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Sexual Orientation and Gender

Gender identity

​​​​What is gender identity?

Gender identity is about a person's inner feelings as male, female, both, neither, something else, or changing.

Gender identity is part of a person's identity. Sometimes the sex someone was assigned at birth (male, female) and their gender identity are the same. Sometimes they're not.

Gender identity may be the same through someone's life, or it may change.

What are some words to know?

When learning about words related to gender identity, it's important to remember:

  • Gender identity is about a personal identity, not a label put on someone else.
  • Words can mean different things to different people.
  • Language changes over time. Words that were commonly used in the past may be seen as hurtful today.​

​There are many different words used when talking about gender identity. There are also many gender identities. Some common words related to gender identity are:

  • Sex assigned at birtha label (male or female) given by a healthcare professional to a baby based on their reproductive biology.
  • Cisgendersomeone's sex assigned at birth and their gender identity are the same.
  • Transgendersomeone's sex assigned at birth and their gender identity are different.
  • Gender expressionhow someone shows their gender through things like their name, pronouns, clothes, hairstyle, voice, and what bathrooms to use. Someone's gender expression may or may not match what others think that gender looks like.
  • Agendersomeone doesn't identify as any gender.
  • Gender fluidgender identity that changes over time.
  • Non-binary (Enby)gender identity isn't male or female, may be both, neither, or changing.
  • Two-Spirit (2S)a cultural, spiritual term of identity used by some Indigenous people who have the spirit of more than one gender.
  • 2SLGBTQI+This is a short way to talk about the community of people who identify as an identity that is not cisgender and not straight.
  • Some of the letters stand for sexual orientations (lesbian, gay, bisexual), some stand for gender identities (2S, transgender)
  • The "Q" for queer stands for both sexual orientation and gender identity. It also stands for questioning as people figure out their identity.
  • The "l" stands for intersex, which is when someone's reproductive biology doesn't fit with the traditional idea of male or female body or genetics.
  • The "+" stands for all identities not otherwise included.

  • ​What can I do?

    We all have a part in helping everyone feel safe and welcome in our community. We all deserve to be free from discrimination. To do your part:

    • ​Treat everyone with respect. 
    • Use language that includes people no matter what their gender identity might be.
    • Don’t say hurtful things about or to others.
    • Don’t discriminate against others.
    • Understand that someone else’s gender identity isn’t about you.

    • If someone you care about has told you about their gender identitiy, you can:

    • Say thank you for letting you know.
    • Keep showing and saying you care.
    • Remember that they’re the same person they were before you knew this. 
    • Avoid trying to change their gender identity.
    • Get more information and support from organizations like PFLAG Canada​.​
    What if I am, or think I might be, 2SLGBTQI+?​
    ​​​If you are 2SLGBTQI+ or are learning about your own gender identity, it can be helpful to talk with someone you trust who is 2SLGBTQI+ friendly.

    If you're not sure where to start, think about connecting with:

    Current as of: June 1, 2026

    Author: Diversity and Inclusion, Alberta Health Services