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Finally, as you may be aware, trans women often have a somewhat more pronounced brow than their cisgender peers. In contrast, Levitt explains that "transsexual people have a sexual identity that does not match their physical sex" and that some desire sex-reassignment surgery. In , Hirschfeld supervised the second genital reassignment surgery to be reported in detail in a peer-reviewed journal, that of Lili Elbe of Denmark.
Unless homosexual and heterosexual are more readily understood terms in a given context, this more precise terminology will be used throughout the book. The World Professional Association for Transgender Health WPATH , and many transsexual people, had recommended this removal,  arguing that at least some mental health professionals are being insensitive by labelling transsexualism as a "disease" rather than as an inborn trait as many transsexuals believe it to be.
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