[1][2][3] There are divides and debates within the transmedicalist community on the exact definition of who is or is not transgender.
[4] Many transmedicalists believe individuals who identify as transgender without experiencing gender dysphoria or desiring to undergo a medical transition through methods such as hormone replacement therapy or sex reassignment surgery are not genuinely transgender.
[6] Transmedicalists are sometimes referred to as transmeds[7] and truscum,[2][8] a term coined by a user on microblogging website Tumblr, meaning "true transsexual scum", which has since been reappropriated.
[9][10] Those who believe that gender dysphoria is not required to be transgender are sometimes called tucute, meaning "too cute to be cisgender".
[10] Transmedicalists sometimes refer to those who identify as transgender without medicalized criteria as transtrenders.