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Accounts of transgender people (including non-binary and third gender people) have been uncertainly identified going back to ancient times in cultures worldwide. The modern terms and meanings of transgender, gender, gender identity, and gender role only emerged in the 1950s and 1960s. As a result, opinions vary on how to categorize historical accounts of gender-variant people and identities.
The galli eunuch priests of classical antiquity have been interpreted by some scholars as transgender or third-gender. The trans-feminine kathoey and hijra gender roles have persisted for thousands of years in Thailand and the Indian subcontinent, respectively. In Arabia, khanith (like earlier mukhannathun) have occupied a third gender role attested since the 7th century CE. Traditional roles for transgender women and transgender men have existed in many African societies, with some persisting to the modern day. North American Indigenous fluid and third gender roles, including the Navajo nádleehi and the Zuni lhamana, have existed since pre-colonial times.
Some Medieval European documents have been studied as possible accounts of transgender persons. Kalonymus ben Kalonymus's lament for being born a man instead of a woman has been seen as an early account of gender dysphoria. John/Eleanor Rykener, a male-bodied Briton arrested in 1394 while living and doing sex work dressed as a woman, has been interpreted by some contemporary scholars as transgender. In Japan, accounts of transgender people go back to the Edo period. In Indonesia, there are millions of trans-/third-gender waria, and the extant pre-Islamic Bugis society of Sulawesi recognizes five gender roles.
In the United States in 1776, the genderless Public Universal Friend refused both birth name and gendered pronouns. Transgender American men and women are documented in accounts from throughout the 19th century. The first known informal transgender advocacy organisation in the United States, Cercle Hermaphroditos, was founded in 1895.
Early sexual reassignment surgeries, including an ovary and uterus transplant, were performed in the early 20th century at a German clinic that was later destroyed in the Third Reich. The respective transitions of transgender women Christine Jorgensen and Coccinelle in the 1950s brought wider awareness of sex reassignment surgery to North America and Europe, respectively. The grassroots political struggle for transgender rights in the United States produced several riots against police, including the 1959 Cooper Donuts Riot, 1966 Compton's Cafeteria Riot, and the multi-day Stonewall Riots of 1969. In the 1970s, Lou Sullivan became the first publicly self-identified gay trans man and founded the first organization for transgender men. At the same time, some feminists opposed construals of womanhood inclusive of transgender women, creating what would later be known as gender-critical feminism. In the 1990s and 2000s, the Transgender Day of Remembrance was established in the United States, and transgender politicians were elected to various public offices. Legislative and court actions began recognizing transgender people's rights in some countries, while some countries and societies have continued to abridge the rights of transgender people.