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Transsexual wasn't really a replacement of transvestite. It's merely the next step up: medicalisation (hormones and/or surgery) rather than just cross-dressing and make-up.

Also, transsexuals traditionally included very effeminate gay men who were not the same breed as the hetero fetishists.

The language game was to call both of these things "transgender" while simultaneously expanding the label to include gender-non-conforming kids.

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