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Before the famous 1969 riots, gender-nonconforming people led early resistances, such as the 1959 Cooper Do-nuts riot in Los Angeles and the 1966 Compton’s Cafeteria riot in San Francisco. seeking acceptance from mainstream society

These histories are not separate from LGBTQ culture; they are the DNA of LGBTQ culture. The spirit of resistance, the celebration of the "other," the drag balls, the concept of "chosen family"—all of these cultural hallmarks trace directly back to trans and gender-nonconforming pioneers. sometimes excluded trans people

However, the LGBTQ establishment of the 1970s often tried to distance itself from the most visibly gender-nonconforming members. The early gay liberation movement, seeking acceptance from mainstream society, sometimes excluded trans people, viewing them as "too radical." In response, Rivera and Johnson founded , a grassroots organization that provided housing and support to homeless trans youth in New York City.

The community frequently targets legislative battles regarding bathroom access, sports participation, and restrictions on youth healthcare.

Transgender individuals often face severe barriers to accessing gender-affirming care, which major medical organizations recognize as life-saving and necessary.