This is an umbrella term used to describe transgender or transsexual sexualities. “Transgender” and “transsexual” describe people whose gender identity and expression differs from what is understood to be typical to the sex they have been assigned at birth. As an overarching term “transgender” can describe a variety of gender identity and expressions, for example cross-dressing. “Transsexual” is the preferred term by some who intend to, or have permanently, changed their bodies in alignment with their gender identity.