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Within LGBTQ+ culture, tensions occasionally surface. Some cisgender LGB individuals have questioned whether trans identities are "innate" in the same way as sexual orientation, or have argued that trans inclusion dilutes the political focus on gay and lesbian issues. This has led to the rise of "trans-exclusionary radical feminist" (TERF) ideology, which rejects trans women as women—a stance that most mainstream LGBTQ+ organizations explicitly condemn.

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The history of transgender and gender-variant people spans thousands of years across nearly every recorded culture, often holding positions of spiritual or social significance before colonial-era criminalisation. Andy Warhol Within LGBTQ+ culture, tensions occasionally surface