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Some jurisdictions require full surgical reassignment before a change of gender is allowed on official documents, while others less restrictive rules.
Some do not allow a change in legal documents at any time.
Similarly, in trans women, appropriate changes are made to the face, throat, chest, waist, buttocks and genitalia along with excess hair removal.
The transgender community is symbolized by a pride flag which consists of pink and blue horizontal stripes on both ends, symbolizing transition.
Another symbol for transgender people is the butterfly symbolizing metamorphosis.
There is, however, no separate symbol for transsexuals.
Some transgender individuals opt for medical intervention to change their appearance.