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Transmedicalism is broadly defined as the belief that being transgender is contingent upon experiencing gender dysphoria or wanting medical treatment to transitioning. Transmedicalists believe that individuals who identify as transgender but who do not experience gender dysphoria or have no desire to undergo a medical transition—through methods such as sex reassignment surgery or hormone replacement therapy—are not genuinely transgender. They may also exclude those whose gender is non-binary from being trans. Transmedicalists are sometimes referred to  as truscum, a term coined on Tumblr meaning true transsexual scum, which they have in turn reappropriated. Another colloquial name is transmed. The counterpart term for those who believe that gender dysphoria is not required to be transgender is tucute, meaning too cute to be cisgender. Another term transmedicalists use to refer to those who they don't believe are genuinely transgender is transtrender.
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[...] trans medicalists themselves have self-consciously reappropriated the term 'truscum' to describe their position.
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- Konnelly, Lex (2021-06-04). "Both, and: Transmedicalism and resistance in non-binary narratives of gender-affirming care" (PDF). Toronto Working Papers in Linguistics. 43 (1). doi:10.33137/twpl.v43i1.35968. S2CID 237909648. Retrieved 2021-07-19.
Often referred to in short, by themselves and others, as simply transmedicalists (and sometimes as truscum or transfundamentalists), those who subscribe to this view ratify medical authority in regulating transgender experience, insisting that deviating from the established medical model undermines public acceptance of trans communities and trivializes ‘authentic’ transexperiences. They criticize those deemed “transtrenders,” individuals who ‘inauthentically’ claim to be transgender in the absence of medicalized criteria, particularly gender dysphoria.