Identity construction about human sexuality is culture-driven. In the West, the dual categorization of sex in male/female and the belief that individuals inherit a gender identity at birth in harmony with the ideal physical and biological frame remains dominant. In some cultures, gender identity derives from actions, not from a person's body. In Hawaii, transgendered men are recognized, called mahuwahine, who engage in activities culturally designated for women, such as making clothing. Aki fishermen were a cultural norm delegated to participate in a female capacity, such as cooking and cleaning. The South African Zuni adolescent completing conversion from male to female between the age of 13 and 14 found fulfilment by marrying men. Western constricting gender category roles like male and female are now universally accepted. Nevertheless, worldwide, individuals so constrained by the sex assigned to them have sought, and in some cultures received, recognition and ritualistic san...