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ELI5: What is trans medicalism?
(hexbear.net)
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you would be correct, that's 100% the concern!
The other aspect is that you don't want to exclude someone from the trans umbrella or trans experience even if they never take medical transition steps such as hormones, genital surgery, top surgery, implants, etc.
That's true! Fascinating part of the lecture - they did autopsy and brain measurement of trans people that underwent sex-reassignment surgery and those that never underwent said process, but still claimed to be trans, and the specific brain regions matched their self-declared gender.