The term "gender identity" refers to a person's
perception of their own gender.
The vast majority of adults are cisgendered: their gender
identity matches their genetic gender. That is:
Persons with female genitalia, ovaries, and DNA containing XX chromosomes have a female genetic gender. They regard themselves as females.
Almost all males have male gentilia, XY chromosomes in their
DNA, and perceive themselves as male.
However, a very small minority of persons are transgender.
They typically have a genetic gender that is opposite of their gender identity.
They are sometimes described as having a female brain and a male body, or
vice-versa. transgender persons are considered to have gender dysphoria. Most
therapists use the term Gender Identity Disorder (GID). Conservative
Christians often use the term "Gender Confusion Disorder" apparently to
imply that it is easily cured.
The term "transsexual" is often used to refer to a transgender
person who has engaged in hormone treatments and, optionally sexual reassignment
surgery, so that their body more closely resembles their sexual identity.