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While gay and bisexual people have fought for HIV/AIDS treatment and the right to marry, trans people fight for basic, life-saving gender-affirming care. The ability to access puberty blockers, hormone replacement therapy (HRT), and gender-affirming surgeries is not cosmetic; it is medically necessary. In many parts of the world, LGB people have won legal protections, while trans youth are being stripped of the right to healthcare by legislation.