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@nerthos Well, when it's the treatment proscribed by a proper physician for a properly-diagnosed Gender Identity Disorder, I have no problems with it.
Where I get a lot dodgier is when people just shop around for a doctor that will give them it anyways, or they just take hormones without supervision.
The term for the latter in the medical community although many consider it a slur is "trans-trenders" They tend to be people that just want the social credit or status afforded to transgender people. You'll notice that almost all of that variety are male-to-female transgenders - it's almost as if we've given women a more privileged place in society and people desire that special treatment.
But where people are getting it as a proper medical treatment I have zero problems with it. I wouldn't have considered it myself if I did.
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@nerthos Oh, I agree. It's a particular trend with the "tumblr" crowd that most transgender people I know actually don't like either. It's one thing to like, intentionally misgender people to piss them off, that's being a bit shit, but it's another to like, make a genuine mistake and not mean something malicious by it, and still ascribe a negative context to it. You have to be understanding of others, if you want them to be understanding of you.
I get a lot of flak myself for not respecting the genderfluid/more than two genders thing, though. I should think, if you're genuinely transitioning, you would desire to be identified as the gender you're transitioning to, not some in-between state. People who insist on some special pronouns tend to out themselves as the ones that are seeking special snowflake status rather than those transitioning because of a genuine medical need.