Nonconforming, Gender-Fluid, Non-Binary, Androgynous) to reflect a wider spectrum of gender and sexual diversity. Cultural Competence in the Care of LGBTQ Patients - NCBI shemales tube samantha

Some trans people may undergo medical procedures (hormones, surgery) to align their bodies with their identity, but not all do, and a trans identity is not dependent on medical intervention. While generally aligned, the "T" (transgender) and "LGB"

Trans is a matter of gender , not sexuality. Trans people can have any sexual orientation—straight, gay, lesbian, bisexual, or asexual. Cultural Competence in the Care of LGBTQ Patients