"Next, 'real' is what we may call a trouser-word. It is usually thought, and I dare say usually rightly thought, that what one might call the affirmative use of a term is basic--that, to understand 'x,' we need to know what it is to be x, or to be an x, and that knowing this apprises us of what it is not to be x, not to be an x. But with 'real' (as we briefly noted earlier) it is the negative use that wears the trousers."

Next Quote

Nothing is more important for transgender people than to have access to excellent health care in trans-affirmative environments, to have the legal and institutional freedom to pursue their own lives as they wish, and to have their freedom and desire affirmed by the rest of the world. This will happen only when transphobia is overcome at the level of individual attitudes and prejudices and in larger institutions of education, law, health care, and kinship.

— Judith Butler