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Individuals who have undergone and completed sex reassignment surgery are sometimes referred to as transsexed individuals; however, the term transsexed is not to be confused with the term transsexual, which can also refer to individuals who have not yet undergone SRS, and whose anatomical sex (still) does not match their psychological sense of personal gender identity.
The terms gender dysphoria and gender identity disorder were not used until the 1970s, "Transsexualism" was replaced in the DSM-IV by "gender identity disorder in adolescents and adults".
The word transsexual is most often used as an adjective rather than a noun – a "transsexual person" rather than simply "a transsexual".
Like other trans people, transsexual people prefer to be referred to by the gender pronouns and terms associated with their gender identity.
Transsexual people are sometimes referred to with directional terms, such as "female-to-male" for a transsexual man, abbreviated to "F2M", "FTM", and "F to M", or "male-to-female" for a transsexual woman, abbreviated "M2F", "MTF" and "M to F".but this view is controversial, and others argue that merely having some medical procedures does not have such far-reaching consequences as to put those who have them and those who have not (e.g.