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However, as the movement professionalized in the 1970s and 1980s, mainstream gay and lesbian organizations increasingly marginalized trans issues to pursue respectability politics, seeking acceptance by emphasizing that sexual orientation was unrelated to gender identity. The infamous “trans exclusion” from the 1973 Christopher Street West parade, where Rivera was booed off stage, exemplified this fracture (Meyerowitz, 2002). Despite this, the HIV/AIDS crisis of the 1980s and 1990s forced renewed cooperation, as trans women (particularly trans women of color) were heavily affected by the epidemic and worked alongside gay men in ACT UP and other advocacy groups.

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The history and culture of the transgender community are deeply interwoven with the broader LGBTQ+ movement, though transgender individuals have also carved out distinct identities and communities across centuries and continents.