E like me ka "seksual orientation", pilikia ka manaʻo o "transgender" i ka pilikia ona pono ʻole, no ka mea, ʻaʻohe kumu ʻepekema a kūlike ʻole paha ma waena o nā mea hana LGBT. I ka manawa like, ʻaʻohe kānalua o nā kaiāulu Komohana i ke kiʻekiʻe o nā mea e hele a transgender e hōʻole i ka ʻoiaʻiʻo maoli i nā makahiki i hala. Inā ma 2009 makahiki ma Kaukaʻi ʻo Tavistock Ua kamaʻilio nā 97 i ka ʻōpio dysphoria, a laila ua hala ka makahiki i hala ka nui o ko lākou heluna ma mua o ʻelua tausani.