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In the 20th and 21st centuries, advances in sex reassignment surgery as well as transgender activism have influenced transgender life and the popular perception of transgender people in the United States.These include "berdaches" (a derogatory term for people born male and who assumed a traditionally feminine role), and "passing women" (people born female who took on a traditionally masculine role).One example she cites is Mary Henly, a female-assigned individual in Massachusetts who was charged with illegally wearing men's clothing in 1692 because it was "seeming to confound the course of nature." During the American Civil War (1861–1865) at least 240 people assigned female at birth are known to have worn what was traditionally men's clothing and fought as soldiers.

In the late 1960s in New York, Mario Martino founded the Labyrinth Foundation Counseling Service, which was the first transgender community-based organization that specifically addressed the needs of female-to-male transsexuals.

In 1962, she founded the Hose and Heels Club for cross-dressers, which soon changed its name to Phi Pi Epsilon, a name designed to evoke Greek-letter sororities and to play on the initials FPE, the acronym for Prince's philosophy of "Full Personality Expression".

Prince believed that the binary gender system harmed both men and women by keeping them from their full human potential, and she considered cross-dressing to be one means of fixing this.

Virginia Prince, a transgender person who began living full-time as a woman in San Francisco in the 1940s, developed a widespread correspondence network with transgender people throughout Europe and the United States by the 1950s.

She worked closely with Alfred Kinsey to bring the needs of transgender people to the attention of social scientists and sex reformers.

This article addresses the history of transgender people in the United States from prior to western contact until the present.



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