What's The Difference Between Being Transgender And Transsexual?

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LGBTQIA+ Health

Is There a Difference Between Being Transgender and Transsexual?

Medically reviewed by Janet Brito, Ph.D., LCSW, CST-S — Written by Mere Abrams, LCSW on May 22, 2023

Transgender, defined
Transsexual, defined
Key differences
Underlying contention
Why 'transsexual' is used
What to use
Learn more

The main difference between the word transgender and the word transsexual has to do with the way the words are used and experienced. Despite their similar definitions, many transgender people don’t identify with term transsexual.

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The word “transgender” is an umbrella term that describes those who have a gender that’s different from the sex (male, female, or intersex) or binary gender (boy or girl) they were assigned at birth.

“Transsexual” is a more specific term that fits under the transgender umbrella. This word can be contentious and shouldn’t be used unless someone specifically asks to be referred to this way.

Read on to learn more about the difference between being transgender and being transsexual, why someone might choose one term over the other, and more.

What exactly does it mean to be transgender?

The term transgender can mean different things to different people. There are a number of other labels transgender people use to describe their gender.

This can be confusing at first, particularly if you or someone you know are questioning or exploring your gender.

For example, a person who was assigned female at birth and has a masculine sense of self could be categorized as transgender.

A person who was assigned male at birth and has a feminine sense of self could also be categorized as transgender.

Sometimes, folks use the abbreviated term “trans” to convey the idea that the sex and gender they were assigned at birth doesn’t fully and accurately reflect their core sense of self or internal experience of gender.

The word transgender can also be used in conjunction with other labels to indicate the gender someone knows themselves to be.

For example: a transgender man, transgender woman, or a transgender nonbinary person.

Nonbinary is an umbrella term that describes those who have a gender that can’t be exclusively categorized as man or woman.

As a rule of thumb, the term transgender provides information about the extent to which someone identifies with the sex and gender they were assigned at birth.
The following word often communicates important information about the way someone experiences and understands gender, as well as how they might want to be referred to.

Some transgender people change their appearance, body, name, or legal identification marker to convey and affirm their internal experience of gender.

Others don’t feel the need to make these changes to express and validate this aspect of who they are. Either way is OK.

What exactly does it mean to be transsexual?

Historically and medically, the term transsexual was used to indicate a difference between one’s internal sense of gender and what was assigned at birth.

More specifically, the term is often used to communicate that one’s experience of gender involves medical changes, such as hormones or surgery, that help alter their anatomy and appearance to more closely align with their gender identity.

Similar to the word transgender, the meaning of the word transsexual can vary from person to person, culture to culture, and across history.

It’s important to remember that the term transsexual doesn’t include or reflect the experience of many who are a part of the transgender community. It shouldn’t be used to refer to someone unless they specifically assert that preference.

Further, some transgender people find the word transsexual to be offensive and stigmatizing. This is because of its history and roots in the professional fields of medicine and psychology, which used this term to incorrectly label all transgender people as mentally ill or sexually deviant.

Professionals in medicine and mental health now understand that having a transgender or transsexual gender identity isn’t a mental illness, and that transgender identities are a naturally occurring part of human gender diversity and gender experiences.

It sounds like you just said the same thing twice — what’s the difference?

The main difference between the word transgender and the word transsexual has to do with the way it’s used and experienced.

Many transgender people report having negative associations with the word transsexual.

Current best practices in transgender health still use the word transsexual, but acknowledge that it’s no longer the most inclusive and affirming term to describe someone who has a gender that’s different from what was assigned at birth.

Transgender or trans are now the generally accepted and promoted terms that Western societies use to describe those who have a gender that’s different from what was assigned at birth.

Transgender tends to be more inclusive and affirming than transsexual because it includes the experience of those who pursue medical changes to affirm gender as well as those who do not.

While some transgender and transsexual advocates have argued that the word transsexual doesn’t always have to include medical changes, this notion hasn’t yet been widely accepted by the larger transgender community.

Generally, the word transgender recognizes the need to medically alter one’s body, hormonal makeup, or appearance isn’t required for everyone who identifies with a gender that’s different from the sex assigned at birth.

The decision to pursue physical and medical changes can vary from transgender person to transgender person.

