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LGBTQ culture, particularly queer theory (e.g., Butler, 1990), has critiqued this medical model, arguing that it pathologizes difference. In response, the transgender community has developed a movement, culminating in the World Health Organization moving "gender identity disorder" from the mental disorders chapter to "conditions related to sexual health" as "gender incongruence" (ICD-11, 2019). This cultural shift—from seeing trans identity as a sickness to seeing it as a natural variation—is a key contribution of trans activism to wider LGBTQ thinking about bodily autonomy and the rejection of compulsory medical narratives.