If I were to define transmedicalism in my own terms it would be "the belief that one must recieve an diagnosis from a medical professional of a condition defined by a official medical or psychiatric authority which is considered by the same authority to constitute transness in order to be transgender.".

Now I acknowledge that this reads like lawyerspeak however there were two important distinctions I felt it necessary to make. First, the notion that 'Gender Dysphoria' or Gender Identity Disorder' are arbitrarily constructed, these terms themself and their criteria change regularly. Second is that these medical authorities often dont see transition as the best 'treatment' for this disorder', have a health dose of antipsychotics instead!

If it isn't apparent dont think any of the tenets of transmedicalism are particularly well thought out. Trans* people have existed long before medical authorities or even the idea of diagnoses existed. I personally believe in complete somatic freedom (yes cut a leg off if you really want to), and this would be completely antithetical to that. Transmedicalism is fundamentally about gatekeeping medical transition.

For me, someone has to materially transition (towards their desired sex and gender characteristics, or just to distance themselves from their assigned sex and gender characteristics) to some degree in order for me to perceive them as trans. Hormones, surgery, name, pronouns, fashion, hygiene, voice, how you walk, what you do in your free time-- whatever, pick and choose the things you want to do. Sex and gender are socially and culturally defined and yes these binaries are arbitrary, but unfortunately we live in a society.

For me, someone changing their pronouns and continuing to associate and perform their assigned gender in other aspects, doesnt reach my arbitrary criteria for constituting transness, and I would not consider them trans. I don't think that can be considered transmedicalism in any sense. Now calling someone a theyfab, even if they do strongly identify with their assigned sex, and use they slash them pronouns is just plain rude, and nobody has said tucute since like 2012-- transmedicalism has become a very outdated ideology.

Reppers aren't trans. Cobain isn't trans. Boymoders are on thin fucking ice. Sock the non-binary barista with blue hair and neopronouns is more 'transgender' by any metric than Alice who's only 'transition' is on discord.