Why is the term transsexual so contentious?

The term transsexual can be contentious because it was historically used to categorize transgender people as mentally ill. It often served as justification for discrimination, harassment, and mistreatment.

This term is heavily debated both within the transgender community and outside of it.

Some people feel it’s necessary and important to have a medical diagnosis or surgery to validate one’s transgender experience.

Others feel a medical or mental health diagnosis and requirement for intervention only perpetuate the inaccurate assumption that transgender people have an inherent medical or mental health problem.

In the past, transsexualism, transvestism, and gender identity disorder were the labels used to medically and psychologically categorize someone who has a gender or appearance that differs from the sex assigned at birth.
These terms are also commonly associated with instances of discrimination, harassment, mistreatment, and misunderstanding. It’s best to avoid using them in both casual and professional conversations.

Current medical and psychological guidelines have moved away from using these terms to convey the idea that being transgender or transsexual, in and of itself, isn’t a mental illness or medical problem.

More accurately, it’s the lack of access, acceptance, and understanding of gender diversity that contributes to the mental health issues many transgender people face.

Gender dysphoria is the current diagnosis used to describe the distress an individual may experience as a result of having a gender that’s different from what was assigned at birth.

If it has this history, why do some people refer to themselves in this way?

Despite this history, some in Western countries and other cultures across the globe continue to use the word transsexual to refer to themselves and the experience of having a gender that’s different from what was assigned at birth.

Many who use the word transsexual to describe their gender see a medical diagnosis, medical transition using hormones, and gender confirmation surgery as important parts of their experience. They use the term to help communicate that viewpoint.

Remember that the negative connotations of the word transsexual vary from person to person and culture to culture.

If a particular culture, community, or individual experiences and uses the word transsexual as a respectful and authentic descriptor, then it can be used in that particular situation or context.

How do you know which term(s) you should use to refer to someone?

The best way to determine which term you should use to refer to someone is to ask them.

If you’re unsure, asking the person is always the best option.

The word someone uses to describe their gender can be a private and sensitive topic. Many people don’t share that information publicly or with strangers.

It isn’t always necessary to know or agree with how someone identifies their gender in order to interact with them respectfully.

If you’re in a situation where asking isn’t possible or doesn’t feel appropriate, the next best option is to ask someone else — who ideally knows the person — if they know how the person in question likes to be referred to.

If you need to refer to someone but don’t know their gender or pronouns, it’s best to avoid gendered language and use the person’s name instead.

Where can you learn more?

If you want to learn more about gender labels such as transgender and transsexual, check out these articles:

What Does It Mean to be Transgender?
Transvestite, Transsexual, Transgender: Here’s what you should actually call trans people

And check out these resources:

TSER’s list of LGBTQ+ definitions
Planned Parenthood’s guide to trans and gender nonconforming identities

Education about different gender labels can be an important part of exploration, self-discovery, and supporting loved ones. Each person deserves the right to determine the label that’s used to describe them.

Mere Abrams is a researcher, writer, educator, consultant, and licensed clinical social worker who reaches a worldwide audience through public speaking, publications, social media (@meretheir), and gender therapy and support services practice onlinegendercare.com. Mere uses their personal experience and diverse professional background to support individuals exploring gender and help institutions, organizations, and businesses to increase gender literacy and identify opportunities to demonstrate gender inclusion in products, services, programs, projects, and content.

How we reviewed this article:

SourcesHistoryHealthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical journals and associations. We only use quality, credible sources to ensure content accuracy and integrity. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.

Definitions. (n.d.). http://www.transstudent.org/about/definitions/
Glossary of terms - transgender. (n.d.). https://www.glaad.org/reference/transgender
Transgender identity terms and labels. (n.d.). https://www.plannedparenthood.org/learn/sexual-orientation-gender/trans-and-gender-nonconforming-identities/transgender-identity-terms-and-labels
What is the difference between transsexual and transgender? (n.d.). https://www.issm.info/sexual-health-qa/what-is-the-difference-between-transsexual-and-transgender/

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Medically reviewed by Janet Brito, Ph.D., LCSW, CST-S — Written by Mere Abrams, LCSW on May 22, 2023

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