Shown above is a photograph of a transsexual beauty pageant hosted in the Philippines.

Transsexualism is a condition in which a person identifies with a physical sex different from the one with which they were born. A medical diagnosis can be made if a person experiences discomfort as a result of a desire to be a member of the opposite sex, or if a person experiences impaired functioning or distress as a result of that gender identification. Transsexualism is stigmatized in many parts of the world and has become more widely known in Western cultures in the mid to late 20th century, concurrently with the sexual revolution and the development of sexual reassignment surgery. It remains controversial, however. Discrimination and negative attitudes towards transsexualism often accompany certain religious beliefs or cultural values. There are other cultures, however, that have not only held a place for transsexuals but even culturally sanction them, such as the two-spirit people in some native American tribes.