Some trans people pursue medical steps like hormone replacement therapy (HRT) or surgeries. Others do not, due to cost, health risks, or simply because they don’t feel the need. A person’s identity is valid regardless of medical intervention.
Moreover, the use of (he/him, she/her, they/them, neopronouns like ze/zir) has become a cornerstone of polite queer social interaction. While some cisgender people may find pronoun circles awkward, within LGBTQ culture, sharing pronouns is seen as basic respect—a direct influence of transgender advocacy.
To be an ally to the transgender community within (and beyond) LGBTQ culture is to practice three things: