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Transsexualism is considered a taboo subject in many parts of the world. The justifications for negative beliefs about transsexualism may be perceived as being supported by religious beliefs or cultural norms. It has become more widely known in Western nations in the late 20th century due to the sexual revolution, but remains a highly controversial topic. Gender dysphoria Transsexualism often manifests itself as a dysphoria toward one's biological birth sex, as well as conflict living in one's social role. If untreated, it can lead to mental and emotional problems, and sometimes, suicide. However, with proper treatment, transsexual people often become fully functional members of society.