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20b: We believe Transgender is incorrectly named as a psychological health concern and should be changed to a physical birth defect, transgender means going from one gender to another gender, a transgender only does a transition from one gender to another gender physically, not psychologically.

We believe the psychological gender and physical gender develop at the same time and believe the psychological gender is more important, when the psychological gender develops differently than the physical gender and it causes great psychological pain than a Physical Gender Birth Defect has occurred and should be treated as a physical birth defect.

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