of gender change)" and has or will undergo "at least one gender-affirming medical procedure or treatment regimen--namely, regular gender-affirming hormone treatment or gender reassignment surgery".

The DSM-5 stated that "Gender dysphoria as a general descriptive term refers to the distress that may accompany the incongruence between one's experienced or expressed gender and one's assigned gender. However, it is more specifically defined when used as a diagnostic category. It does not refer to distress related to stigma, a distinct although