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Transmedicalism is broadly defined as the belief that being transgender is contingent upon experiencing gender dysphoria or undergoing medical treatment in transitioning.[1][2][3] Transmedicalists, sometimes referred to as truscum by others or by themselves,[3][4] believe that individuals who identify as transgender but who do not experience gender dysphoria or do not desire to undergo a medical transition—through methods such as sex reassignment surgery or hormone replacement therapy—are not genuinely transgender.[2][3]


  1. ^ Vincent, Ben (2018). Transgender Health: A Practitioner's Guide to Binary and Non-Binary Trans Patient Care. Jessica Kingsley Publishers. p. 126–127. ISBN 978-1785922015.
  2. ^ a b Earl, Jessie (October 21, 2019). "What Does the ContraPoints Controversy Say About the Way We Criticize?". Retrieved January 7, 2020.
  3. ^ a b c Fontaine, Andie (August 2, 2019). "The New Frontier: Trans Rights In Iceland". The Reykjavík Grapevine. Retrieved January 7, 2020.
  4. ^ Williams, Rachel Anne (2019). Transgressive: A Trans Woman On Gender, Feminism, and Politics. Jessica Kingsley Publishers. p. 129. ISBN 978-1785926471. [...] trans medicalists themselves have self-consciously reappropriated the term 'truscum' to describe their position.