Gender dysphoria includes a strong desire to be treated as the other gender, a strong desire to be free of one’s sex characteristics, or a strong belief that one has feelings and reactions distinctive of the other gender. The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), [Page 1532]classifies people whose assigned gender at birth is contrary to the one they identify with as a diagnosis for gender dysphoria. This diagnosis is a revision of the previous DSM-IV diagnosis of gender identity disorder (GID). Whereas GID focused on the issue of “identity,” the incongruity between someone’s assigned gender at birth and the gender with which he or she identifies, the drafters of the DSM-5 wanted to emphasize the importance of the distress about ...