Editing Gender identity (section)

===Medical field===
[[Transgender]] people sometimes wish to undergo physical surgery to refashion their [[primary sexual characteristics]], secondary characteristics, or both, because they feel they will be more comfortable with different genitalia. This may involve removal of penis, testicles or breasts, or the fashioning of a penis, vagina or breasts.<ref>{{cite journal |last1=Tristani-Firouzi |first1=Bita |last2=Veith |first2=Jacob |last3=Simpson |first3=Andrew |last4=Hoerger |first4=Kelly |last5=Rivera |first5=Andy |last6=Agarwalb |first6=Cori A. |title=Preferences for and barriers to gender affirming surgeries in transgender and non-binary individuals |journal=[[International Journal of Transgender Health]] |date=12 August 2021 |volume=23 |issue=4 |pages=458–471 |doi=10.1080/26895269.2021.1926391 |pmid=36324882 |pmc=9621289 }}</ref> In the past, sex assignment surgery has been performed on infants who are born with ambiguous genitalia. However, current medical opinion is strongly against this procedure on infants, and recommends that the procedure be only conducted when medically necessary.<ref>{{cite journal |last1=Behrens |first1=Kevin G. |title=A principled ethical approach to intersex paediatric surgeries |journal=BMC Medical Ethics |date=December 2020 |volume=21 |issue=1 |pages=108 |doi=10.1186/s12910-020-00550-x |pmid=33121480 |pmc=7597036 |doi-access=free }}</ref> Today, [[gender-affirming surgery]] is performed on people who choose to [[Gender transitioning|transition]] so that their external sexual organs will match their gender identity.<ref>{{cite journal |last1=Diamond |first1=Milton |title=Sex and Gender are Different: Sexual Identity and Gender Identity are Different |journal=Clinical Child Psychology and Psychiatry |date=July 2002 |volume=7 |issue=3 |pages=320–334 |doi=10.1177/1359104502007003002 |s2cid=144721800 }}</ref>

In the United States, the [[Affordable Care Act]] provided that [[health insurance exchange]]s would have the ability to collect demographic information on gender identity and sexual identity through optional questions, to help policymakers better recognize the needs of the [[LGBTQ]] community.<ref>{{cite web|vauthors=Baker K|title=FAQ: Collecting Sexual Orientation and Gender Identity Data|date=16 October 2012 |url=http://www.americanprogress.org/issues/lgbt/report/2012/10/16/41620/faq-collecting-sexual-orientation-and-gender-identity-data/|access-date=29 October 2012|publisher=Center for American Progress|archive-date=25 October 2012|archive-url=https://web.archive.org/web/20121025223111/http://www.americanprogress.org/issues/lgbt/report/2012/10/16/41620/faq-collecting-sexual-orientation-and-gender-identity-data/|url-status=live}}</ref> In 2020, however, the [[First presidency of Donald Trump|Trump administration]] finalized a rule that "would remove nondiscrimination protections for LGBTQ people when it comes to health care and health insurance" in the Affordable Care Act and extends to "regulations pertaining to access to health insurance."<ref name="npr.org">{{cite web | url=https://www.npr.org/sections/health-shots/2020/06/12/868073068/transgender-health-protections-reversed-by-trump-administration | title=Transgender Health Protections Reversed by Trump Administration | website=NPR | date=12 June 2020 | last1=Simmons-Duffin | first1=Selena | access-date=4 December 2022 | archive-date=23 June 2020 | archive-url=https://web.archive.org/web/20200623172448/https://www.npr.org/sections/health-shots/2020/06/12/868073068/transgender-health-protections-reversed-by-trump-administration | url-status=live }}</ref> This rule "is one of the many rules and regulations put forward by the Trump administration that defines "sex discrimination" as only applying when someone faces discrimination for being male or female, and does not protect people from discrimination on the basis of sexual orientation or gender identity."<ref name="npr.org"/>