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Historically, as gay and lesbian individuals gained legal protections (marriage, adoption, employment non-discrimination in certain states), there was a contingent within the community that suggested dropping the "T." The argument was that being transgender is a matter of gender identity , not sexual orientation , and therefore the political goals do not align.

The 1952 transition of Christine Jorgensen brought international media attention to the possibility of gender-confirming surgery. The Catalyst for Modern LGBTQ Activism shemale solo erection