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Fa'afafine are male at birth, and express both masculine and feminine gender traits.The bayog, asog in the Visayas and babalyans who dressed in women's clothes invoked spriits with their feminity they existed in the Precolonial times where considered spiritual leaders who were highly revered in the community; the practiced stopped in 1625 after Spanish subjugation.The term "berdache" is not a Native American word; rather it was of European origin and covered a range of third-gender people in different tribes.Not all Native American tribes recognized transgender people.This is a common enough occurrence in town that townspeople take it in stride.

The khanith are a third gender category in Oman and the Arabian Peninsula who function sexually, and in some ways socially, as women.Cross dressing was practiced in the American colonial rule where gay men dressed as women usually flocking in the streets of Manila like the story of Markova the Comfort Gay during World War II abused by Japanese soldiers.Drag Pageants also started in the 1950s-1960's where men dressed in women's to compete in a battle of beauty and wit the longest running LGBTQI Pageant in the Philippines is in Mandaue City, Cebu which began in 1963 then Naga City in Camarines Sur in 1969.Prior to western contact, some American Native tribes had third-gender roles, but details were only recorded after the arrival of Europeans.Roles included "berdache" (a derogatory term for people assigned male at birth who assumed a traditionally feminine role) and "passing women" (people assigned female at birth who took on a traditionally masculine role).

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