: Karl M. Baer became the first transgender person to undergo sex reassignment surgery in 1906. In 1931, Dora Richter became the first known transgender woman to undergo vaginoplasty.
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: Gender identity refers to an internal sense of being (e.g., male, female, nonbinary), while sexual orientation refers to whom a person is attracted to. Transgender people may identify as straight, gay, lesbian, bisexual, or asexual. : Karl M