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Transsexual is generally considered a subset of transgender, Globally, most legal jurisdictions recognize the two traditional gender identities and social roles, man and woman, but tend to exclude any other gender identities and expressions.

However, there are some countries which recognize, by law, a third gender.

0.8% (1.125) of 18- to 24-year-old university students who are birth-assigned males (whose sex/gender as indicated on their ID card is male) report that the ‘sex/gender I feel in my heart’ is female, while another 0.4% indicating that their perceived gender was ‘other’.

Among birth-assigned females, 2.9% () indicated they perceived their gender as male, while another 1.3% indicating ‘other’.

On 16 September 2013, Eliana Rubashkyn a transgender woman claimed that she was discriminated and sexually abused by the customs officers, including being subjected to invasive body searches and denied usage of a female toilet, although Hong Kong officers denied the allegations.

After being released, she applied for and was granted refugee status by the United Nations High Commissioner for Refugees (UNHCR), rendering her effectively stateless awaiting acceptance to a third country.

This raises many legal issues and aspects of being transgender.

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In many countries, some of these modifications are required for legal recognition.

In some jurisdictions, transgender people (who are considered non-transsexual) can benefit from the legal recognition given to transsexual people.

In some countries, an explicit medical diagnosis of "transsexualism" is (at least formally) necessary.

In early 2014 the Shanxi province started allowing minors to apply for the change with the additional information of their guardian's identification card.

This shift in policy allows post-surgery marriages to be recognized as heterosexual and therefore legal. One study found that Chinese parents report 0.5% (0) of their 6 to 12-year boys and 0.6% (7) of girls often or always ‘state the wish to be the other gender’.

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