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Despite progress, the transgender community and LGBTQ individuals as a whole continue to face numerous challenges:

In mainstream gay culture, coming out is often a linear journey: realization, disclosure, acceptance. In trans culture, coming out is a perpetual act. A trans person may come out as gay or lesbian first, then later come out as trans. Furthermore, trans people face the "stealth" dilemma: the desire to disappear into society as one's true gender without the prefix "trans." This is a luxury rarely afforded to visibly gay or lesbian people.

The most painful rifts occur over trans women’s inclusion in women’s spaces. Trans-Exclusionary Radical Feminists (TERFs)—who historically emerged from lesbian separatist movements—argue that trans women are intruders. This has led to the surreal spectacle of anti-trans protests at Pride parades, wielded by people holding lesbian flags.

Within trans culture, there is a term for cisgender LGB people who try to police trans identity: "gatekeepers." Many gay men and lesbians who fought for their own authenticity fail to recognize the validity of non-binary identities or trans people who don't seek surgery. The question, "Why can't you just be a masculine lesbian?" is a dagger often thrown by the very community that should understand the agony of being mislabeled.