Monga momwe zimakhalira pa "malingaliro ogonana," lingaliro la "transgender" palokha limakhala lovuta, popeza lilibe maziko asayansi kapena mgwirizano pakati pa ochita za LGBT. Komabe, palibe kukaikira kuti m'mayiko a azungu kuchuluka kwa zochitika za transgender zomwe zimatsutsa zenizeni zachilengedwe zakula kwambiri m'zaka zaposachedwa. Ngati mu 2009 chaka Tavistock Clinic Achinyamata a 97 adalankhula ndi dysphoria ya jenda, ndiye chaka chatha kuchuluka kwawo kudapitilira zikwi ziwiri.