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Nearly half of those interviewed were healers or in the medical profession.

A sex/gender system which recognizes only the following two social norms has been labeled "heteronormative". Peletz believes our notions of different types of genders (including the attitudes toward the third gender) deeply affect our lives and reflects our values in society.

In Peletz' book, "Gender, Sexuality, and Body Politics in Modern Asia", he describes: For our purposes, the term "gender" designates the cultural categories, symbols, meanings, practices, and institutionalized arrangements bearing on at least five sets of phenomena: (1) females and femininity; (2) males and masculinity; (3) Androgynes, who are partly male and partly female in appearance or of indeterminate sex/gender, as well as intersexed individuals, also known as hermaphrodites, who to one or another degree may have both male and female sexual organs or characteristics; (4) the transgendered, who engage in practices that transgress or transcend normative boundaries and are thus by definition "transgressively gendered"; and (5) neutered or unsexed/ungendered individuals such as eunuchs.

Third gender or third sex is a concept in which individuals are categorized, either by themselves or by society, as neither man nor woman.

The Open Society Foundations published a report, License to Be Yourself in May 2014, documenting "some of the world's most progressive and rights-based laws and policies that enable trans people to change their gender identity on official documents".

In a study of arguments that intersex people fit into a third gender classification, intersex scholar Morgan Holmes argues that much analysis of a third sex or third gender is simplistic: much of the existing work on cultural systems that incorporate a 'third sex' portray simplistic visions in which societies with more than two sex/gender categories are cast as superior to those that divide the world into just two.

I argue that to understand whether a system is more or less oppressive than another we have to understand how it treats its various members, not only its 'thirds'.

From a rights-based perspective, third sex / gender options should be voluntary, providing trans people with a third choice about how to define their gender identity.