(previously known as “sex reassignment”) surgery. Blanchard also recorded other less common forms of transsexuality, all of which were related to sexual orientation. Despite arguments in favor of sexual-orientation-based typologies, some transgender advocates were outspoken critics of these typologies.25 In particular, they rejected the idea that some presentations of transgender identity were more akin to a fetish than to an experience of felt gender identity per se. Academic peers such as Charles